Remote patient monitoring allows patients to collect medical information in their home and to transfer it to care providers for trend analysis and intervention. It is often used to monitor patients with chronic conditions or patients who have been recently discharged from an inpatient hospital stay. Using a variety of sensors (peripherals) connected to a communications hub the patient is able to collect their medical information which is sent to a monitoring system. Most monitoring systems will have automated alerting systems for high and low readings, as well as mechanisms for reporting and trending patient health trends from the collected data.
Common RPM conditions:
Common peripherals include:
Different platforms might support some or all of these peripherals depending on program needs.
Connection Types- RPM platforms use a variety of connectivity technologies to collect and transmit data.
CGM is a minimally invasive system that measures glucose levels in subcutaneous or interstitial fluid. CGM provides blood glucose levels and can help members make more informed management decisions throughout the day.
CGM is currently covered by Missouri Medicaid and Kansas Medicaid for participants diagnosed with Diabetes, and by Oklahoma Medicaid when “determined by a provider to be medically necessary.”
See these pages to look into CGM within your state.
Medicaid
States have different policies on their reimbursement of Remote Patient Monitoring.
Medicare
To be eligible for remote patient monitoring under Medicare, a patient must:
Medicare broadly covers remote patient monitoring (sometimes called remote physiologic monitoring) for the collection of any type of physiologic data using a wide range of devices, for chronic and acute conditions.
Bill Medicare for remote patient monitoring services using a general set of procedure codes, which represent different components of the monitoring. Medicare pays for each of the 3 main components separately and pay the same rate, regardless of the type of device the patient uses or the health data they collect.
-from CMS, Remote Patient Monitoring
More information: American Association of Family Physicians- Coding for Remote Patient Monitoring and Continuous Glucose Monitoring
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