As we enter 2025, Remote Patient Monitoring (RPM) is set to play an increasingly vital role in healthcare delivery, with the global market size expected to reach $30 billion. Significant regulatory updates and emerging trends are adding to this growth.
Some key takeaways from this year’s updates:
Simplified billing for FQHCs and RHCs
CMS has replaced the HCPCS G0511 code with standard RPM CPT codes (99453 and 99457) for Federally Qualified Health Centers and Rural Health Clinics, reducing administrative complexity
Permanent coverage for audio-only telehealth
CMS has permanently included audio-only telehealth services in its reimbursement structure, ensuring access for patients in broadband-limited regions or without video-capable devices1
Introduction of Advanced Primary Care Management (APCM) services
CMS has established new HCPCS G-codes (G0556, G0557, G0558) for billing APCM services, which integrate elements from existing care management programs
Increased fraud oversight
The Office of Inspector General (OIG) has heightened its oversight of RPM services, requiring providers to ensure proper documentation, use of FDA-approved devices, and active monitoring of patient data
New CPT codes for shorter monitoring periods
The AMA has introduced codes allowing reimbursement for RPM devices used over shorter durations (2-15 days), providing flexibility for acute care scenarios
On average, practices implementing RPM report an average increase of $100,000 annually in Medicare reimbursements for every 100 enrolled patients.
Medify Health provides a fully managed, human-powered RPM and CCM service that manages all aspects of the patient care, from enrollment to billing. Medify shares the FFS billing revenue with its clients: on average, each practitioner receives $225,000 in profit share of Medify’s 24/7 patient care services without adding staff workload. Other benefits include increased in-office appointment adherence and for VBC providers: an average 20% decrease in overall (emergency) healthcare costs.
Medify’s Full-Service Approach
Medify Health’s goal is to become a virtual extension of your practice in clinical care and administrative support. Here is how Medify answers your provider needs.
- Clinical Staffing: Medify Health provides clinical staffing as a core part of its “Human-Powered Connected Care.” Medify carefully selects experienced Registered Nurses and other specialists to address a wide variety of patient needs, from lifestyle change experts to mental health professionals.
- Administration: Medify covers all administrative needs related to its services, including but not limited to: technical support, patient education, data analysis, and RCM.
- Technology: Medify’s technology seamlessly integrates with all EMR platforms. Both practices and patients benefit from Medify’s technology with no technical expertise needed.
- Data: Medify’s team monitors RPM device data and patient encounter notes, and does much more: Medify’s team actively listens to patients and analyzes data to recommend potential solutions to improve health outcomes.
- Financials: Medify collects its patient encounter FFS revenue to cover costs and offers a generous profit share of this revenue to the practice. Practices additionally benefit financially from Medify’s patient engagement which results in more in-office appointment adherence, better patient outcomes, and increased patient satisfaction.
Medify’s services are so robust, it provides its staffing services to other RPM providers who focus only on tech platforms.
Schedule a demo to understand Medify Health’s services in more detail.
