Frequently Ask QuestionsRemote Patient Monitoring
Questions and answers about RPM before you get started

TelevisitMD

TelevisitMD is a remote patient monitoring solution that permits doctors to keep tabs on their patients and their vital readings from a distance, all while their patients remain in the comfort of their own homes.
Through the TelevisitMD Provider Portal, doctors can keep tabs on their patients' vital signs at all times thanks to the Connect+ Smart Home Gateway, which is installed in the patients' homes and monitors their vitals remotely.

 

To get started with TelevisitMD, schedule a demo. You will need to provide a full name, email, phone number, & practice name.

Eligible patients are those who have at least one chronic condition and have verbally consented to participate in a remote patient monitoring program.

The Connect+ is a Smart Home Gateway that is installed in the patient's residence and keeps an eye out for their third-party medical accessories.

The Connect+ is mobile-friendly (4G) and always connected to the 4G network. There is no need for patients to connect to any specific Wi-Fi network for the Connect+ to operate.
Once activated, the Connect+ transmits data directly to TelevisitMD's HIPAA-compliant cloud platform. In case of a decline in a patient's health condition, the Connect+ system automatically generates an alert to a call center or provider, which can be escalated to a video call using the Connect+ device interface.
The Connect+ also features an emergency button, allowing the patient to contact a 24/7 EMS call center if in case of an emergency.

When the patient turns their peripheral device on and takes a reading, the Connect+ will automatically sync and transmit the reading to the Provider Portal for their doctor to monitor.

The RPM Kit includes the TelevisitMD Connect+ Gateway, along with a Blood Pressure Monitor, Pulse Oximeter, and Connect+ User Guide to help get started.

The patient can receive the RPM Kit in two ways:

  • TelevisitMD can ship the RPM Kit directly to the patient home
  • TelevisitMD can ship the RPM Kit to the provider who then distributes it to their patients

  1. When the patient receives their RPM Kit, inside will be a Blood Pressure Monitor, Pulse Oximeter, and the Connect+ Gateway.
  2. Choose where to place the Connect+ in the home.
  3. Plug the Connect+ into the charging dock and the charging dock into a wall outlet.
  4. Insert batteries into the Blood Pressure Monitor & Pulse Oximeter
    Then when the Connect+ turns on, they ready to start taking vitals.

No, the patient does not need a mobile phone!

Your patient requires little to no training. The Connect+ is designed for the elderly and is very easy to use.
The patients must only understand how to use their peripheral devices to take their vitals.

The provider receives a vital alert when their patient takes a vital reading outside of the assigned threshold.
This alert signals the provider to interact with the patient’s health data.

The TelevisitMD Provider Portal contains all the information you need to monitor your patients’ activity.
All vital readings that the patient takes will be sent to the portal, for you to track, analyze, and interact with.
On the portal, you may download a pdf of the vital reading report and write notes on a specific reading.

Thresholds for vital readings are automatically set to FDA standards, however, you may individually manipulate the ranges to best fit your patient’s needs.

Yes! The Connect+ is 4G fully cellular connected. This allows you to do a 2-way audio/video call, send messages, and set reminders all from your provider portal.

The Connect+ is pre-integrated with many 3rd party Bluetooth peripheral devices. This means that the patient does not have to do any pairing themselves.

When you purchase Connect+(s) from TelevisitMD, you will receive a tracking number to track the progress of your shipment.

RPM

RPM is the use of digital technologies to monitor and capture medical and other health data from patients and electronically transmit this information to healthcare providers for assessment and, when necessary, recommendations and instructions. RPM allows providers to continue tracking healthcare data for patients once they are discharged. It also encourages patients to take more control of their health.

Providers can use RPM to collect a range of patient health data, including blood pressure, vital signs, weight, heart rate, blood sugar levels, and physical activity.

Physicians and other qualified healthcare professionals (QHCPs) can provide and bill for RPM. Clinical staff can furnish and manage RPM under the general supervision of the billing provider. What do patients need to receive RPM services? With TelevisitMD, the patient needs little to participate in RPM. The Connect+ eliminates the need for a mobile phone, personal computer, or even a Wi-Fi connection! Additionally, the patient can set up the Connect+ Gateway with little to no assistance.

RPM provides a wide range of benefits, including the following:

  • Keeping people healthy
  • Reducing the number of hospitalizations
  • Reducing readmissions
  • Reducing hospital lengths of stay
  • Reducing patient, provider, and overall healthcare costs
  • Permitting older and disabled individuals to remain at home longer and delay or avoid moving into skilled nursing facilities

Yes, and providers must obtain and document consent in patients' medical records. Medicare allows for informed verbal consent, but other payers may require written.

TelevisitMD and Connect+ are fully HIPAA compliant. Patient data is encrypted when it is in transit and when it is on the Connect+ Gateway & Provider Portal.

Coverage & Billing

RPM is payable by Medicare, 22 state Medicaid programs (as of April 2020), and an increasing number of private payers. In 2020, the CPT codes for RPM were overhauled, making it one of the most lucrative Medicare care management programs. There is a small payment for initial patient enrollment and a monthly base payment for the management of the device and patient readings. There is an optional service for every 20 minutes of care management — which can be provided by clinical staff — for up to 60 minutes in total.

Yes, via CPT code 99453. See the FAQ "What CPT codes cover RPM and how much are they reimbursed by Medicare?" below for more details.

Essentially, no. If patients are not in a shared space with the provider delivering the RPM services, they can receive these services. This means patients can be in their homes, on vacation, in a skilled nursing facility, at work, or any other location where the service can be provided.

99457 reimburses for time spent by the billing physician, QHCP, or clinical staff, in accordance with laws.

No. Providers may recommend RPM services for any patient who may benefit from the service.

99454 can only be billed once per patient every 30 days. This is regardless of whether the patient is using a single device or multiple devices.

Yes, a provider can bill both the RPM CPT code 99457 & CCM CPT code 99490. CMS recognizes the analysis involved in furnishing RPM services is complementary to CCM and other care management services. With that said, the time spent by providers in furnishing these services cannot be counted towards the required time for RPM and CCM codes for a single month. In other words, no “double counting.” Billing 99457 & 99490 together requires a provider to deliver at least 40 minutes of services: 20 minutes of RPM, and 20 minutes of CCM.

Providers should initially obtain informed beneficiary consent to receive RPM services. The TelevisitMD Provider Portal automatically tracks CPT code compliance and informs the provider which codes have been met for the billing cycle. TelevisitMD generates a Health Summary Report at the end of each patient cycle with all vital health data (CPT 99454) and Time monitored information (CPT 99457 & 99458).