Telemedical Partners posts about topics related to chronic care management and remote patient monitoring services, devices and market information
CMS will be separating the current CPT code (99091) for patient monitoring into 3 codes in 2019. New in 2018, 99091 was reimbursed $58 a month.
The new codes essentially cover initial training on the device (99453 $21 one time); monthly for the device (99454 $69); and a 20-minute monthly call (99457 $54). Managing these codes should produce $123 for monitoring Medicare patients. We do not know what the charges will be for private insurance patients.
The practice can use a "qualified professional" or “auxiliary personnel” under the physician's supervision (in the office but not directly under their control) to contact the patient or caregiver once a month for a 20 minute or longer chat or chats about the patient's care and readings under 99457 ($54).
SensoSCAN as a wellness monitoring device transmits data to a smartphone via Bluetooth and then to a computer, typically monitored by a caregiver or healthcare professional. . It is billed under new CPT code $69 monthly.
Give us a call to ask how we might help your practice at 800-940-7113 or email us. (Updated March 29, 2019)