Building a Diabetes Educator Program for Remote Patient Monitoring Billing
Authors' conclusion
Continuous involvement of CDCES and hospital stakeholders was essential to operationalize all relevant aspects of clinical care, workflows, compliance, documentation, and billing. CGM interpretation with RPM billing allows CDCES to work at the top of their licensing credential, increase clinical care touch points, and provide a business case for expansion. As evidence of the clinical benefits of RPM increases, the processes developed here may facilitate broader adoption of revenue-generating CDCES-led care to fund RPM.
Study context
- Population
- Patients of a pediatric endocrinology clinic in a Certified Diabetes Care and Education Specialist (CDCES)-led remote patient monitoring (RPM) program transitioning the 4T Study to standard of carefirst month of pilot
- Participants
- 52 patients
- Outcome
- RPM billing pilot
- Follow-up
- First month of pilot
Methodological detailspilot, single-centre, Stakeholders (hospital compliance, billing specialists, clinical informatics) identified, discussed and approved billing codes and workflow
- Pilot
- Single-centre
- Stakeholders (hospital compliance, billing specialists, clinical informatics) identified, discussed and approved billing codes and workflow
Main finding
As reported in the abstract
Patients with RPM billing codes submitted
52
Average reimbursement per code occurrence, commercial insurance (60% of patients)
$110.33
Average reimbursement per code occurrence, public insurance (40% of patients)
$46.95
Original publication
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