Our Remote Therapeutic Monitoring Solution is available for group plans with at least 2 users and is not available to individual subscribers. To turn this feature on or upgrade your organization's subscription, please contact your Account Manager or request a demo.
As you prepare to bill for the Device Education and Onboarding code (CPT Code 98975), MedBridge can help you easily collect the information you need.
For your reference, CPT Code 98975 is defined as follows. For more information on the RTM billing codes, please refer to this article: What are the new RTM CPT codes?
Device Education and Onboarding (CPT Code 98975)
CPT code 98975 covers: Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response), initial set-up, and patient education on use of equipment.
How to use CPT code 98975: Report this code only once per episode of care and only if monitoring occurs over a period of at least 16 days after patient activation. Use this code to report the initial time spent setting up and teaching the patient/caregiver how to use the device.
What to document: The type of device being used, the specific education and training provided to the patient and/or caregiver, and any device set-up required.
Determining Patient Eligibility
First, you will need to determine which patients are eligible for billing under this code.
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Select RTM Reporting from the top of the HEP page. This page will show you all your patients with RTM enabled.
- If necessary, you can use filters to select all patients within your organization, or select a different clinician under the “Primary Clinician” filter.
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Then, change the “Patient Activated RTM” filter to “Y.” You’ll now see only the patients who have activated and engaged with their program.
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Sort this table by “Patient Onboarded.” You will only be able to be reimbursed for patients that have been onboarded, so look for patients with a “Y” in this column.
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In order to reach this milestone, you must have onboarded and provided education to your patient after RTM was enabled for their episode, and that this was documented in MedBridge.
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In order to reach this milestone, you must have onboarded and provided education to your patient after RTM was enabled for their episode, and that this was documented in MedBridge.
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Now, you’ll need to determine if your patients have at least 16 days of monitoring. Based on your organization’s policy, you will use one of the following three filters to determine monitoring time:
- Days Since First RTM Login: The total number of days since the patient first logged in (ie. activated) after RTM was enabled for the episode of care.
- Patient Login Days: The total number of days where a patient login occurred after RTM was enabled for the episode. If a patient logs in multiple times on a single day, that day will only be counted one time.
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Patient Activity Days: The total number of days that the patient completed an activity, as defined below, after RTM was enabled for the episode. If a patient completes multiple activities on a single day, that day will only be counted one day.
- Patient Activities: logged adherence, engaged with education resources, messaged clinician, read message, loaded an exercise or education video, completed a survey.
- Patient Activities: logged adherence, engaged with education resources, messaged clinician, read message, loaded an exercise or education video, completed a survey.
- Days Since First RTM Login: The total number of days since the patient first logged in (ie. activated) after RTM was enabled for the episode of care.
- Locate the appropriate filter, and set the left number to 16. This will now only show patients that have met this requirement.
Generating Activity Report
Once you’ve identified a patient with at least 16 days of monitoring, you need to determine if those 16 days occurred within a 30 day period.
- From the RTM Reporting page, select the patient’s name and click the “Patient Profile” link.
- Select RTM Activity.
- Select RTM Activity report.
- Uncheck the provider activity box to filter to just the patient activity. Adjust the date to capture the appropriate 30-day range.
- You now have a report that’s filtered to the information you need. You can now download this as a PDF or copy it to your clipboard to paste into your EMR.