If you are in new York City you and PM me and I will share you the third company I use.
Otherwise, I would not know which companies run this otherwise.
Ultimately this is a DIY project if you are ambitious enough.
Step 1) Buy 4G enabled FDA approved automated sphygmomanometers
Step 2) Work with the company that sold you these machines to enable the web platform that records patient data and set up provider and patient portal.
Step 3) Hire a staff member (doesn't even have to be medically trained. a computer trained person is fine) to monitor the automated warnings when BP thresholds are crossed
Step 3A) contact the patient via phone or schedule follow up to review these reports
Step 4) Bill 99453 for initiation one time
Step 5) Bill 99454, 99457, 99458 accordingly each month for the patients. Understand that while virtually most insurances cover these codes, only those with Medicaid (not straight but rather Medi/Medi or Managed Medicaid, or all three) and Medicare with a supplementary insurance (like the AARP supplement that pays the coinsurance) will pay for it 100% with zero patient out of pocket costs. Otherwise get ready for patient anger and fury over a coinsurance amount and having to explain why these codes did not require the patient to come into the office to be seen (patients dont know 99213 from 99453)
If you go the DIY route, know there is a fairly high upfront cost. But if patients use it well over time, then this is a net profit endeavor.
The third party company I use takes care of Steps 1-3 for me. 3A is something I do personally. I have trained by office staff to do Step 4/5 for me.
When billing the RPM codes, you dont really need to write notes. Send an empty note. When insurance companies have requested chart reviews, I sent in the BP monitoring report from the web platform and they are fine with that.
This generates a very good amount of revenue for me each month. I have also been able to keep many patients out of the hospital (I think) with this. This may not be too useful for "healthy" patients. But it is definitely useful for the CAD, CKD, CVA, OSA, obese etc... difficult to control BP patients as it justifies my increasing meds and the patients feel more at ease using more meds because "the average BP is getting higher and not just one isolated measurement in the offiec which could be exertional"
