TELEHEALTH BUSINESS SOLUTIONS
Practice Analysis
To determine patient eligibility for Remote Physiologic Monitoring (RPM), Chronic Care Management (CCM), and Remote Therapeutic Monitoring (RTM), a medical practice analysis should include the following components, organized by ICD-10 codes, payer-specific coverage rules:
RPM: ICD-10 codes for chronic/acute conditions requiring physiological monitoring.
CCM: ICD-10 codes for ≥2 chronic conditions expected to last ≥12 months. Medicare: Requires a comprehensive care plan and ≥20 minutes of monthly care coordination.
RTM: ICD-10 codes for respiratory, musculoskeletal, or therapy adherence-related conditions. Medicare: Requires an established treatment plan and monitoring of non-physiologic data.
