Prior to the new, CMS-approved CPT codes being activated, remote patient monitoring was already a great option for practicing physicians. Patients loved the programs and the average primary care physician had the opportunity to generate more than $300,000 in revenue per year.
With the release of the 2019 CPT codes, changes were made to facilitate RPM setup and monitoring services for physicians and further incentivize its adoption. The biggest changes centered around allowing RN’s and assistants to handle the bulk of the RPM tasks. Not only that, but the 2019 CPT codes also made the reimbursement amounts higher and the collection process simpler.
However, there were still a few unclear guidelines in the 2019 CPT. Not everything was crystal clear or set in stone. For example, there were issues around what constituted “digital medical services”. Uncertainty around what kind of remote monitoring software and hardware was allowed within the 2019 CPT codes. This caused some problems for medical clinics that were using outdated RPM software and methods.
Big Changes Began On January 1st 2020
On January 1st 2020… CMS expanded the Remote Patient Monitoring CPT Codes. Unfortunately, the final report is 2,745 pages long!
Unless you have the time and you love reading endless pages of CPT codes, you’re going to want to read our brief summary below.
Because our RPM software (optimize.health) works in compliance with the latest CPT codes… it’s basically required reading for us.
A quick rundown of the 2020 CPT Code changes are summarized below. The 2020 expansion represents further opportunity for practices to benefit from additional clinical outcomes, while simultaneously generating additional revenue.
Alone, these two developments are truly significant in the way that remote monitoring services may be conducted and billed going forward.
In addition, CMS finalized a number of other changes that help to broaden digital medical services.
Not only does this create an easier way for clinics to get reimbursed, it also allows clinics to take on more RPM clients because most of the tasks can be handled by entry-level assistants, RN’s and automated with the help of a solid RPM system.
Want To Dive Deeper Into The 2020 CPT Codes Without Reading 2,745 Pages?
We broke down the more important pieces right here:
On Chronic Care Remote Physiologic Monitoring:
On Transitional Care Management (TCM) Services:
On Consent for Communication Technology-Based Services (CTBS):
On Principle Care Management (PCM) Services:
Online Digital Evaluation Service (e-Visit):
On Chronic Care Management (CCM) Services: