How a Family Practice Added $6,400/month In Recurring PROFIT in 73 Days
- Without spending a dollar upfront
- Without annual contracts for new services
- Without taking up the doctor or staff’s time
- Without recruiting, hiring, onboarding and training new staff
- Without investing in new medical equipment
- Without spending more money on advertising
And launched this new program in 60 minutes. Here is how:
In January 2020, the Officer Inspector General announced changes to the Remote Patient Monitoring (RPM) program that allows doctors to outsource their RPM program without hiring or training new staff members. This means medical doctors no longer need to monitor their patients directly and still qualify to get reimbursed by CMS.
Message from Centers for Medicare & Medicaid Services on Medicare Fee-for-Service (FFS) Billing
Question: May clinical staff provide RPM services under general supervision?
Answer: Yes. We finalized in the CY 2020 PFS final rule (84 FR 62698) that RPM services, including but not limited to HCPCS codes 99453, 99454, 99457, 99458, may be provided under the general supervision of the billing practitioner.
We note that, beneficiary consent to receive these services may also be obtained by auxiliary personnel under general supervision of the billing practitioner.
Further, we note that, as specified in the IFC (85 FR 19245-19246), during the PHE when physicians and other health care professionals are faced with challenges regarding potential exposure risks for themselves and their patients, the direct supervision requirement that applies for most other services that are furnished incident to a physician or other practitioner’s services may be met virtually through audio/video real-time communications technology.
Meet Dr. Thompson
Dr. Thompson leads a family practice in Dayton, TX. Dr. Thompson and his wife have been running the practice successfully for over a decade with 1500+ patients and after COVID, were looking for a new stream of revenue.
They came across Nsight Care and decided to explore Remote Patient Monitoring (RPM).
Using digital technology and in-home monitoring devices, RPM collects and analyzes physiologic patient data and electronically transmits that information to a provider.
Patient data may include blood pressure, blood sugar, vital signs, weight and/or pacemaker information.
Here’s how remote patient monitoring works:
Step 1: Patient Consent + Order Monitoring Device
Nsight Care’s team consents and funds the monitoring device for each patient. Devices send data automatically and digitally back to our platform and the provider's EHR.
Step 2: Respond to Abnormal Readings
Our 24/7 clinical team of nurses and MAs will call your patient, assess, and escalate cases that need to be escalated, minimizing disruption to you and your practice.
Step 3: Bill the Payer for Providing RPM
Our clinical team's interactions with your patients generates time towards the time-based RPM codes that you will bill Medicare (or other payer) monthly.
After understanding how RPM worked, Dr. Thompson discussed it with his wife and then asked for a proposal.
Dr. Thompson signed the agreement on November 13th.
The Nsight Care team conducted the onboarding call on November 15th (2 days after contract signing)
Dr. Thompson signed the Business Associate Agreement (BAA) for HIPAA compliance and our team scheduled the onboarding call.
Patient information obtained from EHR / consent calls commenced on November 22nd
Our care advisors started calling Dr. Thompson’s patients to get consent for RPM. This means that Nsight Care received secure access (compliant to HIPAA laws) and proceeded to call patients for verbal consent.
Once we received consent, we onboarded each patient into our RPM system and to Dr. Thompson’s EHR (Amazing Charts) to start sending out devices.
After the doctor’s patients gave consent for RPM, Nsight Care paid for their FDA approved medical devices like blood pressure monitors, glucose monitors, weight scales and pulse oximeters.
When the devices arrived at each patient’s home, our team’s registered nurses educated each patient on how to properly take their first reading.
Not once did Dr. Thompson’s practice individually have to educate patients on how to take readings, invest a dollar for medical devices for his patients, nor is his practice responsible for the replacement of devices or accessories.
During the onboarding call, Dr. Thompson met the care advisor that will be calling his patients, discussing + clarifying expectations, defining criteria to contact the right patients (that qualify for medicare and non-capitated medicare advantage plans) and any final administrative details.
Within 17 days of signing the contract, Nsight Care received consent from 200 patients.
By January 5th, 51 days from signing the contract, the billing report was made available for 159 billable patients.
By January 27th, 2022 (73 days from the date the contract was signed), Dr. Thompson received $6,400 in profit (after all direct costs) from Medicare’s deposit.
Now, Dr. Thompson is actively referring patients into the RPM program to further double the number of patients in the program. That will be equivalent to $12,800/month in profit or $153,600 in annual profit.
Here’s the timeline for Dr. Thompson, getting started with Nsight Care’s RPM program:
Now, Dr. Thompson is actively referring patients into the RPM program to further double the number of patients in the program. That will be equivalent to $12,800/month in profit or $153,600 in annual profit.
November 4th
Proposal (30 minutes of Dr’s time)
November 13th
Contract Signed
November 15th
Onboarding call (30 minutes of Dr’s time)
November 22nd
Patient information obtained from EHR / consent calls commenced
December 2nd
Patient Consent Calls Finished with 200 patient consents
December 7th
Trained on software / how to refer patients to us (15 minutes of Dr’s time)
January 5th, 2022
Billing report made available (159 billable patients)
January 12th
Billing company billed claims
January 27th
Medicare deposits
January 30th
Nsight invoice due
This means that Dr. Thompson:
- Hired no additional staff
- Invested $0 upfront or ongoing for his RPM program
- Nsight Care paid for the monitoring devices, care advisor, RN, MA and more
- Dr. Thompson is on pace to generate $76,800/year
- All with 75 minutes of the doctor and staff’s time
Schedule Your Demo
If you are a medical doctor or office / practice manager and would like to launch your Remote Patient Monitoring program in 60 minutes, book a call here:
Here Is What Happens After You Schedule Your Demo
Receive Analysis
Receive a complimentary analysis of how many patients qualify for RPM, along with your estimated costs and reimbursement.
Ship Devices
Once patient consent has been obtained, we will ship devices and consumables to your patients' homes.
Receive Analysis
Receive a complimentary analysis of how many patients qualify for RPM, along with your estimated costs and reimbursement.
Schedule Your Demo
If you are a medical doctor or office / practice manager and would like to launch your Remote Patient Monitoring program in 60 minutes, book a call here:
Here Is What Happens After You Schedule Your Demo
Receive Analysis
Receive a complimentary analysis of how many patients qualify for RPM, along with your estimated costs and reimbursement.
Ship Devices
Once patient consent has been obtained, we will ship devices and consumables to your patients' homes.
Get Reimbursed
We'll provide a monthly billing report so your biller can easily generate RPM claims.
Get Consent
Our team will call patients to educate them about RPM and obtain their consent.
Monitor
Our RNs will call your patients when their readings are abnormal and escalate appropriate ones to your attention.
The Nsight Care Difference
Nsight Care is a performance based Remote Patient Monitoring program. This means Nsight Care only gets compensated when CMS (or other payers) reimburses your practice; this means your practice will always be profitable working with us. Our RPM program is month-to-month, cancel anytime.
You and your team will have access to our proprietary web-based SOC2-certified, HIPAA-compliant RPM platform, which serves as the central hub for the entire RPM program.
- Receives and organizes all biometric data
- Integrates with cloud-based EHRs
- Securely records and transcribes calls with patients
- Automatically time stamps all patient interactions
- Generates clinical and billing reports
What Doctors Are Saying
Launch Your Remote Patient Monitoring Program In 60 Minutes
