RPM Support

Qardio Support

Welcome to the mid-Summer CCM Pays podcast for 2020.  I’d like to focus again on aspects of providing Remote Patient Monitoring services.  By the way, if you are doing CCM without RPM, you are missing out on a great opportunity to better manage hypertensive patients and increase practice revenue by at least the amount you make with CCM alone.

RPM pays very well.  The 99454 code pays about $69 monthly.  We need to plan to provide platinum level support for these patients when the monthly payment is not that much less than your one-time cost for purchasing the unit.  Our practice is to help patients at no additional cost whenever they have any difficulty with their Qardio unit.  I say Qardio unit, because we have chosen to use the Qardio Arm in our implementation of RPM.  

If a patient has a problem getting the system to work, we try to troubleshoot by phone if possible.  If that doesn’t work, we have the patient bring in both the Qardio arm unit and the mobile device the patient uses with it.  Oftentimes we only have to bluetooth pair the unit to the mobile device following an accidental erasing of the Qardio from the Bluetooth devices on the mobile phone or pad.  Other times we find that the pairing is fine, but the Qardio device has an error.  Sometimes just having the patient reposition the unit in a more medial position on the arm and allowing a loose fit of the cuff fixes the problem.  Sometimes the unit just needs fresh batteries.  Other times we find a leak in the cuff or mechanical pump failure evidenced by a unit which never achieves a pressure high enough to measure the patient’s systolic pressure.  When we come across a mechanical failure, we just exchange the unit for a new one and re-pair the patient’s mobile device with the new unit.  We have even had success with getting replacements from Qardio by emailing support with the model numbers of the defective units.

I cannot overemphasize how great RPM has been for hypertensive management and practice revenue.  If you don’t already have your own in-house RPM program, visit RPMpays.com to learn how to start your own program without having to share any of the revenue with outside parties.  Thanks for listening.

Medical Assistant Motivation

This month I wanted to give a couple aspects to consider in motivating your MA to keep doing CCM. Remind them of the great results CCM gets in patients with chronic conditions. Be sure to congratulate them when the pick up things that need to be addressed between office visits. The other way to help motivate CCM completion is to offer financial incentives based on production.

CCMarch

We review lessons learned installing the Qardio app on patients’ mobile devices and the latest pricing of Qardio on Amazon.

Review RPM Lessons Learned

Dates on Android: (tap on “Year”) to change year

iPad Mini did not show option to review “Terms and Conditions” while creating new account, so we had to create the account on another device and then log in on the iPad Mini.

PLEASE have iOS users put in their first AND LAST names.  The app only asks for a first name at registration.

Consider requiring patients to come in with the app already installed and registration completed.

Have patients send in readings weekly.  Have your MA copy and paste the data into a phone message for you to review.  Doing this weekly with every patient should cover the 20 minutes for the month, allowing you to still do 20 minutes of CCM each month.

QARDIO

It was on Amazon with Prime for a lower price than we can get it from the company.

On 2/26 it is already back up to $99.  I guess you have to get it using our “drmark” coupon code to get it for $90.  Keep checking Amazon to see if Qardio puts it back for $75.

Remote Patient Monitoring Now

Dr. Mark Vaughan, Cristina, and Ian describe lessons learned in the first month of setting up Remote Patient Monitoring (RPM) using the QardioArm wireless blood pressure monitor. An update on January CCM is also discussed.

Download our consent form for RPM.

Use our template for tracking both CCM and RPM with Google Sheets. Be sure to pay for a G-Suite account to get a Business Associate Agreement with Google to maintain HIPAA compliance.

THE CODES

  • 99453 Set Up $21
  • 99454 Supply Device $69
  • 99457 Interactive Communication $54

DIY CCM

Dr. Mark Vaughan and Cristina Armacher

This podcast is intended for physicians’ offices who would like to hear about our experience starting our own chronic care management (CCM) program with great success.  Learn from our successes and mistakes to improve the health of your Medicare patients with chronic illness and get the revenue intended to be used for this purpose.

Google Sheets template for tracking CCM

Kevin MD article about using third party CCM services.

Go to CCMPays for our comprehensive DIY Chronic Care Management program.