Accuhealth Chronic Care Management (CCM) and Remote Patient Monitoring 

Accuhealth CCM ensures that your patients receive intimate concierge-level care to build better habits and improve overall health and wellness, all from the comfort of home...

CCMChartNucleus

 

Breaking Down CCM and RPM

Chronic Care Management (CCM) services are generally non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more) chronic conditions expected to last at least 12 months.

Remote Patient Monitoring (RPM) services are generally the collection and analysis of patient physiologic data from one location and securely transmitted electronically to providers in a different location, that is used to develop and manage a treatment plan related to chronic and/or acute health illnesses or conditions. Physiological data can include vital signs like blood pressure, blood sugar, weight, SpO2 and/or heart rate information.

Your CCM program can be enhanced dramatically with Accuhealth Remote Patient Monitoring. If you are not already aware, you are able to bill for CCM and RPM concurrently because CCM patients qualify for RPM.

The differences and similarities in CCM vs RPM are highlighted below...

Differences

 

RPM

CCM

Purpose

Has multiple purposes, that include chronic care management, principal care management (just 1 chronic condition), acute care, neonatal care, etc. Primary purpose is to manage the care of those patients with two or more chronic conditions, as designated by CMS.

Requirement (With Clinical Staff)

1) Initial set-up and patient education on use of equipment.

2) Device(s) supply with daily recording(s) or programmed alert(s) transmission, 16 or more days each month.

3) Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month. Up to 2 additional units of 20 minutes are currently acceptable.

Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month.

Care Activities

 

· Interpretation of the received data and interaction with patient on their treatment plan.

· Real-time clinical intervention for abnormal patient readings.

· Ongoing health coaching. 

· Patient empowerment with physiological data. 

· Device onboarding and patient education. 

· Patient adherence reminders.

· Rewarding patient behavior and healthy wellness habits.

· 24/7/365 clinical access for patients, extending continuity of care. 

· Medication adherence. 

Comprehensive care plan must be established. It must then be implemented, revised, or monitored on a monthly basis.

It can involve the following:

· Systematic assessment of the patient’s medical, functional, and psycho-social needs.

· System-based approaches to ensure timely receipt of all recommended preventive care services.

· Medication reconciliation with review of adherence and potential interactions.  

· Oversight of patient self-management of medications.

· Coordinating care with home- and community-based clinical service providers.

Expected Monthly Reimbursement

 

99453 - One time patient setup onto RPM $19

99454 - Device supply and recordings; every 30 day code $62

99457 - 20-39 min., First 20 min of RPM clinical time (reviewing readings, phone calls...); calendar month code $52

99458 - Each additional 20 min of RPM clinical time, max 2 units; calendar month code $42

 

99490 - CCM Initial 20 min of clinical time $41

99491 - CCM Additional 30 min $82

99487 - Complex CCM initial 60 min of clinical time $92

99489 - Complex CCM additional 30 min $44

CCM and Complex CCM is an evolving and growing service. Visit this link to learn more about it:

CMS Chronic Care Management Services

Complexity of Cases

 

Does not have separate codes for medium to high complexity cases.

Has separate codes for medium to high complexity cases.

Possibility of Increments

 

In increments of 20 minutes.

In increments of 20 minutes, however if 60 minutes will be required a month, it is encouraged to bill a complex care code that starts at 60 minutes monthly.

Requirements

 

 

Collection and interpretation of physiologic data digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified healthcare professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time, each 30 days

Chronic care management services, provided personally by a physician or other qualified health care professional, at least 30 minutes of physician or other qualified health care professional time, per calendar month.

24/7 Access to Care

 

Yes

N/A

 

Similarities

 

Initiation

 

For new patients or patients not seen within 1 year prior to the commencement of RPM/CCM, Medicare requires initiation of services during a face-to-face visit with the billing practitioner. Has to be initiated by an Annual Wellness Visit, Initial Preventive Physical Exam, etc.

 

Staff Involved

 

Physicians, Qualified Health Professionals, Clinical Staff

Billing Cycle

 

Monthly

Supervision

 

General Supervision

Patient Consent

Required

Location of Patient

 

Anywhere outside of the hospital. Does not have to be in an originating site, as it’s typically the case with telehealth services.

Cost Sharing

Copays and deductibles may apply.

 

 

2021 Outcomes

Here is our 2021 year in review - Accuhealth patients and providers delivered some impressive results!  Accuhealth is committed to improving the overall outcomes of your patient population. Our platform reports on key performance indicators to show important quality metrics for each individual patient and your population as a whole.  See our overall performance from 2021 below:

 21,232

UNIQUE PATIENTS

 3,271

HOSPITAL VISITS AVOIDED

 $44M

MEDICARE SAVINGS

Accuhealth data proves that Remote Patient Monitoring keeps patients out of the hospital and reduces Medicare costs. Both short-term and sustained long-term improvements to BLOOD PRESSURE, BLOOD GLUCOSE, AND WEIGHT

86

NET PROMOTER SCORE

The average NPS is 32. Accuhealth is a leader in patient satisfaction.

80%

READMISSION REDUCTION

 Patients marked as high risk get extra attention from clinical staff and minimize risk of hospital visits.

$44M

REDUCTION IN COST OF CARE

Due to high touch points we are able to help patients instead of going to the emergency room.

OUR CLINICS' AVERAGE BLOOD GLUCOSE IMPROVEMENT OVER TIME

-15 mgdl

AVERAGE SYSTOLIC BLOOD PRESSURE IMPROVEMENT OVER TIME

-10 mmhg

AVERAGE DIASTOLIC BLOOD PRESSURE IMPROVEMENT OVER TIME

-8 mmhg

AVERAGE RESTING HEART RATE IMPROVEMENT OVER TIME

-3 bpm

80%

ADHERENCE  RATE

20%

MEDICATION ADHERENCE INCREASE

AVERAGE WEIGHT LOSS IMPROVEMENT OVER TIME

-16 lbs

+

IMPROVED PATIENT RETENTION

+

IMPROVED CONTINUUM OF CARE

ADDED PATIENT BENEFITS:

  • Enhanced patient engagement and satisfaction
  • Reduction in hospitalizations
  • Measurable patient data provides more touchpoints
  • Reduction in overall cost of care
  • Increased medication adherence

+

24/7 CLINICAL MONITORING

+

EASY TO USE  DEVICES

+

ENGLISH + SPANISH LANGUAGE

+

UNLIMITED TELEMEDICINE

Ready to setup your clinic?

Just click the links below to talk to a member of our sales team or to learn more about our Remote Patient Monitoring solution. Get your clinic setup in under 24 hours...

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True EHR Integration

EHR integration is critical for RPM success so that the RPM program can integrate into your current workflow and so that you can easily generate Quality reports using the RPM data. Many RPM vendors claim "integration," but in reality all they do is scan PDFs; our integration places readings into true data fields in your EHR. With some EHRs, we can even auto-generate RPM claims.

Here are some of the EHRs that we already integrate with:

Our Chronic Care Management Hardware

We provide EHR-connected blood pressure monitors, glucometers, pulse oximeters and weight scales with these features:

  • Our blood pressure monitors have been rigorously tested and clinically validated for accuracy
  • Built-in integration with cloud-based EHRs
  • First device for each patient provided as part of our service
  • Device consumables (lancets, test strips, batteries) included
  • HIPAA-compliant secure data transmission
  • No WiFi, Bluetooth, tablet, or smartphone required for the patient
  • Verizon certified, with roaming capabilities on AT&T and T-Mobile. What this means - our devices work anywhere there is cellphone service globally.

Learn More

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Our Software Platform

You and your team will have access to our proprietary web-based SOC2-certified, HIPAA-compliant RPM platform, which serves as the central hub for the entire RPM program.

  • Receives and organizes all biometric data
  • Integrates with cloud-based EHRs
  • Secure Telemedicine visits with patients
  • Automatically time stamps all patient interactions
  • Generates clinical and billing reports

Learn More

Our Clinical Team

Our clinical monitoring team of nurses and MAs monitors your patients 24/7/365, responding to readings, calling, assessing and escalating relevant cases to you. 

  • English and Spanish speaking
  • 24/7/365 coverage in all states in the US
  • Follow clinic-specific escalation algorithms
  • Operate as an extension of your practice
  • Lets you scale RPM without needing to hire additional staff

Learn More

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Nurses working with the best remote patient monitoring companies

Accuhealth Telemedicine

Accuhealth is proud to provide an on-demand virtual clinic for physicians to see patients with the click of a button. Vital information at your fingertips making visits easier and more efficient for both provider and patient...

Manage Your Exam Room from Anywhere

Telemedicine allows patients to have access to your practice no matter how far away they are. Patients can simply book a telehealth appointment and receive quality care in their own home.

Schedule a Demo

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HD 2-Way Video

See and hear your patients through crystal clear high definition video as if they were in the room with you.

 
 

Unique Video Link

Get a personalized link so telehealth patients can join a video visit with 1-click without the need to log-in.

 
 

Virtual Waiting Room

Be notified via text as patients enter your virtual waiting room so you know when to join the appointment.

 

Free EMR Integration

Accuhealth Telemedicine is enabled for all accounts and a free EMR integration is provided for clinics that have over 100 patients.
 
 

Unlimited Scalability

Unlimited scalability without compromising performance or video quality
 
 

Transcribe and Record

Physicians can seamlessly record and transcribe visits, upload transcripts directly into the encounter for the patient, and download the recorded visit for future reference.

Get the CCM vs RPM White Paper

Learn more with Accuhealth's comprehensive white paper detailing the differences between Chronic Care Management (CCM) and Remote Patient Monitoring (RPM)

Get the Free White Paper

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