remote patient monitoring near Athens, GA, USA

himanshumalhotra65 22 views 16 slides Apr 30, 2024
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About This Presentation

If you’re wondering about ways to increase revenues in your medical practice, give our customized, turn-key RPM service a shot. View your patient dashboard to review health data from patient devices while they are out of the office. Get head-on tips to get your healthcare practice back on track wi...


Slide Content

Digital Health Services Dr. Subodh Agrawal (MD, FACC) www. healthwealthsafe .com

What is the Problem? 50% of the US population has some form of chronic illness. US health care cost continue to rise. Chronic diseases take 95% of the healthcare dollar. Value based care, your treatment data need to prove that you are a high quality and low cost healthcare provider. 01 03 02 04

What is the Solution? US payers wants to keep patients connected with their healthcare provider between office visits using: Enhance healthcare with technology, monitoring vital signs remotely for timely interventions, personalized care, and improved outcomes. Elevate treatment journeys through remote technology, enabling personalized care, interventions, and better therapeutic outcomes from home. Personalized healthcare support for chronic conditions, integrating technology, interventions, and care coordination to enhance patient well-being. RPM RTM CCM 1 2 3

Blood Pressure and Remote Monitoring (1)

Blood Pressure and Remote Monitoring (2)

Needs compliance with published health law. 1 2 3 4 5 6 Already busy and no time to learn new ways of doing medicine, even if it make more revenue. Needs extra investment for devices. Needs extra staff to cover 24/7. Needs digital platform. Needs proper documentation for billing. Why aren't healthcare providers doing that?

The Solution Become a high quality low cost physician by using digital health services. Using your knowledge and experience team up with a digital service company to provide lower cost better service to patients. Why do payers want to do it? They want to shift healthcare from the expensive hospital to your practice because the cost is much lower and better quality service.

Services Codes 99453 : Initial visit & setup ( $19.03 ) 99454 : 16 days of usage ($55.72) 99457 : 20 minute monitoring ($50.18) 99458 : Add’l 20 minute monitoring ($39.65) Codes G0506: Used to bill initial CCM registration when a Provider has obtained written consent from the patient in office and sent the written consent and a Care Plan is developed for the patient. ($62.04) 99490 : 20 minute communication care coordination ($62) 99439 : 60 minute communication of care plan ($38) Remote Patient Monitoring Rapid enrollment Devices Monthly calls to meet Medicare guidelines OOR escalations Chronic Care Management Rapid enrollment Care Plan as defined by Medicare Monthly calls to meet Medicare guidelines 1 2

RPM Devices No bluetooth or wifi required. Both the scale and blood pressure cuff are one touch devices. Readings upload via cell network to dashboard and app. Only covered by insurance if used 16 times in a month!

Enrollment, escalation, engagement & success Playing an active role in enrollment with your patients. The physician’s involvement in enrollment and in managing escalations results in the success of the program. How do escalations work? OOR Response from PT Appears in your dashboard needing follow up.

Successful Billing What sets us apart: High level of compliance in our billing process - from start to finish Required documentation. Proper coding. Proper eligibility. Consideration of patient deductible. Consideration of application of low income determination and apply for possible allow patient responsibility write off. Timely response to denial. Timely response to request for medical records. Timely response to billing Audit. Global compliance. 1 2 3 4 5 6 7 8 9

3 What should you look for in your digital health partner? Privacy, Security & Compliance This is the foundation of our commitment to safeguarding sensitive information and ensuring the trust and protection of our clients information 1 2 DATA INTEGRATION Identify eligible high risk patients using patient demographics, diagnosis and insurance. RAPID ENROLLMENT We use predictive analytics and automation during our digital enrolment campaign to obtain verbal consent. We also provide training and materials for in-office consent. DEVICES Your enrolled patients receive one touch devices for no-out-pocket cost. 4 5 PATIENT ENGAGEMENT All registered patients will gain access to our 24/7 line of multilingual care managers. Our care managers will help your patients for monthly engagement, with your general supervision. BILLING We handle the billing in a fully transparent and auditable process that you have access to. PILLAR

1 patient engaged for 12 months with RPM. The patient gets better care, the payer saves money by shifting expensive hospital healthcare to your practice or patients home. And the practice gets $600/yr 1 patient engaged for 12 months with CCM: $300/yr 1 patient on BOTH services will $900/yr The insurance company is willing to pay this much IF you identify high risk patients, give them devices and engage with them monthly in order to save the payer money. Potential Revenue

www. healthwealthsafe .com If you’re not doing digital health in your practice - WHY NOT ?

Digital Health Services Dr. Subodh Agrawal (MD, FACC)