Number of Patients per Physician annually: (5000 Latest Industry Average as per Physicianleaders.org):
Number of Physicians:
3. % of Medicare Patients at Office
Number of Medicare Eligible Patients (annually):
Number of Medicare Patients
An estimated number of Medicare Patients (annually):
4. % of Chronic Eligible Patients
% of Medicare Patients with 2 or more Chronic Conditions (annually):
Number of Chronic Eligible Patients
% of Medicare Patients Eligible for RPM (annually):
5. % of Patients Selecting RPM Program
Expected Number of Patients expected to opt for RPM (as a % annually):
Number of Opt-In Patients to RPM Program
Estimated Number of Patients You Expect to Opt-In (annually):
CPT Codes for Remote Patient Monitoring (RPM)
CPT 99453 - One time Setup at $19.32
Set-up, patient instructions and education regarding the use of RPM equipment: Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate).
CPT 99454 - Apparatus and monitoring at $50.15/month
Device(s) supply with daily recording or programmed-alert transmissions: Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days
CPT 99457 - Interventions at $48.80/month
Remote monitoring treatment/interactive services: Remote physiologic monitoring treatment management services that require 20 minutes or more of live (non-face-to-face), interactive communication (e.g. monitoring, etc.) between the patient/caregiver and the clinical staff/ physician/other qualified healthcare professional’s time in a calendar month.
CPT 99458 - Interventions at $39.65/month
Reported in conjunction with 99457 to report each additional 20 minutes of time: Remote physiologic monitoring treatment management services that require 20 minutes or more of live (non-face-to-face), interactive communication (e.g. monitoring etc.) between the patient/caregiver and the clinical staff/physician/other qualified healthcare professional’s time in a calendar month.
CPT 99091 - $54.22/month
Collection and interpretation of physiologic data (e.g. ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified healthcare professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time in a calendar month.
CPT Codes for Chronic Care Management (CCM)*
*For patients with two or more chronic medical conditions expected to persist for more than 12 months following diagnosis and place the patient at an increased risk for hospitalization.
CPT code 99487 - $113.41/month
Minimum 60 cumulative minutes over a 30-day period of non-face-toface consultation time establishing or monitoring a care plan
CPT code 99489 - $47/month
For every additional 30 minutes non face-to-face consultation (with 99487)
CPT code 99490 - $62.13/month
Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month
CPT code 99439 - $38/month
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified healthcare professional, per calendar month