Some of the most prevalent chronic illnesses are cardiovascular in nature. Successful management of such conditions requires a system of integrated care coordination that patients can reliably utilize for the complete duration of their disease. As the burden of chronic cardiovascular disease grows rapidly, primary care physicians increasingly depend on their cardiology specialist colleagues to manage long-term cardiac conditions like congestive heart failure. However, cardiologists themselves are burdened with the demands of juggling both inpatient and outpatient care duties. Care teams, there ..read more

Why Remote Patient Monitoring- The Need   Decades of innovation in healthcare therapies has shown remarkable improvement with in-patient recovery yet patient care outside the walls of a healthcare facility has remained a challenge. Healthcare spend has ballooned to over $3 Trillion and two-thirds of that, or over $2 Trillion is spent on chronic patient management. There are over 157 million chronic patients in the US, 81 million are co-morbid and over 30 million have 5 or more chronic conditions.   The Center for Medicare and Medicaid Services (CMS) recognized the need for more proac ..read more

What is remote therapeutic monitoring? In a further commitment to remote monitoring, CMS is now releasing and is asking for public comment on five codes that it describes as remote therapeutic monitoring (RTM).  Although these codes have parallels to remote patient monitoring there are some important differences. RPM(Remote Patient Monitoring) codes are E and M codes according to CMS and are billable mostly by physicians. The remote therapeutic codes on the other hand are considered general medicine codes and could be utilized by nurses and physical therapists.  The RTM codes, howev ..read more

After decades of innovation in cardiovascular care and reductions in mortality, deaths due to cardiovascular disease have started to increase again in the United States, driven by patients in rural communities who have less access to healthcare resources1(Figure 1).  While acute life-saving therapies are better than ever before, chronic aftercare remains a challenge and is complex for patients to understand and navigate.  Remote patient monitoring with telehealth holds the promise of addressing multiple points of failure along the spectrum of the cardiovascular care continuum as we f ..read more

Summarized from: Heart Rate Variability Standards of Measurement, Physiological Interpretation, and Clinical Use Task Force of the European Society of Cardiology the North American Society of Pacing Electrophysiology Originally published 1 Mar 1996 What is Heart Rate Variability? “Heart rate variability” is the term to describe variations of both instantaneous heart rate and RR intervals ie. the oscillation in the interval between consecutive heartbeats as well as the oscillations between consecutive instantaneous heart rates. To describe oscillation in consecutive cardiac cycles, other terms ..read more

IntelliH is a SaaS based Remote Patient Monitoring platform with a focus on proactively managing Diabetic, Congestive Heart Failure (CHF) and post-operative patients. It provides a risk stratified dashboard for care coordinators on PC, MAC and Android tablets. A patient App on iOS and Android devices (Phones and Tablets) wirelessly collects physiological data from monitoring devices such as Glucometers, Weight Scales, Pulse Oximeters, Blood Pressure Monitors, Thermometers and sends that to IntelliH on the cloud for analysis. IntelliH uses  ..read more

IntelliH is a SaaS based platform with a focus on managing CHF, diabetic and post-operative patients. It provides a risk stratified dashboard for care coordinators on PC, MAC and Android tablets. The patient App on iOS and Android devices wirelessly collects physiological data and sends that to IntelliH’s for analysis. The IntelliH platform tracks care plan, analyze received vitals and generates alerts that are customized to individual patient. It prepares a comprehensive disease specific report for doctors to analyze across any longitudinal period. The IntelliH solution enables immersive coll ..read more

2019 saw the advent of RPM codes 99453, 99454 and 99457. These were the foundation for reimbursement for the set-up of RPM technology and services and the subsequent patient-provider interaction in the context of the patient generated data. Although 99457 covered the initial 20 minutes of patient interaction it was insufficient and therefore code 99458 was instituted in 2020 to cover each additional 20 minutes of patient-provider interaction. To build on these codes for 2021 CMS is proposing a few clarifications: Following the Public Health Emergency for the COVID-19 pandemic CMS will requir ..read more