FAQ on Launching a Remote Patient Monitoring Program

Types of Remote Patient Monitoring Devices:

When selecting personal health monitoring devices to recommend to your patients, it’s important to evaluate the following. First, make sure that the device is bluetooth enabled. Bluetooth connectivity allows health data to automatically be transferred into a mobile tracking app like 90health. Oftentimes patients don’t have the motivation to manually record health data in a journal, so this bluetooth capability will allow you to collect infinitely more valuable patient data. Next, you will want to ensure that you are choosing devices which collect physiological, not behavioral data. CMS will only reimburse for physiological data such as activity, step count, heart rate, and blood glucose. Lastly, you will need to decide whether you pre-purchase these remote patient monitoring devices and rent them out to patients for the duration of the program, or whether you recommend to patients to purchase the device on their own accord. Patients will typically be reimbursed by their health plan for purchasing a personal health monitoring device. Likewise, providers are reimbursed $69 for providing patients with a personal health monitoring device for remote monitoring. Lastly, the usability of these devices is highly dependent on the affordability of the device. When choosing a connected monitoring device, always try to find a clinically validated cheaper option, which patients will be more willing to pay for.

Do you have recommendations on high quality remote patient monitoring devices:

  • Thermometer: Withings, Kinsa
  • Weight scale: Withings, Wyze
  • Blood Pressure Monitor: Omron
  • Smartwatch (Collects heart rate, sp02, steps, sleep): Apple, Fitbit, Wyze
  • Spirometer: MIR
  • Blood Glucose: Accu-Check connect, Apple One Drop Blood Glucose Kit
  • EKG: Kardia Mobile

How does Medicare reimburse for remote patient monitoring & chronic care management CPT Codes?

Recent updates to CMS’ fee schedule in 2019 opened up a flood of new provider interest in launching chronic care programs. These programs can be both simple to launch and extremely lucrative. 90Health has a comprehensive guide on CMS reimbursement. Click here to read the guide.

Can nurses review this patient data, or does a doctor have to review the data?

Good news! Nurses, therapists, and outside organizations like 90Health can act “As incident to” your practice to review & analyze this data for you. Then when a patient’s symptoms are significantly escalating providers’ will be sent a clinical alert, telling them to follow-up with the patient.

Can you contract with an outside organization to collect and review patient data?

Yes! Medicare allows you to contract with other healthcare organizations or nurses, allowing them to act “As incident to” your practice. All reimbursement would be billed to CMS under your NPI, and you would later pay the nurse or healthcare organization an administrative fee for providing services.

How much patient data needs to be collected in a given month to get reimbursed?

You will need to collect 16 days worth of patient data in a 30 day period to be reimbursed by CMS. This typically is quite simple. As long as the patient provides access to Apple Health kit on their mobile phone, 90Health’s platform will continuously pull patient data every hour, every day.

Will my patients stay retained in the chronic care program:

90Health uses a variety of measures to engage patients in long term treatment, including utilizing an interactive beautifully designed mobile interface, offering patients fun daily health activities, personal health coaching, mindfulness and cognitive behavioral lessons, track progress, and the ability to share progress with friends and family.

Is this just more work for me and my staff?

90Health’s platform uses advanced artificial intelligence to alert providers only in high-risk situations. Rather than sorting through thousands of individual data points on a patient, you will see a weekly report on the patients symptoms severity, medication adherence, and more. If you don’t have the time to review this data, you can always use a nurse or an outside organization to review the data, working as “incident to” you.

How does Remote Patient Monitoring Help Boost Patient Outcomes?