decisionhealth Newsletters, Coder Pink Sheets - 2019 Issue 1 (January)
Understanding E/M: Welcome new options for remote-monitoring and treatment services
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Article Overview
This article explains a set of remote patient monitoring and treatment-management services, focusing on how recent CPT updates and Medicare coverage changes affect providers in 2019. It is intended for coders, billing staff, clinicians, and practice leaders who need a high-level understanding of the service categories, timing concepts, device considerations, and payment context discussed in the article.
Why This Topic Matters
Remote monitoring is an expanding area of reimbursement and care management. Understanding the scope of the available CPT options, related Medicare coverage, and the general requirements discussed in the article can help practices evaluate whether these services fit their workflows and compliance processes.
Article Sections
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Overview of remote patient monitoring and Medicare coverage
Introduces remote patient monitoring as a non-face-to-face care model and describes the general Medicare coverage context for the services discussed.
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A deeper dive on the services
Summarizes the main categories of remote monitoring activity and how the article frames the service groups within the CPT update.
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What to watch out for
Highlights general operational and coverage considerations such as payment context, patient communication, and device-related issues.
What You Will Learn
- How the article frames the expansion of remote monitoring services for Medicare patients
- The general categories of remote physiologic monitoring discussed in the CPT update
- What kinds of operational and coverage issues practices are told to pay attention to
- How the article positions device eligibility and documentation-related considerations at a high level
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Physician practices
- Clinical leaders
- Compliance and revenue cycle teams
Codes Discussed
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