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Find Out What are RPD and RPM Services in Medical Billing

Remote patient monitoring (RPM) and remote patient devices (RPD) are changing healthcare by making it possible to extend patient care beyond the confines of traditional clinical settings. RPM and RPD services allow providers to track patient health data in real-time, which improves patient outcomes and reduces hospital readmissions. Effective billing and reimbursement of RPM and RPD services, however, rely on coding, credentialing, and accounts receivable (AR) management skills.

Right Medical Billing LLC is a specialist in facilitating smooth reimbursement for RPM and RPD services. The following article discusses the billing and coding, credentialing, AR management, and advantage of outsourcing these services to Right Medical Billing LLC.

remote patient monitoring in medical billing

Understanding RPD and RPM Services

Remote Patient Devices (RPD)

RPD stands for medical devices utilized by home patients to gather health information. Some examples of these devices are:

  1. Blood pressure meters
  2. Glucometers
  3. Pulse oximeters.
  4. ECG patches.
  5. Smart inhalers
  6. Wearable fitness trackers with medical-grade sensors.
  7. Continuous glucose monitors (CGMs)
  8. Computerized stethoscopes.

Remote Patient Monitoring (RPM)

RPM involves the gathering of patient health information through RPD, and then its transmission to healthcare professionals for real-time surveillance. The conditions most frequently managed through RPM include:

  1. Hypertension.
  2. Diabetes.
  3. Chronic obstructive pulmonary disease (COPD)
  4. Congestive heart failure (CHF)
  5. Sleep apnea.
  6. Obesity treatment

CPT Codes for RPD and RPM Services in Medical Billing

Billing for RPM and RPD services requires using the correct Current Procedural Terminology (CPT) codes. The most commonly used codes include:

CPT Codes for RPM:

  • 99453 – Initial setup and patient education on device use.

  • 99454 – Device supply with daily recording and programmed alerts.

  • 99457 – First 20 minutes of RPM data analysis and patient interaction.

  • 99458 – Additional 20 minutes of RPM service.

  • 99091 – Collection and interpretation of patient data by a physician or qualified healthcare provider.

  • 99473 – Self-measured blood pressure monitoring education.

  • 99474 – Review and evaluation of self-measured blood pressure data.

  • 99490 – Chronic care management for patients using remote monitoring.

  • 99491 – Chronic care management for higher-complexity patients requiring more than 30 minutes of physician time.

  • 99439 – Additional 20 minutes of chronic care management services.

CPT Codes for RPD:

  • 99457 – Interactive communication with patients for device-based monitoring.

  • 99458 – Additional time spent monitoring patient data.

  • 99493 – Remote therapeutic monitoring (RTM) treatment management services, first 20 minutes per month.

  • 99494 – Additional 20 minutes per month of RTM services.

  • 98975 – Initial setup and patient education on RTM devices.

  • 98976 – Device supply for respiratory monitoring.

  • 98977 – Device supply for musculoskeletal monitoring.

  • 98980 – RTM treatment management services, first 20 minutes.

  • 98981 – Additional 20 minutes of RTM.

Medical Credentialing for RPD and RPM Services

Credentialing is required to ensure proper reimbursement for Remote Patient Monitoring (RPM) and Remote Physiologic Data (RPD) services. Enrolling health providers with payers for insurance is done while complying with required requirements. Right Medical Billing LLC streamlines credentialing by:

  1. Preparing and submitting enrollment applications
  2. Maintaining compliance with Medicare and private insurance guidelines
  3. Provider profile updates according to payer networks.
  4. Managing recredentialing to avoid claim denials
  5. Verifying provider eligibility and ensuring correct NPI registration

Accounts Receivable (AR) Management for RPD and RPM

Good account management is important for medical practices to have a steady cash flow. Right Medical Billing LLC assists practitioners with:

  1. Monitoring and reviewing outstanding claims.
  2. Seeking compensation for denied or delayed reimbursements.
  3. Pursuing appeals related to incorrect claim denials.
  4. Reducing days in AR through efficient claim submission and follow-up
  5. Detection of common billing inaccuracies to avoid future denials.
  6. Automated billing processes make quicker reimbursement possible.

How Right Medical Billing LLC Helps in Billing and Coding for RPD and RPM

RPD and RPM medical billing processes are complex and require careful coding and documentation and regular updating to remain compliant. Right Medical Billing LLC offers:

  1. Our specialists ensure that CPT codes are properly assigned to maximize reimbursement.
  2. Claim Submission: We manage the whole claim submission process to avoid claims errors and denials.
  3. Compliance Management: We keep ourselves updated regarding payer policies to avoid claims denials.
  4. Denial Management: We address denied claims systematically to achieve maximum revenue recovery.
  5. Complimentary reporting: Presenting detailed financial reports to help providers with understanding revenue patterns.

Benefits of Outsourcing RPD and RPM Billing to Right Medical Billing LLC

Outsourcing medical billing to Right Medical Billing LLC provides numerous advantages, which are:

1. Maximized Reimbursements

By leveraging expert coders and billers, healthcare providers receive maximum reimbursements for RPM and RPD services.

2. Reduced Administrative Burden

Outsourcing eliminates the need for internal billing staff, thus allowing providers to focus on patient care delivery.

3. Expedited Claims Processing

By using automated billing and efficient claims processing, reimbursements are hastened and improved cash flow is obtained.

4. Regulatory Compliance Guarantee

Right Medical Billing LLC ensures that all claims meet Medicare, Medicaid, and private insurance requirements.

5. Enhanced AR Recovery

Our team improves financial operations for health centers by streamlining claims denials and speeding up collections.

6. Flexibility and Scalability

Our billing services are thoughtfully created to evolve with growing medical practices and help manage revenue cycles smoothly.

FInal thought

Billing and reimbursement for RPD and RPM services require specialized knowledge of coding, credentialing, and AR management. Right Medical Billing LLC ensures that healthcare providers maximize their revenue while complying with payer policies. By outsourcing RPD and RPM billing to our experts, providers can focus on delivering quality care without worrying about financial losses.

For more information on how Right Medical Billing LLC can assist your practice, contact us today!

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