HealthArc's blog

An important first step toward improving remote patient care is the CPT Code 99457 for Remote Patient Monitoring (RPM). In light of the changing healthcare landscape and the development of digital health platforms for RPM, this code provides a framework that enables medical practices to provide complete patient care and yet be eligible for Medicare reimbursement.

Read more:
https://medium.com/@healtharc/latest-cpt-code-99457-billing-coding-guidelines-3280a660b524

Behavioral Health Integration (BHI) is defined as patient-centered treatment delivered by a team of primary care and behavioral health professionals to address mental health and drug use problems, health habits, life stresses, and stress-related physical symptoms. Behavioral health integration (BHI) services cover the additional care management services that patients with mental, behavioral health, or psychiatric issues receive from their primary care team. The primary care team creates a care plan and organizes treatment throughout the healthcare system.

Behavioral Health Integration (BHI) is defined as patient-centered treatment delivered by a team of primary care and behavioral health professionals to address mental health and drug use problems, health habits, life stresses, and stress-related physical symptoms. Behavioral health integration (BHI) services cover the additional care management services that patients with mental, behavioral health, or psychiatric issues receive from their primary care team. The primary care team creates a care plan and organizes treatment throughout the healthcare system.

FQHCs are allowed to bill for certain remote monitoring services using G0511 from Jan 2024. These services include RPM (Remote Patient Monitoring), RTM (Remote Therapeutic Monitoring), CCM (Chronic Care Management), and Principal Care Management (PCM). CMS included G0511 for RPM in its 2024 Physician Fee Schedule (PFS).

Remote care services covered by G0511 can address various chronic diseases, such as:

Remote Patient Monitoring (RPM) for Alzheimer’s disease can aid in determining cognitive and functional impairment in Alzheimer’s and dementia patients. RPM provides a realistic view of patients in their own homes. Using modern technology, new and improved ways for accurately measuring functional decline in all phases of Alzheimer’s disease can be achieved through remote patient monitoring.

Read more:
https://www.healtharc.io/blogs/remote-patient-monitoring-for-alzheimers/

Transitional Care Management (TCM) services assist patients as they transition between different healthcare settings or stages of treatment, enabling smooth transitions, improving outcomes, and reducing potential consequences. HealthArc’s HIPAA-compliant cloud-based software and digital health platform is specifically developed to help patients navigate care transitions.

Principal Care Management (PCM) is all about reimbursing physicians for the additional work they do when caring for high risk complex chronically ill patients, including medication changes, creating a comprehensive care plan, patient follow-up and more. Utilize HealthArc’s digital monitoring platforms and cellular medical devices for efficient principal care management billing and care coordination.

Chronic Care Management (CCM) is a subset of virtual care management that focuses on providing coordinated care to patients with chronic diseases, to improve their health outcomes, quality of life, and minimize healthcare expenditures. With the increasing frequency of chronic diseases across the country, CCM has emerged as a crucial component of modern healthcare.

The Centers for Medicare and Medicaid Services (CMS) introduced transitional care management (TCM) services in 2013 with the goal of improving care coordination, reducing hospital readmissions, and lowering healthcare expenditures. These services include communication with patients, in-person visits, and medication reconciliation. Adoption and development of TCM services could help bridge the gap to a value-based care paradigm, boosting patient outcomes, and reducing overall healthcare costs.

Remote blood pressure monitoring is a digital breakthrough in the healthcare sector that utilizes a remote patient monitoring (RPM) platform and FDA-approved remote patient monitoring devices to track vital signs. Patients can take their BP readings at home and must use their device for at least 16 days, each month. The blood pressure monitor automatically transfers the readings to the digital health platform and the clinician can use the dashboard to view the data and make interventions, if needed.