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Texas Medicaid Telemonitoring for Providers

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Your clinic can be fully setup within 24 hours.

Accuhealth and Home Health Agencies

If you're a home health agency in Texas offering Telemonitoring, Accuhealth can provide an end-to-end Telemonitoring solution that includes eligibility checking, plan of care creation, patient acceptance/onboarding, patient adherence, and TMHP billing for your home care agency. Reduce your overall spending on your Telemonitoring program and focus on expanding your services with Accuhealth.

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How It Works

Accuhealth makes it easy to get started with RPM

 

  1. Sign up

    Our onboarding specialists can get your clinic set up over the phone in about 20 min.

  2. EHR integration

    Our operations team will begin installing your EHR integration so that you can start ordering RPM right away. EHR integration can be done completely virtually. 

  3. Training

    You and your staff will watch a series of short online on-demand training videos and you'll have access to unlimited one-on-one hands-on training, as needed. 

  4. Enroll your patients

    Enroll your patients through our EHR integration or through our secure online patient submission form. Once your RPM order reaches us, we'll ship out the appropriate device to the patient right away and get them onboarded.  

  5. Review and respond to critical alerts

    Our clinical team will call your patients when their readings are abnormal, and then escalate appropriate ones to your attention. The time our clinical team spends with your patients accrues towards your billing of RPM codes (we don't bill the payers for RPM, you do). 

  6. Bill and get reimbursed every week

    We'll generate a weekly billing spreadsheet that your biller will need to generate your RPM claims for the previous week. We'll provide one-on-one billing assistance for you and your team, so that you know exactly how to file these claims. 

 

Integrate with any EHR

EHR integration is critical for  success so that the Remote Patient Monitoring 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.

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Our Remote Patient Monitoring Hardware

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

  • 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.

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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
  • Securely records and transcribes calls with patients
  • Automatically time stamps all patient interactions
  • Generates clinical and billing reports

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Alerts and Escalations

When you and your clinic onboard with us, we will ask you to determine your "At Risk" and "Critical" alert thresholds for each physiological parameter (blood pressure, heart rate, glucose, etc.). These will be your practice-wide default thresholds. You will also be able to set and change custom thresholds for any patient as needed. When a patient has an At Risk reading, our team will review the reading result to determine if this is typical for the patient or whether a phone call is indicated. If a patient has a Critical reading, we will call the patient and determine if the situation needs to be escalated to the ordering provider. All our phone calls with patients and providers are done on our secure recorded platform. 

 

Coding and Billing

We know, learning any new codes can seem daunting, but rest assured, we make it easy. 

Do a deep dive into RPM codes in our Education Center click here.

 

Automated Time Tracking and Billing Reports

Our platform Evelyn automatically tracks all time spent with a patient, including recorded/transcribed phone conversations and remote patient monitoring activities performed by Accuhealth and your own providers.

Every Monday our system will autogenerate a billing spreadsheet with accurate Dates of Service and billing codes for each patient, making RPM claims generation a piece of cake for you and your biller. 

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CPT Code Breakdown

(Effective March 1, 2021 all providers must bill Medicare as the Primary Insurance for MQMB patients)
CPT Code Medicare Rate Time Spent Notes
99453 $19 N/A One time patient setup onto RPM
99454 $62 N/A Device supply and recordings; every 30 day code.
99457
 $52 20-39 min First 20 min of RPM clinical time (reviewing readings, phone calls...); calendar month code.
99458 $42

40-59 min 

60+ min

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

 

HCPCS Code Breakdown

(Effective March 1, 2021 all providers must bill Medicare as the Primary Insurance for MQMB patients)
HCPCS Code Rate Cumulative Time Spent Typical Time Responsibility
99091
 $183.00 30+ Minutes, per 30 days *Achieved with eight (8) or more readings + review chart and call patient in 30 days.

 

Included with Accuhealth

Accuhealth is licensed in all counties in the state of Texas. This means we can monitor all of your TMHP eligible patients as part of our service.

  • MD Digitally Signed Plan of Care
  • 180 Day Authorizations
  • Monitoring: Blood Pressure, Blood Glucose, Weight, SpO2
  • Accuhealth is in Network with All Commercial MMP Plans

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Feature Cost
EHR Integration Included
First device per patient Included
Additional device per patient $100 / device
Patient onboarding fee $15 / patient
Device consumables
Test strips, lancelets, etc.		 Included

Patient Engagement

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Automated Reminders

In addition to live agents calling patients, our automated reminder system will send SMS reminders to patients to remind them to take their readings. 

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Consumables Included

We supply patients with consumables for their devices, including batteries, diabetic lancets and test strips as part of our service. For some patients, not having to pay for consumables is a real motivator to continue the program. 

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Bingo

Patients can opt to participate in our fun monthly bingo game where each day they take a measurement they earn a bingo token, increasing their chance of winning monthly gift-card prizes that we provide. 

Client Testimonials

Hear what physicians using Accuhealth Remote Patient Monitoring have to say:

"Integration into our system was seamless and I have found the company to be very easy to work with, and dedicated to the needs of our patients. I have vetted many vendors over the years and this process was the easiest in terms of implementation while having a significant impact on the health of our patients. This is a tool that is helping our organization to bridge the health disparities gap for our patient population. The best part is that our patients and providers love this way of monitoring patient conditions. In addition, we have seen statistically significant improvements in reducing BP and glucose measurements."

Gary B, Sr. VP of Health Operations, at a major FQHC serving over 100,000 patients annually

"It's a phenomenal tool, that is setup in a very organized and easy to use way. I have patients that I never thought would be so interested in monitoring their blood pressure. And I see a wealth of data, that I otherwise wouldn't have. Accuhealth is something that has benefited my practice in a very significant way"

Jeffrey Graf, MD

"I was on another platform for two months and it was much different -- I was responsible for everything, including billing and devices. With Accuhealth, I can just check patient's blood pressure and weight, when I need to. I think it's very easy to use and I love it. And in case of an audit, it always shows exactly how much time I've spent with a patient"

Haris Turalic, MD, FACC

"Accuhealth has been an amazing resource for our practice, we have been able to follow trends of our geriatric patients much better. Their customer service has been top notch and they are very diligent and on top of all readings etc. This has also been a great revenue source in this financially hardened time due to the COVID-19 pandemic, it has created better care management when we can not see most of our patients due to geriatrics being such high risk."

Loetta W., Wasilla Internal Medicine

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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