Mark Vaughan, M.D.

Learn how to use the new APCM codes for 2025. G0556, G0557, and G0558 See the CMS webpage for official information. Purchase your CCM templates.

Use Advanced Primary Care Management (APCM) to Afford taking Medicare Patients. See CCMPays.com

Most group practices will add thousands in revenue monthly with the G2211 code. Listen for details. Here is a great link from the AAFP.

A collection of 29 care plan templates and  29 monthly care management phone call scripts for the most common chronic conditions in Medicare patients.  Includes license for a single provider.  The link for downloading the complete document and another link for viewing instructional videos will appear once payment is completed.

RPM patients need to take measurements 16 days per month. Following The Formula can help your RPM coordinator keep patients on track throughout the month so you don’t end up with too few days. I have daily calls made to any patients who do not have the minimum number of days according to The Formula: (date/2) + 1. It is appropriate to start anytime after the first week of the month.

Increased Medicare CCM Payments

Medicare raised CCM payments in 2022. Medicare now pays $56.74 – $80.31 to set up CCM (99453) Medicare now pays $56 – $76 monthly per completed CCM service

Qardio has come back with a cellular blood pressure monitor option. This is worth look at for blood pressure Remote Patient Monitoring.

Dr Tom Frieden, former director of CDC, referred to the Final Report of a Trial of Intensive versus Standard Blood-Pressure Control, published in May in the New England Journal of Medicine. Conclusions:”Among patients who were at increased cardiovascular risk, targeting a systolic blood pressure of less than 120 mm Hg resulted in lower rates of major adverse cardiovascular events and lower…

Healthmote continues to lend itself to a growth of patients using RPM. It is easier to set up than Qardio, and we have found that easily more than twice the number of Medicare patients can use the simple one-button Healthmote device compared to Qardio. Send your CCM and RPM questions to mark(at)vaughanmd.com. Emails may not receive a reply, but answers to the most popular questions will be…

I am excited to tell you about both of our new sponsors. You can learn more about their products by clicking on the Foracare and Healthmote links. Foracare is covered in an earlier dedicated episode. Most of this episode describes the benefits and features of the Healthmote Remote Patient Monitoring (RPM) system. I also give some thoughts regarding the structure of staffing for RPM coverage.

Medicare 2021 RPM Update

Link to Official CMS Policy There are a couple updates to RPM rules which provide significant clarification to time necessary for RPM monthly management and the nature of communication satisfying the “interactive communication” requirement.