Using A Chatbot For AI-Powered Remote Patient Monitoring

CMS & CPT Codes For Remote Patient Monitoring

As remote patient monitoring gais traction, allowing doctors to connect with existing and new patients, CMS created codes for Chronic Care Remote Physiologic Monitoring for initial setup & patient education, initial device supply, and monitoring data and interacting with patients or caregivers.

CPT code 99453: “Remote monitoring of physiologic parameter(s) (e.g, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment.”

How it is used: CPT 99453 offers reimbursement for onboarding a new patient onto a RPM service, setting up equipment, and educating the patient on using the equipment. The average national Medicare payment for these services is $19.46.

CPT code 99454: “Device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days.”

How it is used: CPT 99454 offers reimbursement for providing the patient with a RPM device for a 30-day period. CPT code 99454 can be billed each 30 days with the average national Medicare payment for these services being $64.15.

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.”

How it is used: CPT 99457 offers reimbursement for clinical staff time that contributes toward monitoring and interactive communication which includes phone, text and email. The average national Medicare payment for these services is $51.54 (non-facility) and $32.44 (facility).

CPT code 99091: “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, each 30 days.”

How it is used: CPT 99091 offers reimbursement for professional time dedicated to monitoring services and does not require interactive communication like 99457 to bill. However, it requires a physician or other QHP to perform these services, and requires 30 minutes of time every 30 days to bill. 99457 and 99091 cannot be billed concurrently. The average national Medicare payment for these services is $58.38.

How Our Platform & Chatbot Can Be USed

Follow up with patients
Collect patient information over time
Become the hub or a component of your RPM infrastructure

USING SMARTBOT360’s Platform For Remote Monitoring

Follow Up With Patients After THeir Visit

After a patient visits the office and gets a procedure that needs monitoring, SmartBot360 can be customized to follow up with the patient X days after their visit to get information like eight, blood pressure, pulse oximetry, respiratory flow rate, and more. By having an automated chatbot to fulfill remote patient monitoring tasks, you can secure extra revenue without having to put in extra work after setting up RPM flows once.

The chatbot can be customized to follow up however frequently you need and ask for the required patient information instead of standardized questions. By making the chatbot ask for information that CPT 99091 requires, it makes it easy to streamline the process of getting information from numerous patients and organizes it in a way where you can simply click on a specific patients chat to analyze the data and move onto the next patient after spending the required time.

Remote Video Chat Monitoring

SmartBot360’s platform can be used for telehealth services and because of the similarities, the video chat feature can also be used to perform remote patient monitoring. Once a patient completes their office visit, you can schedule a chatbot to follow up with their well being and state, and if they have further complications that can’t be solved through chat, you can schedule another appointment or send the patient a video chat link.

Our chatbot can be used to schedule other chatbots depending on the patient’s answers, so if they do not have any issues, you can continue with normal monitoring, but if issues pop up, the chatbot can respond accordingly.