/medicaid
Program Aspect Details
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.

Remote Patient Monitoring for Medicaid Providers

Accuhealth is the largest Remote Patient Monitoring & Telemonitoring provider in the state, Texas-based and founded in McAllen.  All Texas-based clinics stand to benefit from implementing a remote care program and Accuhealth is the most compliant in the business.  

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Real-time Improved Outcomes & Cost Savings

See real-time unnecessary hospital visits avoided and direct savings to Medicare from patients using Accuhealth RPM...

 

0

Unique Patients

 

0

Hospital Visits Avoided

 

$0M

Medicare Savings

How It Works

  1. Sign up

    Our onboarding specialists can get your clinic setup over the phone in about 20 minutes.

  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

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

Submitting Claims for Interactive Time

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

Relieve Clinical Burden

Automated Timestamps and Digital Paper Trail of Clinical Interactions

In a single-pane of glass physicians can get a birds-eye overview of their clinic, patients status, and trends. Our easy-to-use software platform comes with a built-in configurable central dashboard that allows seeing important clinical metadata such as the total time spent with patients, adherence and reading trends, alerts for patients conditions, and much more

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Automatic Reporting at Your Fingertips

Clinical and Billing Report Generation

In a single-pane of glass physicians can get a birds-eye overview of their clinic, patients status, and trends. Our easy-to-use software platform comes with a built-in configurable central dashboard that allows seeing important clinical metadata such as the total time spent with patients, adherence and reading trends, alerts for patients conditions, and much more! 

Billing Codes Overview

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

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 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.

Our 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.

Our Software

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

Our Clinical Team

  • 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

True No-Cost EHR Integration

All patient readings and other biometric recordings are sent securely and autonomously from our telemonitoring devices, via their 4G cellular-enabled chips, received from the cloud, stored within our proprietary software platform, and seamlessly integrated back into your existing Electronic Health Record (EHR).

Real Data. Real Fields.

Truly Seamless EHR Integration

 EHR integration is critical for Remote Patient Monitoring 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.

Alerts and Escalations

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

Active Patients

Using RPM devices

52

Critical Patients

Escalated to provider

3

At-Risk Patients

Monitored according to clinical algorithms

12

Normal Patients

Requiring no action

37

Practice-Wide Thresholds

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.

Per-Patient 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.

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
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

Fully customizable outreach via SMS, telephone, email, or video telemedicine call.  Increased patient engagement by using Accuhealth's clinical care team to provide full-service care coordination, medication and appointment reminders, health coaching, and the patient's preferred method of communication to build healthy habits.

Automated Reminders

In addition to our live agents who call patients, our automated reminder system will send SMS, emails, or phone call reminders to patients depending on their preference to remind them to take their readings. 

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. 

Play Daily Bingo Game

We try to make Remote Patient Monitoring and taking daily readings fun by emailing a Bingo card to patients at the start of each month.  Patients can play and win prizes, and keep them engaged with their daily reading reminders. 

Ready to Setup Your Clinic?

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

Schedule a Demo
Schedule a Demo

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