rpm

  1. L

    Wiki Meeting Requirements of CPT 99457

    Hi! I have questions surrounding using CPT 99457 using the example. Example: Company A installs RPM devices in SNFs for patient monitoring. Company A is performing a service for the SNFs, and is not otherwise affiliated with them. Each RPM device monitors one specific patient, and a device is...
  2. M

    Wiki RPM DATE OF SERVICE????? 99453, 99454, 99457, 99458

    RPM date of service .....Where to find any CMS / any MAC guidelines? 99453, 99454: Billing Date of service the (when CPT 16-30 transmit days is met) equate to the "date of education or device delivery" or "date of first upload" or "date of last upload"? 99457, 99458 (time based cpt met 20...
  3. M

    Wiki 99458 RPM / 99439 CCM

    CCM - Chronic Care Management threshold time is met at 15 minutes for the first 20 minutes. When "each additional" 20 minutes is met 99439 what is the minimum threshold? Provider(s) are stating is the same 15 minute rule is applicable, is this correct? RPM - Remote Patient Monitoring threshold...
    • mccoyheather
    • Thread
    • 99439 99457 99458 99490 ccm ccm time threshold chronic care management remote patient monitoring rpm time threshold
    • Replies: 5
    • Forum: E/M
  4. L

    Wiki Remote patient monitoring

    What are the reqirements to bill RPM with medicare? Can an urgent care clinic bill for the services with RPM and receive payment? Or does it have to be credentialed as a Primary care facility? We are just starting CCM and are trying to polish out all of the details.
  5. Z

    Wiki Am I being asked to commit fraud?

    I have a question for those who have been doing this longer than I have. First, let me set the scene. I'm a recently credentialed CPC (Early March 2021) who is working at a third party biller who ships and bills for Remote Patient Management devices. BP Cuffs, Scales, Glucometers, and (soon)...
  6. H

    Wiki Remote Patient Monitoring Billing

    Anybody that has been billing 99453, 99454, 99457 for RPM that can email me so I can get some clarification on billing out these codes. Please shoot me an email to herbie@up2parmc.com.
  7. W

    Wiki RPM: 99454 - 30 days

    I was asked if the 30 days within the description of 99454 is business or calendar. I want to say calendar; however, I would like to confirm.
  8. J

    Wiki RPM (Remote Physiologic Monitoring) 99457/8

    Our office is looking into reimbursement for evaluation and management of blood sugar data reported to us by our patients via phone call or portal message. We have been researching the RPM codes 99457, 99458, 99453, 99454 but I am unclear on a couple of things: Can CPT 99457/99458 be reported...
  9. W

    Wiki RPM + CCM + Interprofessional telephone/Internet assessment?

    Hi, I am trying to figure out if 99446-99449, 99451-99452 can be billed by a provider in addition to 99453, 99454, 99457 and/or 99458? Further, can 99446-99449 be billed in addition to Chronic Care Management codes 99487, 99490 + 99491? Are there any restrictions? The ultimate question: Can...
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