Remote Patient Monitoring for Medicare Providers

Medicare, Medicare Advantage, and some commercial payers reimburse for Remote Patient Monitoring. To learn about Medicaid Telemonitoring in Texas, click here.

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How It Works

Accuhealth makes it easy to get started with Remote Patient Monitoring

 

  1. Sign up

    Our onboarding specialists can get your clinic set up 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. 

Measurable Outcomes

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

OUR CLINICS' AVERAGE BLOOD GLUCOSE IMPROVEMENT OVERTIME WAS

-15 mgdl

AVERAGE SYSTOLIC BLOOD PRESSURE IMPROVEMENT OVERTIME WAS

-10 mmhg

AVERAGE DIASTOLIC BLOOD PRESSURE IMPROVEMENT OVERTIME WAS

-8 mmhg

AVERAGE RESTING HEART RATE IMPROVEMENT OVERTIME WAS:

-3 bpm

AVERAGE WEIGHT LOSS IMPROVEMENT OVERTIME WAS:

-16 lbs

75%

ADHERENCE  RATE

20%

MEDICATION ADHERENCE INCREASE

+

IMPROVED PATIENT RETENTION

+

IMPROVED CONTINUUM OF CARE

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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 Software Platform

You and your team will have access to our proprietary web-based SOC2-certified, HIPAA-compliant Remote Patient Monitoring 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

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

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Accuhealth 2020 Health Outcomes

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 Remote Patient Monitoring codes in our Education Center.

 

Automated Time Tracking and Billing Reports

Our remote patient monitoring 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.

At the end of each month, 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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Remote Patient Monitoring CPT Codes at a Glance

 

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

Locality-specific Reimbursement Rates

Click to see locality-specific Original Medicare Remote Patient Monitoring reimbursement rates.

Simple Transparent Pricing

We bill you every month for the previous month's work. We only charge you for patients who meet billing thresholds. 

  • No long-term contracts
  • No minimum commitments
  • No capital outlay if you only order one device per patient
  • Net 30, so that you have enough time to get paid first 

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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
Consumables Included
99454 $25, every 30 days
99457, 99458 $20 each, every month*

* 2nd unit of 99458 is provided at no additional cost

Patient Engagement

reminder
 

Automated Reminders

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

battery
 

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. 

bingo
 

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:

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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