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To bill device codes for remote monitoring services, healthcare providers must meet the following requirements: 1) Have an established provider-patient relationship: Providers must have an established relationship with the patient and must have seen the patient in person within the past year or have provided a remote evaluation for the patient within the past six months. 2) Obtain patient consent: Providers must obtain the patient's written consent to participate in remote monitoring services and document the consent in the patient's medical record. 3) Provide patient education: Providers must educate the patient on how to use the remote monitoring device and explain the purpose of the device. 4) Monitor patient data: Providers must regularly monitor the patient's data collected from the remote monitoring device and take appropriate actions based on the data. 5) Document services provided: Providers must document the services provided in the patient's medical record, including the device codes billed and any actions taken based on the data collected. Meeting these requirements will ensure that providers can properly bill for device codes related to remote monitoring services.

Physicians and eligible qualified healthcare professionals, are permitted to bill RTM as general medicine services. A physician or other qualified healthcare professional is defined in the CPT Codebook as “an individual who is qualified by education, training, licensure/regulation (when applicable) and facility privileging (when applicable) who performs a professional service within his/her scope of practice and independently reports that professional service.” Accordingly, RTM codes could be available for physical therapists (PT), occupational therapists (OT), speech-language pathologists, physician assistants, nurse practitioners, and clinical social workers.

Yes, RTM is intended to be used for non-physiological data. This includes data related to a patient's therapeutic response, such as medication adherence, symptom management, and therapy response. While Remote Patient Monitoring (RPM) focuses on physiological data like heart rate and blood.

Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) are two different approaches to use technology to remotely monitor patients. RPM collects physiological data like heart rate and blood pressure. RTM collects non-physiologic data related to a patient's therapeutic response, such as medication adherence, symptom management, and therapy response. RTM can be used to monitor and manage a wide range of conditions, such as mental health, musculoskeletal conditions, respiratory diseases, and more.

Remote Therapeutic Monitoring (RTM) refers to the use of technology to remotely monitor a patient's health status and treatment progress, typically for individuals with chronic or complex medical conditions. RTM can collect a wide range of non-physiological data related to a patient's therapeutic response, including respiratory system status, musculoskeletal system status, medication adherence, and medication response, without requiring them to come into the office for frequent check-ins.