Remote Patient Monitoring
For New Clients
Monitoring patient’s health at home to improve health outcomes and increase revenue
What Is Serinus Remote Patient Monitoring? (RPM)
Personal vitals like Blood Pressure, Oxygen Saturation, Pulse, Weight, and Glucose are good indicators of the evolution of common conditions like Hypertension and other serious cardiac and respiratory illnesses (e.g., CHF, COPD, Asthma, CAD, Heart Disease, etc.).
Serinus Health tools allows patients to take their own vitals at home for Serinus’ automated collection, analysis, and generation of Alerts to be sent to the Doctor and Care Team for appropriate care intervention, either effective Telehealth or home or clinic visit, as need
Serinus Health Remote Patient Monitoring is tailored so that a patient of any technical ability can monitor their health. This enables the early detection of certain abnormal risk conditions, prompting timely professional healthcare intervention which prevents worsening crisis and likely costly ER/Hospitalization admissions.
BETTER HEALTH OUTCOMES WITH FEWER ER/HOSPITALIZATIONS
Of the population has vital alerts per month
Earlier Care and Earlier Medication Adjustments
Million in savings from 20% reduction in medical hospitalizations
In Additional CPT Practice Revenue
PER THOUSAND HEART AND RESPIRATORY ILLNESS PATIENTS, PER YEAR
CLINICAL BENEFITS OF REMOTE PATIENT MONITORING
Care where and when its needed
RPM monitors the evolution of health conditions like Hypertension, CHF, COPD, CAD, and Diabetes. Health professionals can observe the patient’s condition as it changes with every vitals update from the patient. Thus, enabling the early detection of health risks such as systolic trending higher, oxygen saturation trending low, sudden large weight changes; etc
Patients take their vital readings at home, and then these are collected and transmitted to the physician and/or care team.
Any abnormal vital changes generate Vital Alerts which are sent to the care team for timely review.
Prompt notification of these risks changes allows for timely care intervention, preventing worsening conditions and likely ER/Hospitalizations. Monitoring of a patient’s health conditions allows for prompt medication adjustments. More importantly, health monitoring reinforces the patient’s medication compliance with the resulting benefits to the overall patient health.
Serinus Health RPM Implementation and Workflow
1. WHO IS ELIGIBLE (for Medicare Reimbursement)?
- . Original Medicare Beneficiaries and certain Medicare Advantage Plan Members which
reimburses for RPM (e.g., United Healthcare).
- Vitals monitoring would allow clinicians to understand of a patient’s health status in
order to develop and manage a plan of treatment (different than CCM Plan).
- Patients with acute conditions, as well as patients with chronic conditions.
- Part B Benefit with 20% Copay (might be covered by Supplemental Insurance).
2. WHICH CPT CLASS DO RPM CODES BELONG TO?
- RPM codes belong to Evaluation and Management (E/M) class.
- RPM codes are NOT diagnostics codes (they cannot be furnished and billed by an
Independent Diagnostic Testing Facility).
- RPM codes are NOT Telehealth codes.
3. WHO CAN ORDER AND BILL FOR RPM CODES?
- RPM Codes may be ordered and billed only by physician or other qualified health care
professional who are eligible to bill Medicare for E/M services.
- The services associated with all the medical devices can be billed by only one practitioner, only
once per patient, per 30-day period.
4. WHO IS A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL?
It is defined by CPT as “an individual who is qualified by education, training, [each State]
licensure/regulation … who performs a professional service within his/her scope of
practice…. and who is authorized to independently bill Medicare for the service.
5. CAN CLINICAL STAFF ORDER RPM?
No, it cannot order RPM. A “clinical staff” … performs or assists in the performance of a
specified professional service but does not individually report that professional service.
6. WHAT IS NEEDED TO ORDER RPM FOR A (NEW) PATIENT?
- Ordering during an E&M encounter with the patient.
- The physician or practitioner would have collected relevant patient history and conducted a physical exam, as appropriate. As a result, the physician or practitioner would possess information needed to understand the current medical status and needs of the patient prior to ordering RPM services to collect and analyze the patient’s physiologic data and to develop a treatment plan.
7. FOR HOW LONG DOES RPM CONTINUE?
Provider manages the plan until the targeted goals of the treatment plan are attained,
which signals the end of the episode of care. (Another RPM Episode might start if needed).
8. AFTER RPM IS ORDERED, WHAT ARE THE NEXT STEPS?
- Staff perform registration and first reading
- Patient takes readings at home and transmit data using Serinus tools.
- Provider receives Vital Alerts (send by Serinus to email).
- Provider evaluates patient data in Vitals Dashboard.
- Provider next steps: med changes; further assessment via conversation or encounter.
9. CAN CLINICAL STAFF FURNISH SOME RPM SERVICES?
Like other care management services, services described by CPT codes 99457 and 99458
(interaction with patients) can be furnished by clinical staff under the general supervision
of the physician or NPP.
10. SPECIAL PROVISIONS DURING THE PUBLIC HALTH EMERGENCY, PHE? (Oct 22/22 + 151 days)
- RPM services can be furnished to new patients (as well as established patients).
- Consent (verbal but documented) to be obtained at the time services are furnished.
- Consent to be obtained by individuals providing RPM services under contract with the
billing physician or practitioner
- Allowing a minimum of 2 days of data collection over a 30-day period.
11. WHO CAN BILL CPT 99454?
Allow auxiliary personnel (which includes other individuals who are not clinical staff but are
employees or leased or contracted employees) to furnish services under the general
supervision of the billing physician or practitioner.
12. WHAT ARE “INTERACTIONS” UNDER CPT 99457 and 99458 – patient Interactions?
Required 20 minutes of time under codes 99457/8 include care management services, as
well as synchronous, real-time interactions. ….. and includes a practitioner’s time engaged
in “interactive communication” as well as time engaged in non-face-to-face care
management services during a calendar month.
If you are new to the program, please fill out the form below to register your data.
RPM implementation phases include:
1. Determination of the vitals to monitor depending on each patient’s conditions.
2. Determination of the devices which the patients will use to take their vitals.
3. Provision of the devices to the patients or use the device of their choice, together with the necessary education.
VITALS COLLECTION AND TRANSMISSION:
4. Patient takes its vital readings on a daily routine while at home.
5. Patient selects the method or solutions to collect and transmit the vitals readings. Voice dictation/key-in, texting, or automated app.
6. Vitals are transmitted and accessible to health care providers.
VITALS ALERTS GENERATION AND NOTIFICATION:
7. The transmitted vital values are analyzed to determine values outside predefined threshold limits.
8. Any abnormal values trigger Alerts to be promptly notified to the patient’s care team.
Serinus Real Time Vitals Dashboard:
Serinus has a real time Vitals Dashboard where the physician and care teams can see any patient’s vitals evolution at any time. This can also be used sign up new patients or change the care plan.
Serinus Health RPM is remarkably flexible for it's patients but viewing vitals is equally effective! You can view the vitals at the link below once you have logged into the Serinus Registered Gmail account.
Why Serinus Health?
Serinus Health, a leader in remote health monitoring, has the solution to help employers (businesses) minimize COVID-19 ongoing risks in the workplace from employees returning (daily) to work. Serinus enables early detection of any individual emergent health risk and/or illness through timely symptoms screening & vitals monitoring. Early detection of possible risks will trigger prompt and relevant health professional consultation to make an informed decision and/or to confirm certain actions (virus testing) have been taken, before returning to the workplace. Serinus services and related workflow are flexible and can be adapted to each particular workplace or company requirements to minimize any impact on workplace productivity.
Serinus Health provides employers and businesses with the necessary information and decision criteria to perform the critical task of maintaining workplace safety on a daily basis. This in turn empowers employees to be participants of their own safety in the workplace, increasing morale and sense of well-being.
In a time where social distancing begins to relax and stay-at-home orders are being lifted, it is critical to ensure exposure to possible health risks is kept to a minimum for businesses’ employees and to ensure business continuity.
Serinus Health is a leader in Remote Patient Monitoring at home for early detection of health risk changes. Risk changes trigger automated alerts to our care team. Upon receiving a health alert, Serinus conducts a real-time patient health assessment tailored to the patient’s condition for prompt and precise Interventions of Care Coordination. Furthermore, Serinus’ platform enables physicians to provide “Care When and Where is Needed’ using evidence-based Tele-Medicine to patients at home.
Serinus has the most flexible array of health monitoring tools for total patient flexibility, including automated apps; smart Artificial Intelligence Virtual Assistants via Voice or Texting; and data concentrators requiring no patient intervention for vital automatic transmissions via cell networks. Serinus smart cloud applications detect and send automated Alerts upon detection of vital abnormalities, while physicians and care teams have access to real-time patient vitals dashboards.