Increase Revenue Up to $80 Per Patient Per Month

As of January 1, 2022, Medicare updated the reimbursement for remote physiological monitoring (RPM) and Remote Therapeutic Monitoring (RTM).

MedHab, LLC has developed new, patented technologies in the remote wearable device field, affording medical care prescribers (Orthopedic Surgeons and/or Physical Therapists), patients, and seniors the ability to meet therapy, prevention and fall detection needs with complete remote access.

Provider Proformas

PRINCIPAL CARE MANAGEMENT, REMOTE PATIENT MONITORING, REMOTE THERAPEUTIC MONITORING

Specialist Providers (Cardiology, Orthopedics, Podiatry, Rheumatology, Neurology)

The below represents estimated reimbursements by code. Dollar amounts represent the amount retained by physician and by MedHab for services rendered. The dollar amount listed as support company is the fee amount to provide the services. The per patient per month row demonstrates the total amount per month that the physician retains after fee payment is made.

Note: Dollar amounts in this analysis are representative of Houston, TX area reimbursements and from 2022 Medicare fee schedule. Reimbursements in your geography can slightly vary.

• Note: PCM analysis assumes an outsourced solution for PCM. Physicians may elect to perform this function within his/her practice and attended by the physician personally.

For orthopedics only: if the practice employs the PT’s, then the below reimbursements are applicable.

• Note: Medicare reimburses for up to 16 sessions of pre-operative therapy

2022 MEDICARE RATES AND ESTIMATED REVENUE

Family Medicine, Internal Medicine, Assisted Living

The below represents estimated reimbursements by code. Dollar amounts represent the amount retained by provider and by MedHab for services rendered. The dollar amount listed as support company is the fee amount to provide the services. The per patient per month row demonstrates the total amount per month that the provider retains after fee payment is made.

Note: Dollar amounts in this analysis are representative of Houston, TX area reimbursements and were pulled from the Medicare Fee Schedule. Reimbursements in your geography can slightly vary.

Note: Below represents CCM management standard services applied by auxiliary support staff remotely. Physicians may elect to perform in house CCM performed by the physician personally.

2022 MEDICARE RATES AND ESTIMATED REVENUE

Physical Therapists

The below represents estimated reimbursements by code. Dollar amounts represent the amount retained by physical therapist and by MedHab for services rendered. The dollar amount listed as support company is the fee amount to provide the services. The per patient per month row demonstrates the total amount per month that the physical therapist retains after fee payment is made.

Note: Dollar amounts in this analysis are representative of Houston, TX area reimbursements and were extracted from the 2022 Medicare Fee Schedule. Reimbursements in your area may vary.

Note: Below represents pre-operative sessions that can be reimbursed by Medicare. Medicare allows up to 16 pre-operative sessions. The below represents a per patient amount that can be earned over a 16 session pre-operative therapy plan.

Long Term Care of Patients through Remote Patient Monitoring

Revenue Enhancement Strategies

Jay Morris, MD
Diplomate American Academy of Family Physicians

It wasn’t very long ago when the typical practice was full of activity. Patients were calling and appearing in person to be examined for a myriad of conditions. Surgeries were being performed. Therapy was being prescribed and patients were being seen for all sorts of conditions. Little thought was given to managing your practice without personal contact with patients.

Suddenly, a national health crisis was declared and “nonessential services” were halted and patients asked to stay home. Outside of trauma injuries, the steady flow of patients became a trickle. The carefully crafted business of medicine found itself in the same predicament as the local restaurant. There is no income without consumers. Without patients there is no means to pay employees. Like many small businesses, practices are either going to close or find new ways to take care of and interact with their patients. This has impacted primary care particularly hard; however, the Medicare Remote Patient Monitoring program can help primary care recoup lost income while taking care of the long term needs of patients.

Sometimes it takes a crisis to get physicians to examine a new way to manage patients. While we were busy running customer centric businesses, the Centers for Medicare and Medicaid (CMS) was quietly moving towards the world of remote patient monitoring and telehealth visits by developing reimbursable codes for healthcare personnel to use in the care of patients. In the first few years the rules were very restrictive but by January 2020 there were monthly codes available for remote physiologic monitoring of patients independent of face to face visits for chronic patient care. What the recent national health care emergency did was highlight the availability of these codes and removed all restrictions. In response to “stay at home” we still have a responsibility to manage the long term health of our patients. Using this time to develop the office routines needed to take advantage of this evolving method of patient care can lead to a new steady ancillary income stream and assist in managing a greater number of patients with less overcrowding of offices. The aggregate of applicable codes could net up to $80 per patient per month.

CMS has broadened access to Medicare Telehealth services so that beneficiaries can receive a wider range of services from their doctors without having to travel to a healthcare facility.

From Medicare Telemedicine Health Care Provider Fact Sheet, March 17, 2020.

Medicare can pay for office, hospital, and other visits furnished via telehealth across the country, including patient’s places of residence starting March 6, 2020. A range of providers, such as doctors, nurse practitioners, clinical psychologists, licensed clinical social workers and now physical therapists are able to offer telehealth to their patients. Additionally, the HHS Office of Inspector General (OIG) is providing flexibility for healthcare providers to reduce or waive cost-sharing for telehealth visits paid by federal healthcare programs announced in this bulletin, https://oig.hhs.gov/fraud/docs/alertsandbulletins/2020/policy-telehealth-2020.pdf

Telehealth, telemedicine, and related terms generally refer to the exchange of medical information from one site to another through electronic communication to improve a patient’s health. Innovative uses of this kind of technology in the provision of healthcare is increasing. And with the emergence of the virus causing the disease COVID-19, there is an urgency to expand the use of technology to help people who need routine care, and keep vulnerable beneficiaries and beneficiaries with mild symptoms in their homes while maintaining access to the care they need. Limiting community spread of the virus, as well as limiting the exposure to other patients and staff members will slow viral spread.”  From the CMS Long-term Care Nursing Homes Telehealth and Telemedicine Toolkit, March 27, 2020.

MedHab has been in the business of developing wearable technology which will allow remote patient monitoring and remote therapeutic monitoring of patients through their rehabilitative and maintenance therapies. MedHab, a remote wearable device technology company is in perfect synergy with the recommendations coming from CMS and the White House as a way to decrease in-person interactions. Through proper management of the reimbursable codes already in effect, an office could see up to $80 per patient / month. Medhab’s RPM solution is a nearly turn-key operation with little disruption to daily activity of your practice

MedHab supports remote monitoring between in-person or telerehabilitation visits.

Despite the confusing environment, providers are seeking creative ways to reach their patients by means of remote monitoring , and this is a great time to do so!  Medhab has been in the business of developing wearable technology which allows remote physiologic monitoring and remote therapeutic monitoring of patients through rehabilitation and maintenance programs.  Medhab is in perfect synergy with the current implementation of telerehabilitation and supports remote monitoring between in-person or telerehabilitation visits.  Additionally, the remote monitoring devices are a great way to virtually coordinate care between the physical therapists and physicians to better manage patients at home.

MedHab, a remote wearable device technology company is in perfect synergy with the longer term RPM recommendations coming from CMS as well as with the White House as a way to decrease short term  in-person interactions. MedHab is poised to support providers by providing these critical, distance, interventions to those who need them. Through the use of MedHab’s technology providers can now manage their patients through outsource RPM and RTM, while enhancing practice revenue.

Steprite® and MyNotifiRx® are medical devices for remote in-home/in-clinic monitoring which affords medical care prescribers the ability to customize physical rehabilitation protocols to meet each patient’s unique needs. They measure, pressure, gait and flexibility of upper and lower extremities, in order to guide physical therapy prescriptions both pre-operatively and post-operatively for hip fractures, knee replacements, hip replacements low back surgeries and upper extremity surgeries  All of the data captured by is sent and housed on the MedHab, HIPAA-secured server where it is available to health care providers. Protocols are customized to the extent the provider wishes and can be changed to meet the patient’s specific rehabilitative needs.  

MyNotifiRx® can also be used, post physical therapy for fall detection. In such, the user can wear it any place maintaining a continuous fall detection signal. In other words, the user is not relegated to the house as is the case if they were linked via a land line. Many of our aged population desire to live at home and MyNotifiRx® allows them to do so, while keeping them in close contact with loved ones. In the event of a fall, MyNotifiRx® sends a text to friends, family members, loved ones, informing them whether or not the person using MyNotifiRx® is conscious. This unique feature gives the user, family members, friends, and care givers the ability to communicate more quickly in an effort to better for care for mom and dad.

Both devices feature the OTAGO Exercise Program that is clinically proven to reduce falls by 46%.

To contact MedHab visit www.medhab.com or call 800-541-1420. A technician is ready to help. You can also register to join one of our webinars to learn more.

 

 

For More information, call us at 1-800-541-1420 or email support@medhab.com