Video Transcript
The Medbridge RTM solution helps you track patient activity and provide treatment remotely so you can assist your patients as they reach their goals.
The final step in the RTM process is to determine whether or not you have billing opportunities based on your care team and the patient’s activity. In this video, we’ll review how to pull Monthly Billing Reports.
To get started, navigate to the Home Exercise builder and select RTM reporting.
Then, select Monthly Reports. On this dashboard, you’ll see three different tables - one for each of the RTM Codes. Use these tables to determine which patients are eligible for reimbursement for each of the CPT codes.
In order to generate a billing report, you’ll first need to filter the data to fit your needs.
Start by filtering the appropriate subset of patients using the primary clinician, clinic, and region filters at the top of the page. Enabling one of these filters will apply to all tables on this page.
Scroll to the table you would like to reference and select the month you would like to review.
Filter to Access or Activity based on your organization’s billing policy for the given code.
Once you have identified patients who are eligible for reimbursement, you will need to generate an activity report by navigating to the patient profile. This report will need to be added to your EMR in order to bill for this patient.
Once you have filtered your data, you can download an Excel or CSV of any of the data on this page by selecting the “Download” button at the top of the page.
Let’s take a look at how to do this for each of the code categories. First, Device Set Up, 98975.
To identify eligible patients, you will need to first identify the appropriate time period by using the “First RTM Interval End Date” filter.
Because eligibility for these codes is based on a 30-day period, these dashboards use intervals to identify patient eligibility. The first interval starts on the day a patient activates their program. After 30 days, the first interval ends and the second interval begins. This continues until a patient’s episode is ended by the clinician. Select the “First RTM Interval End Date” filter and choose the appropriate time period. This will show you all intervals which end in that period.
Then, you will need to select the appropriate metric for your organization - Access or Activity.
Organizations can select from one of these two metrics to determine if patients are eligible for the 98975, 76, and 77 billing codes. Access counts the number of days since the patient first logged into their program, and Activity counts the number of days a patient has recorded an activity, such as logging an exercise, reading or responding to a message, and logging in. Refer to your organization’s billing policy to determine which data point you should use.
Once you’ve set the “First RTM Interval End Date” filter and “Access or Activity” filters, the table now shows all patients with an interval ending in the selected month who have met the selected billing milestone.
Once you’ve identified a patient that has met these milestones, you can generate an activity report which can be copied into your EMR. Select the patient’s name and click the “Patient Profile” link. Then, select “RTM Activity,” then “RTM Activity Report.” You can filter this report to show patient and/or provider activity, and select the appropriate date range. Then the report can be copied and pasted into your EMR, or downloaded as a PDF.
Heading back to the RTM Reporting page, let’s now generate a report for Device Supply, 98976 and 98977.
You’ll follow a very similar process for this code. First, select the appropriate date range using “Interval End Date,” then select the appropriate data point using “Access or Activity.” Again, refer to your organization’s billing guidelines to determine the correct data point.
You can now see a list of all patients that have met the milestone you selected within the date range you selected. These patients may be eligible for reimbursement under 98976 or 98977. You’ll now need to generate an activity report the same way you did before - select the patient, select the patient profile, open the RTM activity log, and filter your report.
Finally, we have the Treatment Minutes codes, 98980 and 98981. This code is a little different because the code assesses a calendar month rather than a 30 day interval. Even though this code is different, the process is very similar.
Set the “Treatment Date” filter to the appropriate time period. Then, set the “Minimum Treatment Met” filter to “Y”. You can now see all patients with at least 20 minutes of logged treatment activity in a month and one interactive communication. These patients may be eligible to be reimbursed for CPT Code 98980. For each additional 20 minutes, they may be eligible to be reimbursed for CPT Code 98981.
On the right side of the table, you can see how many minutes were recorded sorted by the clinician discipline, so you can easily determine if your reimbursement will be subject to the PTA/COTA payment differential.
You’ll need to follow the same process here for generating an activity report. Select the patient, select patient profile, open the RTM activity log, and filter your report.
By using the Monthly Reports dashboard, you can efficiently determine which patients are eligible for reimbursement, so you can get back to providing patient care more quickly.
Thank you for reviewing this video, for more resources visit the Medbridge Help Center.