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What is RPM?

RPM is a digital healthcare service that allows your medical team to track your vital signs from your home using smart, connected medical devices.

It is a form of telehealth that allows clinicians to monitor health trends, manage chronic conditions, and proactively intervene before complications escalate (HHS.GOV) 

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Common RPM Devices

Blood Pressure Cuffs: Monitors hypertension and cardiovascular trends.

Glucometers: Tracks blood sugar levels for diabetes management.

Weight Scales: Monitors sudden fluid retention from congestive heart failure.

Pulse Oximeters: Tracks blood oxygen levels for COPD, asthma, or sleep apnea.

Continuous Glucose Monitors (CGMs): Measures real-time glucose trends around the clock.

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Patient Eligibility

If you are diagnosed with a chronic or acute condition that necessitate ongoing monitoring and it is medically necessary, conditions such as hypertension, Heart Failure, COPD, Asthma, Diabetes, Obesity, Malnutrition

And Many More

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Cost and Coverage

RPM services are covered under Medicare Part B.  You may have a copay. Total out-of-pocket costs are determined by secondary insurance coverage and deductible status. Standard Part B 20% coinsurance may apply, depending on secondary insurance or dual Medicaid eligibility

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Requirements

Schedule an Initiating Visit: You must have an in-person or telehealth visit with your doctor to formally establish your RPM program.

Give Consent: Your provider will explain how the device works and outline any potential monthly copays. Your verbal or written approval will be noted in your file.

Receive and Test the Device: The clinic will set up a device for you. Many modern RPM tools use cellular chips, meaning they work right out of the box without needing home Wi-Fi.

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Who Can provide RPM?

Your healthcare provider can provide RPM as long as they are qualified health professionals such as Physicians, Physician Assistants, Nurse Practitioners and you meet the criteria and necessary medical conditions. 

You can continue the program for as long as your healthcare provider deems it medically reasonable and necesary to manage your condition. (HHS.GOV)

Your provider is able to extend RPM indefinitely to help prevent declines and hospitalizations.

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Core Program Services

Proactive Interventions: Clinicians track anomalities and adress health risks instantly

Hospitals to home Transition: Facilitate earlier hospital discharge by tracking vitals at home safely.

Enhanced Engagement: Patients access personal health trends to self manage disease.

Cost Efficiency: Reduces expensive hospital admissions and emergency room check-ins (NIH.GOV)

Screenings, brief interventions and referrals for mental health needs. We coordinate across providers, schedule visits and keep your care plan on track.

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       Telehealth 

Virtual visits and remote monitoring to support you between appointments.

Pharmacy led reviews to simplify regimens and improve adherence.

Help understanding benefits, authorizations and community programs

Ready to sign up for RPM?

Talk to your healthcare provider and let us coordinate with your care team

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Key Rules to keep in Mind