NEW REIMBURSEMENT FOR CPT CODE 99091 UNDER THE 2018 MEDICARE PHYSICIAN FEE SCHEDULE
The Centers for Medicare & Medicaid Services gave physicians and other healthcare providers ringing in the New Year another reason to celebrate. Two final rules issued by CMS in November 2017 opened up entirely new avenues for reimbursement of Remote Patient Monitoring services in 2018, creating the potential for better patient outcomes and a boost to a practice's bottom line.
CPT Code 99091 was created in 2002 to describe "Remote Patient Monitoring" -- an interaction whereby a patient purchased a home monitoring device to collect her health information and transmit that information to her doctor. Since that time, CMS has considered the work of the physician in reviewing and interpreting that data to be covered by the management services codes already billed by the practice - meaning, CPT Code 99091 was "bundled" in with other management services codes and was not separately reimbursable. In 2018, the rei...
Below is an example of how Chalant Health Inc. can be a solution to saving hospitals money.
Patients who receive home health care after a hospital discharge are saving the health care system some serious dough, on average, according to a recent study published in the American Journal of Medicine (AJM).
With $40 billion spent on hospitalizations annually, the study furthers the value proposition of home health care as a major driver of health care savings and improved clinical benefits.
The study, which was conducted by authors at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, looked at 65,541 patients who were discharged from the hospital with self-care and 6,560 home health care patients over a 365-day-post-discharge period. The retrospective cohort study was conducted between Jan. 1, 2013, and June 30, 2015.
Over the discharge period, home health care was associated with an average unadjusted savings of $15,233 per patient, or $6,433 when adjusted fo...