MEASURABLE OUTCOMES FOR PROVIDERS

doctor Increase Patient Engagement
heart Improve Quality of Care
pay Generate More Revenue
card Achieve Personalized Care
Remote Patient Monitoring
In 2020 CMS continues to encourage chronic care management and connectivity. They have added additional reimbursement for more time spent with patients. And, CMS expanded access by reimbursing for RPM under General Supervision, meaning services can be provided from a location outside the doctor office.
  • Helps to monitor patients in-between visits
  • Helps to reduce unnecessary hospitalization & ER visits
  • Generates more accurate and frequent data for quality of care improvement
  • Unlocks strong revenue potential recurring monthly
CCM Program Requirements
  • Medicare FFS and Select Medicare Advantage Plans
  • Two or more Chronic Conditions expected to persist at least 12 months
  • Annual Wellness Visit(AWV) or Initial Preventive Physical Examination (IPPE) within the past year or a CCM initiating visit
  • Patient consent to participate
RPM Program Requirements
  • Medicare FFS and Select Medicare Advantage Plans
  • 1 or more Acute or Chronic Conditions expected to persist at least 12 months
  • Patient consent to participate
CCM Services by CPT Code
  • 99490 | 20 minutes minimum per month
  • 99439 | Add-on 20 minutes x2 for more complex cases
  • HCPCS G0511 – FQHC or RHC – 20 minutes minimum per month with no maximum for complex cases
RPM Services by CPT Code
  • 99454 – Technical component requires minimum of 16 recording(s) or programmed alert(s) per month
  • 99457 – Patient interactive time requires minimum 20 minutes per month
  • 99458 – Add-on 20 minutes for more complex cases
As an extension of the Physician
MDQ Technology Platform
Our proprietary technology platform is designed specifically for CCM and RPM including:
  • Consent and enrollment management;
  • Person-centered care plans;
  • Queued inquiries for Care Coordinators regarding patient lifestyle and behaviors including medication compliance;
  • Auto-logs of time spent on patient care management;
  • Auto-alerts and notifications based on data-transferred RPM readings.
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