From wearables to telemedicine, remote patient monitoring (RPM) is on the rise – and paying off for patients and physicians alike. Prevounce gives you the process, equipment and software to provide care where and when it’s needed most – wherever patients are – without burdening your workflow.
Prevounce RPM encourages patients to take control of their health while enabling practitioners to gather vital information between office visits. Prevounce RPM allows you to monitor your patient’s health information while increasing patient engagement from the comfort of their own home, workplace, or wherever they may be.
Since 2020, Medicare has increased reimbursement for RPM to about $120 per patient per month when providers are enrolled in a qualified program. RPM allows your office to closely monitor your most vulnerable patients with ease and be well compensated for your time. Seems too good to be true? Not remotely.
Daily weight monitoring supports better weight management and fast identification of cardiac decompensation.
Effective and timely oversight of chronic obstructive pulmonary disease helps detect exacerbations and leads to improvements in decision support and patient adherence to recommendations.
Periodic or ongoing measurement of blood sugar levels help detect noteworthy changes in blood sugar levels.
Reviewing blood pressure data consistently leads to more timely recommendations and patient care plan modifications to decrease cardiac events.
Ongoing monitoring and measuring of weight permits better, more targeted advice for lifestyle changes that can help stabilize or decrease weight.
Most patients – 77% – report that they would be willing to wear technology for health tracking. Prevounce makes leveraging their information (and being reimbursed for it all) a similarly happy experience for practitioners.
Sign up quickly and easily with Prevounce.
Enroll your patient(s) by adding their information into the Prevounce system and designating what device you’d like them to receive. We take care of outreach and patient education.
Click “ship” and your patient will receive their device either in their home or at your office; you choose.
Review data from your patient's device in the Prevounce portal or your integrated EMR. Staff are automatically notified if a patient’s readings enter a specified caution or critical range, and reports can be customized to best suit your workflows. Finally, if you are logging time toward RPM management billing codes, Prevounce automatically tracks that too!
Get paid. The Prevounce billing system generates a report every month clearly showing all billable RPM codes for each patient. Fees are charged only for billable RPM patients and include the connected device, cellular service, hosting and customer support. You simply submit your claims at the start of each month; fees aren’t due until after you receive your Medicare payment.
Prevounce supports your practice from start to finish. From determining a patient’s eligibility to creating superbills for your staff at the end of each month, our holistic approach to patient care allows you to seamlessly transition between our various care management and preventive care offerings – allowing you to tailor the most valuable and unique care plan possible to fit each patient’s individual needs.
Every patient is unique – and so are their needs. To help you serve them, Prevounce can supply devices directly to your patients or accommodate some of the most common third-party devices they may already be using.
Our devices can be shipped to your office or directly to your patient’s home, and all Prevounce device costs are included in your per-patient fee, so you can start your RPM program with no money up front. It’s also easy for patients: All of our devices communicate via an embedded cellular modem, which means setup is as simple as inserting batteries and turning the device on.
Our system also allows practitioners to easily integrate the use of devices by other manufacturers, including those from Omron, iHealth, and Dexcom.
Nearly half of the adults in the U.S. have hypertension. Research by the American Heart Association shows that RPM can reduce patient blood pressure significantly compared to usual care and self-monitoring alone. This means remote blood pressure monitoring has the potential to improve outcomes for many patients since early detection is key to avoiding hypertensive crisis and decreasing hospital admissions – and mortality rates.
More than 42% of the American population is considered obese. This comes with an increase in a host of related diseases such as heart disease and stroke, giving remote monitoring of weight importance beyond simply reducing BMI. For congestive heart failure patients, sudden weight gain is often the first sign that their condition is worsening or that adjustments to medication should be made, for example. Remote monitoring can increase the chance of early detection, allowing for intervention before hospitalization or critical care are needed.
Diabetes is one of the disease areas with the highest awareness of digital health amongst patients, and it’s also one of the most effective RPM applications. Remote monitoring of glucose levels reduces doctor visits for patients, making care of an ailment that changes not just daily but hourly more timely and efficient. RPM also offers significant benefits to patients’ A1C levels. In one study, 70 percent of high risk diabetic patients were able to lower their A1C levels with use of an RPM device.
Medicare HETS Eligibility Partnership
Simple new-patient enrollment through Prevounce’s practice-tailored system
Getting patients up to speed is easy, as cellular connectivity makes each device plug-and-play
Manual and automated access to patient data
Customizable notification system – no spam, just what your providers want to receive.
Fully compliant time tracking and billing to help your practice get paid and stay on the right side of regulations.
About $120 a month per patient. With just 50 patients enrolled, that’s $72,000 a year.
Pay nothing up-front for RPM with Prevounce: our device costs are included in your per-patient fee. You only pay for fully billable services.
Prevounce is more than a software solution, we’re your partner in RPM, with programs tailored to your specific practice needs and patients and support throughout the process from device distribution to info-gathering and billing.
All patient data is secured end-to-end, from collection on the patient’s device to our HIPAA-compliant closed platform.
Under Medicare, clinical staff can furnish and manage RPM services under the general supervision of the billing provider. For CPT codes 99453, 99454, 99457 and 99458, the billing provider must be a physician or other qualified healthcare professional (QHCP).
Yes, a provider can bill both the RPM CPT code 99457 and 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 and 99490 together requires a provider to deliver at least 40 minutes of services: 20 minutes of RPM, 20 minutes of CCM.
For Medicare beneficiaries: Yes. RPM services, like other Medicare Part B services, are subject to a 20% beneficiary copay. This copay is generally not waivable, but is often covered by Medicaid or supplemental Medicare insurance.
While several groups have asked CMS to waive co-payments for care management services such as RPM, CMS has explained that it does not have the authority to do so under current law. We expect that this may change over time as telehealth and RPM become the norm and Congress has more incentive to revise regulations.
Private payers establish their own copays and may choose not to require a copay.
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, which has spurred a flurry of coverage changes in the private insurance industry.
The Center for Connected Health Policy publishes a great quarterly review of state RPM policies that you can find here.
Yes, and providers must obtain and document consents in patients' medical records. Medicare allows for informed verbal consent, but other payers may require written.
As part of our compliance system, the Prevounce RPM program ensures the consent documentation requirement is met prior to provision of RPM services.