Keys to Success
Education | Compliance | Quality
Cura maintains a full staff of clinical, implementation, and compliance specialists. We provide training for a seamless integration of your RPM program. Our team will implement your RPM program while your practice reaps the rewards.
BENEFITS OF REMOTE PATIENT MONITORING
Add value to your practice, keep more patients visiting you, and add revenue!
This module describes best practices for patient selection and onboarding practices.
Engaging patients to enroll and participate in your RPM Program.
MAINTAINING THE RPM RELATIONSHIP
Dramatically improve communication between the care team and patient adding value to your practice.
SELECTING THE RIGHT PATIENT POPULATION
Many disease conditions benefit from remote patient monitoring.
INTEGRATE RPM INTO EXISTING CLINICAL WORKFLOWS
A successful RPM program adds value to the clinician as much as to the patient.
HOW TO BUILD YOUR RPM PROGRAM
11 Tips to Build an effective Remote Patient Monitoring Program for your patients.
Top Ten Medicare Remote Patient Monitoring FAQs for 2021
Most frequent questions and answers
How do I start?
Connect with Cura RPM sales to get started. Choose the level of support to maintain your program. Devices are given to the patients at the time of a visit or mailed to the patient by Cura. At this time the medical assistant will document device set up and patient education of 3-10 minutes . Within the Cura RPM platform or your EHR document the medical necessity of monitoring by diagnosis or description (e.g. the patient uses controlled narcotics and is at risk of hypoxemia or low blood pressure, the patient is hypertensive and blood pressure monitoring is recommended, the patient is obese and at risk of hypertension). Thereafter monitoring begins.
How long will it take to be fully up and running?
Your program can be fully running with you and your staff over the course of 2 weeks. The total time to enroll all of your eligible patients depends on your choice of the initial engagement. Should you choose to mail patients devices after initial phone contact your time to full enrollment will be shortened to as little as one month.
What are my obligations for documentation and billing?
The above described your initial obligations. Others include that you must have a patient relationship within the last 1 year to enroll. You may not solicit patients that you do not have a pre existing relationship. Subsequent clinic visits do not require ongoing documentation outside of your normal workflow. You should document if RPM goals are met or a change of the care plan occurred. Starting in 2021 the MA will need to spend 20 minute of time in communication with the patient. This will allow you the CPT 99457 for data monitoring. CPT 99454 goes with any uploading of data. You do not need to document in your EHR monthly as this is maintained in the Cura RPM software. This is part of the MA note as your bill is allowable as incident to care. Document any recommended changes such as “I recommend the patient seek a primary care visit for increasing hypertension based on recent RPM data” as you would normally.
Each month ideally complete monitoring time by the 21st of the month so that the MA can catch any other patients needing additional time. After 16 days of the device out collecting data you can bill 99454. The 99454 is only allowable per each 30 day calendar month. The 99457 could be billed after any 20 minutes time met in a 30 day period.
What types of technology can be used?
CMS has only been specific with regard to the devices being recognized by FDA as a medical device. There is no clear language about the device having FDA approval. Cura uses only FDA approved medical devices for collection of physiologic data.
Does the provider have to directly provide the patient with devices?
No. The provider can distribute devices from the office or arrange with Cura as a third party to mail the device. Either way the provider is allowed to raise the claim for CPT 99453 for patient education.
How much do I have to put into this opportunity?
You can start with Cura RPM without any cost. The software billing is billed net 30 days which gives you some time to collect before paying Cura. Also we do not bill if the patient did not enter data (meaning you can not bill 99454). This compares to many competitors which charge for licensing block regardless of actual use.
How long has RPM been viable?
In 2020 it is practical on a wide spread basis since Medicare allows incident to billing. Outside of Medicare RPM is extremely valuable in DPC models and for individuals with chronic medical conditions.
What challenges and risk have been encountered most frequently?
Increased patient communications requiring staff time. We work with your staff to maintain smooth workflows or offer you full turn key service. Some patients are initially intimidated by the use of technology. When shown how easy it is to use text based data entry patients move past feeling hassled by tech.
Medicare should always be billed correctly to avoid any audits for fraudulent billing.
Patients are informed in the consent that your practice is not watching their data 24/7, but rather getting a big picture overview of their health. It is important patients understand the co-pay. We tell our patient we do not pursue collections. Further under Covid-19 PHE there is a waiver of patient co-pay.