Frequently Asked Questions
For Patients

+ What is Remote Patient Monitoring (RPM)?

Remote Patient Monitoring (RPM) is a healthcare service that allows doctors to monitor your health data, such as blood pressure, blood sugar, or oxygen levels, remotely using connected medical devices. It helps manage chronic conditions and provides timely interventions without frequent clinic visits.

+ How does RPM work for me?

You’ll receive medical devices, such as a blood pressure cuff or glucose monitor, that connect to an app or software. These devices transmit your health data to your doctor, who reviews it regularly and provides recommendations.

+ Do I need special technology to participate?

Most RPM devices work with smartphones, tablets, or computers. Your healthcare provider will guide you on setting up the device and app. If you don’t have compatible technology, ask your clinic for options.

+ Is my data safe?

Yes, RPM programs comply with HIPAA regulations to protect your health data. The information is transmitted securely and only shared with authorized healthcare providers.

+ Does insurance cover RPM services?

Many insurance plans, including Medicare, cover RPM services if you meet certain criteria. Your clinic can check your eligibility and help you with insurance claims.

+ What conditions can be managed with RPM?

Common conditions include hypertension, diabetes, heart disease, chronic obstructive pulmonary disease (COPD), and post-surgical recovery. Your doctor will determine if RPM is right for you.

+ What happens if my readings show something unusual?

Your healthcare provider will be alerted and will contact you to provide guidance, recommend changes, or ask you to come in for an in-person visit if necessary.

+ Will RPM replace my regular doctor visits?

No, RPM complements your regular doctor visits by monitoring your health more frequently and proactively addressing issues between visits.

+ How much time will I need to dedicate to RPM?

Using RPM devices typically takes only a few minutes daily or as recommended by your doctor. Regular monitoring can improve your health outcomes.

+ What if I don’t understand how to use the device?

Your healthcare provider will provide training on how to use the device. You can also contact their support team if you have any questions.

Frequently Asked Questions
For Clinics

+ What is Remote Patient Monitoring (RPM)?

Remote Patient Monitoring is a healthcare delivery method that enables clinics to monitor patients’ vital signs and health metrics remotely using connected medical devices. It helps improve patient outcomes and enhances chronic care management.

+ How does RPM benefit my clinic?

RPM allows your clinic to:

  • Offer proactive care to patients.
  • Improve patient engagement and satisfaction.
  • Generate additional revenue streams through billable services (CPT codes 99453, 99454, 99457, and 99458).
  • Reduce the burden of in-person visits.
+ What patients are eligible for RPM services?

RPM is ideal for patients with chronic conditions such as hypertension, diabetes, or heart disease. Medicare and most insurers require that the service manages at least one chronic condition.

+ How does billing for RPM work?

Medicare reimburses RPM services under specific CPT codes:

  • 99453: Initial setup and patient education.
  • 99454: Device supply and daily monitoring.
  • 99457: 20 minutes of clinical staff time providing care management.
  • 99458: Additional 20 minutes of care management.
+ What devices can be used for RPM?

FDA-approved devices like blood pressure monitors, glucometers, pulse oximeters, and weight scales are commonly used. Devices must automatically transmit data to qualify for reimbursement.

+ Do I need to provide devices to patients?

Yes, your clinic needs to supply patients with connected devices. You can either purchase the devices directly or work with a third-party vendor who provides them.

+ How do we set up RPM for a patient?

Setup involves:

  • Providing the patient with the device.
  • Educating them on its use.
  • Configuring the device to transmit data securely to your clinic.
+ How can clinics ensure compliance with RPM regulations?

Ensure that:

  • The program adheres to HIPAA regulations for patient data security.
  • You meet Medicare requirements for documentation, billing, and patient interaction.
  • Proper consent is obtained before starting the RPM service.
+ What kind of staff is needed to implement RPM?

RPM requires:

  • Clinical Staff: To monitor patient data and provide care management.
  • IT Support: To handle device setup and troubleshooting.
  • Administrative Staff: To manage billing and compliance.
+ What challenges might we face with RPM implementation?

Common challenges include:

  • Training staff on new workflows.
  • Ensuring patient adherence to device usage.
  • Managing initial setup costs and technical issues.
  • Handling large volumes of patient data efficiently.