Remote monitoring encompasses several related care management models, including Chronic Care Management (CCM), Remote Therapeutic Monitoring (RTM) and Remote Physiological Monitoring (RPM). For a high-level overview of how these models differ and how they work together, see “About Remote Monitoring”.
This toolkit focuses specifically on Remote Physiological Monitoring (RPM) - the remote collection, transmission and clinical review of physiologic data (such as blood pressure, glucose, pulse oximetry, or weight) to support ongoing patient care between in-person visits.
Launching and Running an RPM Program
If you are considering launching a new RPM program - or revitalizing an existing one - this downloadable toolkit is designed to guide you from initial planning through implementation and sustainability.
Reimbursement for RPM Services
Remote Physiological Monitoring (RPM) allows healthcare providers to receive reimbursement for reviewing and acting on patient-generated physiologic data supporting proactive care management and earlier intervention. Accurate billing and documentation are essential to ensure program sustainability and compliance.
Our “Remote Monitoring Billing and Reimbursement Guide” provides:
- Current Medicare RPM billing codes and reimbursement rates
- Program eligibility and service requirements
- FQHC and RHC billing guidance
- Information on related care management services (e.g., CCM, RTM)
- Examples of dual billing scenarios
Who does what in RPM?
Successful RPM programs depend on clearly defined roles and responsibilities across clinical, administrative and technical teams. The following short videos provide practical overviews of who does what when launching and operating an RPM program.
Executive
At the start of an RPM program, the Executive Leader or Senior Manager is responsible for creating a business case, ensuring solid support for the program - including the provision of funding and staff - and the creation of policy.
Provider
The Provider understands the Inclusion Criteria for RPM and CCM and how to make a referral. Referrals to the RPM program. The Provider also uses the RPM data to guide care decisions in order to manage the patient's chronic conditions.
Nurse
The Monitoring Nurse is responsible for the monitoring of the patient's RPM data, intervening or triaging as necessary, and escalating the patient's care to the Provider when needed.
Technician
The RPM Technician is responsible for configuring and preparing the monitoring devices for the patient and assisting the patient in learning how to operate the devices. They may also manage the inventory and clean and re-calibrate devices upon return.
Billing
Successful implementation of Remote Patient Monitoring (RPM) requires an understanding of CPT billing requirements unique to RPM. Learning how to translate these requirements into an efficient business will save your practice time and money.
Interview with Bonnie Britton
Bonnie Britton (in memoriam) had over 25 years of experience in designing and launching RPM programs. In this 2019 interview with MATRC Consultative Service Partners and Advisory Board Member, Jay Ostrowski, she discusses the clinical and financial aspects of RPM and chronic care management programs.
