数字健康已成为云顶集团rt电子游戏继续照顾患者、同时降低接触传染病风险的一种基本方式. 对慢性疾病患者或需要新型冠状病毒肺炎监测的人进行远程患者监测(RPM)，使患者更加方便和安全，因为他们知道，在仍可控制的情况下，可能出现的不断恶化的健康状况可以得到控制.

作为额外的好处，97%的云顶集团rt电子游戏执业经历了负面的财务影响 新型冠状病毒肺炎,^[1]RPM provides a new revenue stream to help medical groups offset lost revenue.

In the 2020 MPFS Final Rule, CMS defines RPM as the “collection, 分析, 和 interpretation of digitally collected physiologic data, followed by the development of a treatment plan, 和 the managing of a patient under the treatment plan.”

• Chronic Conditions: CHF, diabetes, COPD
• Post-Acute Care: posthospital admission or postsurgical treatment
• 新型冠状病毒肺炎: suspected 和 confirmed cases

Starting in 2018, RPM was separately reimbursable via CPT code 99091. Thirty minutes of time with either a qualified healthcare professional (QHCP), such as an advanced practice professional, or a physician was required over a 30-day period to bill for RPM.

In 2019, three new CPT codes—99453, 99454, 和 99457—were established. This was a significant change, 因为这意味着云顶集团rt电子游戏的实践将得到补偿，他们花在教育病人和用于RPM的设备(e.g., blood pressure monitor, glucose monitor). Two other key changes also occurred: in addition to QHCPs 和 physicians, clinical staff were also permitted to monitor patients, 和 only 20 minutes of time was required per month instead of 30. Despite these advancements, 一个重要的障碍仍然存在——QHCPs和临床人员都需要云顶集团rt电子游戏的直接监督来支付99457美元.

Effective 1月uary 1, 2020, CMS made two more significant changes:

• 允许对99457进行一般监督而不是直接监督
• 增加CPT代码99458，当患者在一个月内需要额外的20分钟监测时，向提供者提供补偿

It is important to note that 99091 和 99457 cannot be billed simultaneously.

下面是所讨论的CPT代码及其报销的摘要.

RPM: A New Revenue Stream

RPM can provide significant incremental annual revenue, as shown in the table below, particularly as it is scaled across an organization.

Key Considerations for Implementation

组织在考虑实施RPM时需要考虑四个主要因素:

• Financial Opportunity: 通过估计参与的云顶集团rt电子游戏和符合条件的患者的数量，计算RPM的经济机会. 重要的是要记住，并不是所有参与的患者在99457下都能达到20分钟的时间阈值. 另外, determine potential reimbursement for commercial, 医疗保险的优势, 和 Medicaid patients. 您还需要考虑额外收入将被实现成本抵消的程度.
• 对价值的影响,基于合同: While RPM is an additional revenue source in a fee-for-service world, 这也是一项额外索赔费用，根据以价值为基础的合同安排，它将加到护理总费用中. 另一方面, you will likely realize more value from a potential reduction in ED visits, 可避免的招生, 再次入院,.
• Technology Selection: Two key technology selections are required:

• 设备:为您的组织和患者确定最合适的RPM建议. 为了补偿医疗保险成员的设备，CMS将补偿云顶集团rt电子游戏62美元.44 per month via CPT code 99454.
• RPM软件:选择将与所选技术集成并允许远程监控患者的RPM软件.

• 供应商选择: Evaluate your infrastructure, the operational planning required, 你想要承担的工作的水平决定了外包的程度对你的组织来说是有意义的. 您可以为技术平台选择供应商，也可以为整个过程选择RPM供应商, 包括最初为患者设置设备，以及提供注册护士和医疗助理来监测患者. 如果您选择了供应商，请识别和研究潜在的RPM供应商，并协调RFP流程. RPM供应商通常可以在短短几周内让一个组织在RPM平台上启动和运行.

如果它对您的组织有意义，我们鼓励您利用RPM.