In a 5-minute review of the 2024 Medicare Physician Fee Schedule (PFS) final rule, TimeDoc Health’s CEO, Brian Esterly, and clinical leader, Sarah Cameron, LCSW, shed light on the implications surrounding reimbursement for Remote Patient Monitoring (RPM) services provisioned to Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs).
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Remote Patient Monitoring and Equal Access to Care
One notable aspect of the final rule is the support for reimbursing Remote Patient Monitoring (RPM) services to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). TimeDoc firmly believes that patients receiving care at these centers deserve equal access to the technological advancements and services that extend their provider’s care beyond the four walls of a clinic. This move signifies a significant step towards breaking down barriers and ensuring that healthcare reaches all corners of our communities.
Billing for HCPCS code G0511
CMS clarified that FQHCs and RHCs can bill HCPCS code G0511 multiple times in a calendar month, without counting resource costs more than once, not only reduces the initial investment for newcomers to the RPM space but also provides a smooth transition for those reliant on grant funding for their RPM programs.
Focus on Patient Outcomes
Wrap-around services, particularly those combining RPM and Chronic Care Management (CCM), yield superior outcomes. Patients enrolled in both CCM and RPM demonstrate better adherence to device readings, faster reduction in blood pressure, and an increased rate of quality gap closure compared to those solely receiving RPM services. With a focus on value-based care, leveraging these fee-for-service programs becomes a crucial step for healthcare providers seeking to enhance patient care.
Partnering with TimeDoc Health for RPM and CCM
The finalization of the 2024 physician fee schedule brings promising changes that are set to elevate the quality of patient care. Notably, the emphasis on programs and reimbursement opportunities aimed at advancing health equity among historically underserved populations is a beacon of progress.
TimeDoc Health is committed to being your partner in navigating these changes. Schedule a consultation today to receive a complimentary financial analysis demonstrating the potential impact of this new reimbursement for both you and your patients.