You can better service your chronically ill patients more easily and get paid more of what you deserve for the added time and services you provide. The answer is knowing when to utilize Chronic Care Management – CCM, Remote Patient Monitoring – RPM CPT codes or both.
Determining whether to bill for CCM, RPM CPT codes or both depends on your practice’s unique situation. The challenge is that coding for chronically ill patients with CCM and RPM CPT codes is confusing. Also, Medicare has continually overpaid for these services, so they are watching these claims extra closely to ensure accuracy.
Correctly coding for these essential services can allow you to finally get paid for the additional time and continual monitoring your sickest patients require. Find out whether CCM, RPM CPT codes or both is best for your practice, and how to code these services correctly to keep you off of Medicare’s audit radar.
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PART 1: Boost Remote Patient Monitoring Pay Up & Avoid Auditor Recoupments
Available Immediately,
Order the On-demand version and listen to it at your convenience.
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 online training today to get step-by-step expert advice on how to cut through the confusion of RPM coding rules. Registration for this training is limited, so if you want to ensure you are receiving every penny of RPM reimbursement that you’re rightfully due, register today.
PART 2: Earn $50,946 More a Year for Treating Your Chronically III Patients
Available Immediately,
Order the On-demand version and listen to it at your convenience.
Medicare has made it easier for you to get paid for treating your sickest chronically ill patients. In some cases, they have even increased the amount you can be paid for the added time and effort required to care for them.
The Catch: Medicare chronic care management billing (including transitional care management) is complicated —especially the tricky bundling and diagnoses requirements. BUT, if you do it right, you can finally get paid for the additional care you provide to your chronically ill patients.
You can find out how from billing and coding expert, Kim Huey MJ, CHC, CPC, CCS-P, PCS, CPCO. During her 90-minute online training, you’ll get a step-by-step breakdown of the complexities of how to accurately, and more successfully, bill Medicare chronic care management. Finally, you’ll know how to get paid for the added time and attention your chronically ill patients require.
Here is just a small sample of the many Medicare chronic care management billing strategies you’ll receive during this expert-led online training:
Get paid for every possible minute by correctly capturing extended and clinical staff time
Use principal care management codes to uncover less complex patient billable services
Determine how you can get paid for services in addition to care management codes
Proven strategies to audit-proof your documentation of care management services
Meet care plan element requirements to improve chronic care claim pay up
Boost pay up by billing concurrently for chronic care and transitional care management code
Get more patients qualified for care management services
Master 5 required technical capabilities CMS mandates to bill care management
More easily meet 24/7 provider coverage requirements
Pin down at-risk patient populations to improve care and your bottom line
And much, much more!
IMPORTANT: Considering that half of all Americans in the U.S. (117 million people) suffer from at least one chronic disease, it’s likely you have quite a few patients that qualify under chronic care management guidelines. At the rate of $84.92 per patient per month, if you have just 50 patients that qualify, you could bring in an additional $50,946 per year. This added revenue is compensating you for work you are going to provide anyway, so you have nothing to lose.
Don’t make the costly mistake of thinking that you don’t have the time to comply with Medicare chronic care management (and transitional care management) requirements. You can get the answers you need, along with step-by-step guidance to help you provide the best possible care to your patients and get paid more for the services you provide to your chronically ill patients.
CMS has made it clear that it wants you to utilize Medicare chronic care management and transitional care management codes more often. In the long run, they realize that this added care to your chronically ill patients will actually lower healthcare costs. But you must understand the nuances of care management billing requirements to make it work.
Don’t wait. Register for this 90-minute, expert-led online training session and gain the knowledge and skills to get paid more (or paid in the first place) for the care you’re already likely providing to your chronically ill patients. Sign up today!
Past Webinar Reviews:
“I have attended several of Kim’s webinars and she is always very knowledgeable of the subject. I like how she saves time to answer questions at the end of the presentation. So far all of my questions have been answered!”
– All Colleagues, Pulmonary Associates Inc.
100% Satisfaction Guaranteed or a Full Refund.
You take no risk whatsoever. If you find this essential session doesn’t meet your expectations or
you are not satisfied for any reason, simply let us know.
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.
Live Webinar: You attend the training online at a specific date and time along with the expert presenter who will answer your questions.
CD-ROM: A recording of the actual live event (including the Q&A). Your CD-ROM will be mailed to you via USPS First Class Mail within 48 hours of the live training date.
On-Demand Recording: Watch a recording of the live event anytime – as often and for as long as you’d like. Access the recording (including Q&A) online within 24 hours of the live training date and time. Simply log into your Healthcare Training Leader account.
Live + CD-ROM: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also be mailed a recording of the actual live event on CD-ROM.
Live + On Demand: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also have access to a recorded version of the training to access at your convenience.
Corporate Access: Select this option to receive online, on-demand access to your training across each of your locations. Setup will be initiated by our account team within 48 hours of your enrollment and can be utilized by your entire team.
You and your entire team, at all your locations, can attend as many live and view as many recorded trainings as you like for 12 months.
You and your team, in one single location, can attend as many live and view as many recorded trainings as you like for 12 months.
