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RPM (Remote Patient Monitoring)

What is RPM?

“Remote patient monitoring is the use of digital technologies to collect health data from patients in one location and electronically transmit that information securely to providers in a different location (data can include vital signs, weight, blood pressure, blood sugar, pacemaker information, etc.)“

Hicare Enables Better Outcomes
for Your Patients and Additional Revenue for Your Practice

your patients get Better Outcomes and create Additional Revenue for your practice

Hicare’s FDA-approved medical devices help patients engage with and better understand their health condition daily.

Hicare Tablet

Pulse oximeter

Blood pressure monitor

Hicare RPM Device

Weight Scale

Glucose monitor

Thermometer

Conditions Monitored

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Hypertension

Hicare RPM helps control high blood pressure through consistent monitoring and timely interventions. Also, Hicare RPM promotes self-management and behavioral changes in patients.

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Diabetes

Hicare RPM delivers improved outcomes for reductions in blood glucose. Periodic measurement of blood sugar levels helps detect noteworthy changes in blood sugar levels.

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Asthma

RPM can help reduce rescue inhaler use which may result in more days without symptoms and a better quality of life

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Cancer

Remote monitoring devices track valuable patient information that doctors can review and use to make treatment changes and updates. Important vitals can be captured and viewed in real time by the care team.

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Congestive Heart Failure (CHF)

Remote monitoring lets patients proactively uncover issues before patients become episodes.

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Chronic obstructive pulmonary disease (COPD)

Daily weight monitoring supports better weight management and fast identification of cardiac decompensation.

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Obesity

Ongoing monitoring and measuring of weight permit better, more targeted advice for lifestyle changes that can help stabilize or decrease weight.

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Post-Discharge

Post-discharge monitoring reduces readmission rates. Results include improved care coordination, better patient outcomes, and reduced hospitalizations.

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Wellness

We offer a broad offering of remote patient monitoring solutions for general wellness, weight loss and other programs.

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Health Education

Health education and health literacy are key features of successful remote patient monitoring programs.

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Medication Reconciliation & Optimization

Monitor medication adherence and help patients stay on track to improve outcomes and provide visibility to drive necessary interventions.

Mental Health

Hicare provides the latest in RPM programs for a wide variety of mental health conditions. These solutions keep your patients connected with their clinical teams.

RPM Reimbursement

With new Medicare reimbursement and improvements in device technologies, Hicare RPM Reimbursement can provide optimized resources, software and devices that are right for your patients. Reduce hospital readmissions and improve patient compliance and outcomes.

Payment Code

Description

Payment Estimate

99453

One-time initial set-up of technology and patient education (patient onboarding component) Have to measure more than 16 days out of 30 days

$17.77

per month

99454

Device supply with daily recordings, programmed alerts transmission, monthly (RPM Technology component) Have to measure more than 16 days out of 30 days

$58.92

per month

99457

Collection, interpretation of physiologic data, initial 20 minutes per month requiring interactive communication with patient by the physician, QHPs, and other clinical staff (clinical service component)

$44.84

per month

99458

Collection, interpretation of physiologic data, two (2) additional 20 minutes per month requiring interactive communication with patient by the physician, QHPs, and other clinical staff (clinical service component)

$35.59

per month

Payment Code

99453

Description

One-time initial set-up of technology and patient education (patient onboarding component) Have to measure more than 16 days out of 30 days

Payment Estimate

$17.77

per month

Payment Code

99454

Description

Device supply with daily recordings, programmed alerts transmission, monthly (RPM Technology component) Have to measure more than 16 days out of 30 days

Payment Estimate

$58.92

per month

Payment Code

99457

Description

Collection, interpretation of physiologic data, initial 20 minutes per month requiring interactive communication with patient by the physician, QHPs, and other clinical staff (clinical service component)

Payment Estimate

$44.84

per month

Payment Code

99458

Description

Collection, interpretation of physiologic data, two (2) additional 20 minutes per month requiring interactive communication with patient by the physician, QHPs, and other clinical staff (clinical service component)

Payment Estimate

$35.59

per month

CPT code information is based on 2022 definitions / Payments are national averages, non-facility rates

RPM Billing​

Hicare RPM creates Significant Additional Revenue for your practice with no upfront cost.

First Payment

Monthly

Initial Enrollment

Initial
Enroll
ment

(minimum 16 days)

99453

+ 20 min

Device measurement

Device
measure
ment

(minimum 16 days)

99454

Care management

Care
manage
ment

(Initial 20 min)

99457

Care management

Care
manage
ment

(Additional 20 min)

99458

Care management

Care
manage
ment

(Additional 20 min)

99458

Initial
Enroll
ment

$17
+ 20 min

Device
measure
ment

$59
+ 20 min

Care
manage
ment

$103
+ 20 min

Care
manage
ment

$138
+ 20 min

Care
manage
ment

$173
$17
$59
$103
$138
$173
+ 20 min
+ 20 min
+ 20 min

First Payment

Initial Enrollment

(minimum 16 days)

99453

$17

Monthly

Device measurement

(minimum 16 days)

99454

$59
+ 20 min

Care management

(Initial 20 min)

99457

$103
+ 20 min

Care management

(Additional 20 min)

99458

$138
+ 20 min

Care management

(Additional 20 min)

99458

$173

Thank you

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