Remote Care Solution

On July 27, 2018 CMS published proposed rule which affected RPM codes for HHS and on Nov 1, 2018 published the Final rules and interim final rules. This article provides an understanding of rules related to CPT codes for RPM which seemed to have changed between the two rulings. We start with some important takeaways for Remote Patient Monitoring for Home Health Agencies for 2019 CMS rulings along with a side by side table providing relevant details of the CPT codes CMS shows commitment to RPM in PDGM Final Rule-CMS acknowledged the benefit of the use of remote patient monitoring …

CMS has acknowledged the benefits of Remote Monitoring in their Oct-31, 2018 Final Ruling for program CY 2019 Home Health Prospective Payment System specifically in section “H. Change Regarding Remote Patient Monitoring” under the Medicare Home Health Benefit. A brief excerpt: “Additionally, Particularly for patients with chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF), research indicates that remote patient monitoring has been successful in reducing readmission’s and long-term acute care utilization” And part of CMS’s “Final Decision”: We are finalizing our proposal to define remote patient monitoring under the Medicare home health benefit as “the collection of physiologic …

CMS is finalizing its proposal to define remote patient monitoring in regulation for the Medicare home health benefit and to include the cost of remote patient monitoring as an allowable cost on the HHA cost report. Studies note that remote patient monitoring has a positive impact on patients as it allows patients to share more live-time data with their providers and caregivers, which will lead to more tailored care and better health outcomes. 2019 Developments for Remote Care, RPM for Home Health Care Following key developments in 2019 relate to remote care which enables Home Health Agencies to benefit from …