Patients assigned to a multimodal telehealth arm had statistically- significant improvement in adherence to PAP therapy and subsequent improvement in hypersomnia and quality of life.
(Pepín, et al., Chest, 2019)How MonitAir enables remote
patient monitoring (RPM)
All-in-one platform
MonitAir integrates and risk-stratifies your patients’ respiratory data in one convenient platform.
Coordinated care
Your clinical staff can perform separately billable RPM services under general supervision.
Interactive communication
On-demand, interactive communication with your patients including SMS, audio, and video call.
Time-
tracking
Keep track of time spent monitoring each patient on a monthly basis.
Simplified reporting
Document changes to your patients’
Aims of RPM
Manage patients with chronic sleep and respiratory conditions
Monitor data to make personalized treatment recommendations
Stay more connected with patients and caregivers
Increase access by reducing barriers like appointment wait times and travel,
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Improve adherence while preventing exacerbations of chronic medical conditions
Evidence for RPM in Sleep and Respiratory care
The remote monitoring of respiratory signals from PAP therapy can be used as an early warning system to predict exacerbations of underlying chronic comorbidities including heart failure, COPD, and asthma.
(Schmickl et al., JCSM, 2019)Future directions of RPM in sleep and respiratory care look to integrate artificial intelligence and machine learning to “identify PAP adherence and mask fit difficulties, triggering self-management interventions that may empower patients to optimize treatment adherence.”
(Goldstein et al., JCSM, 2020)CPT (R) Billing Codes and Reimbursement for RPM
CPT Code 99453
Reported in conjunction with 99457 to report each additional 20 minutes of time spent after the initial 20 minutes of clinical staff/physician/ other qualified healthcare professional time in a calendar month.
Billable once at time of setup.
CPT Code 99454
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.
Billable once every 30 days.
CPT Code 99457
Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/ other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month.
Billable once per calendar month.
CPT Code 99458
Reported in conjunction with 99457 to report each additional 20 minutes of time spent after the initial 20 minutes of clinical staff/physician/ other qualified healthcare professional time in a calendar month.
Billable for every additional 20 minutes per calendar month.
