Boost Remote Patient Monitoring Pay Up & Avoid Auditor Recoupments

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Medicare and private payer auditors are targeting Remote Patient Monitoring (RPM) claim errors because of the confusion surrounding this year’s rule changes and clarifications, and the increased pandemic-driven volume (and the increased reimbursement rate). Remote patient monitoring

Their goal is to take back some of the reimbursement you’ve already received. Remember: Many auditors are paid based on the recoupments they uncover. And they will, unless you master the rules for RPM codes like 99091, 99457, 99458, and HCPCS code G2012.

Now, more than ever, your patients expect you to offer remote monitoring options, and in turn, you deserve to retain the reimbursement you receive for providing these services. This is where billing and coding expert, Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, can help. During her 60-minute online training session, you’ll learn how to more accurately code your RPM claims —so they withstand even the toughest auditor scrutiny. Kim will also help you ethically maximize your remote monitoring reimbursement, to ensure you receive every dollar you rightfully deserve.

Here are just a few of the RPM coding and billing questions you’ll get answered by attending this, 60-minute online training:

  • Are you limited to codes 99091, 99453-54, 94557-58 when billing for RPM?
  • Must your patients be chronically ill to qualify for remote monitoring?
  • Can you bill new and established patients alike for RPM services?
  • How to ethically bill for multiple RPM devices on one patient without “double dipping”?
  • What documentation is required to ensure reimbursement for each 20-minute interval?
  • Who at your practice is authorized to order and bill for RPM services?
  • How can you earn an additional $19 per patient per month with code 99453?
  • How can you be paid for both RPM and CCM services for the same patients?
  • Which clinical staff can your physician delegate RPM monitoring to?
  • What does “interactive communication” with your patient really mean?
  • What RPM devices qualify for reimbursement (and which ones don’t)?
  • How many days a month must your patient’s device report and monitor data?
  • How can complying with incident-to billing rules increase your RPM reimbursement?
  • What are remote monitoring practice expense codes (99453 and 99454) used for?
  • What additional services (and codes) can be billed as RPM?
  • How can you be prepared for the expected post-pandemic RPM rule changes?
  • How often are face-to-face visits required, and how should you track them?
  • And so much more

Although there are numerous benefits to providing Remote Patient Monitoring (improved patient connectivity and care, increased patient volume, new source of revenue, etc.), it’s only possible if you master RPM coding rules. Otherwise, you risk getting undercompensated for the remote monitoring services you provide or being forced to pay back the reimbursement you’ve received. Neither is a good option.

Don’t risk it. Sign up for this upcoming online training today to get step-by-step expert advice on how to cut through the confusion of RPM coding rules. If you want to ensure you are receiving every penny of RPM reimbursement that you’re rightfully due, register today.

Meet Your Expert

Kim Huey
MJ, CHC, CPC, CCS-P, PCS, CPCOKGG Coding and Reimbursement Consulting, LLC

Kim is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians. Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine.

She completed a Bachelor’s degree in Health Care Management and went on to obtain certification through the American Academy of Professional Coders and the American Health Information Management Association.

Recognizing the important position of compliance in today’s world, she has also obtained certification as a Certified Healthcare Compliance Consultant and a Certified Healthcare Audit Professional. Kim is also an AHIMA-approved ICD-10-CM trainer and has recently earned a Master of Jurisprudence in Health Law.

For over twenty-five years, Kim has worked with providers in virtually all specialties, from General Surgery to Obstetrics/Gynecology to Oncology to Internal Medicine and beyond. She has spoken at the national conference for numerous organizations.

Reviews

I thought the webinar was very informative. The presenter had a good Knowledge base.
Tanya Hicks