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Our medical billing experts check patient enrollment in the RPM program and verifying their eligibility for remote monitoring services. This step involves confirming insurance coverage and ensuring that patients meet the criteria for RPM billing.
Set up the necessary monitoring devices for patients and establish a secure system for the transmission of health data. Ensure that devices are configured correctly, and data is transmitted accurately and in compliance with privacy regulations.
Continuously monitor patients' health data collected by the RPM devices. This includes tracking vital signs, symptoms, and other relevant health metrics. Accurate and timely data collection is crucial for effective remote patient monitoring.
Analyze the collected health data to assess the patient's health status and identify any trends or anomalies. This step may involve the use of advanced analytics tools to gain insights into the patient's condition and determine appropriate interventions.
Document the monitoring activities, health assessments, and any interventions performed. Assign the appropriate medical codes to ensure accurate billing. Proper documentation is essential for compliance with healthcare regulations and insurance requirements.
Prepare and submit claims to insurance providers or relevant payers. This involves compiling all necessary documentation, including medical records and coding information. Follow up on claims to ensure timely reimbursement and address any denials or issues that may arise.
The CPT Code 99454 is use to provide remote monitoring device. This code is used to bill for the supply and provision of the remote monitoring devices to the patient. It includes the cost of the devices and any necessary accessories.
The CPT Code 99457 is being use to covers the remote monitoring and management of patient physiological data. It includes the review of patient-generated health data, communication with the patient or caregiver, and any necessary adjustments to the treatment plan based on the collected data.
This code is an add-on code to 99457 and is used to bill for additional time spent on remote treatment management services beyond the initial time covered by 99457. It is typically billed in increments of 20 minutes.
This code is used to bill for remote monitoring of physiological parameters, such as blood pressure, heart rate, weight, or blood glucose levels, through a digitally transmitted health record.
Similar to 99458, this code is an add-on to 99473 and is used for additional time spent on remote monitoring of physiological parameters beyond the initial time covered by 99473.
This code covers the remote collection and interpretation of physiologic data from a patient using digitally stored data. It requires at least 30 minutes of provider or clinical staff time during a calendar month.
Stars Pro has an expert team of skilled coders and billers ensures that remote patient monitoring claims are accurately coded and submitted in a timely manner, reducing the likelihood of claim denials and delays.
Our remote patient monitoring team proactively follow up on pending claims, identify reasons for denials, and resubmit corrected claims promptly to maximize reimbursement.
Stars Pro CCM billing experts meticulously review denied claims, address underlying issues, and initiate appeals when necessary to overturn denials and recover rightful payments.
We verify patient insurance coverage to prevent claim rejections due to coverage-related issues, reducing potential billing errors.
Our patient-centric approach includes handling patient billing inquiries, setting up payment plans, and facilitating collections to optimize patient payment outcomes.
This code covers the remote collection and interpretation of physiologic data from a patient using digitally stored data. It requires at least 30 minutes of provider or clinical staff time during a calendar month.
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