Your Questions, Answered: Everything You Need to Know About Chronic Care Management
Remote Patient Monitoring (RPM) is treated as a distinct service that can complement your existing telehealth offerings. It provides monthly recurring reimbursements through specific CPT codes and is not dependent on individual encounters.
Patiens must have a chronic condition that needs ongoing physiologic monitoring.
Typical conditions are Hypertension, Diabetes (Type 1 or Type 2), Ashtma, Obesity, Chronic Pain with vital sign, high risk medication monitoring, chronic kidney disease, post stroke, Congestive heart failure and many more.
Must need ongoing monitoring (BP, Glucose, Weight, Pulse ox, etc) that impacts the treatment plan.
Most patients’ insurance plans fully cover RPM benefits with no co-pays. However, depending on the insurance provider, some patients may have a minimal financial responsibility, such as a small co-pay. MoonMD obtains patient consent regarding any financial obligations before enrollment in the program.
No. Only the first provider who enrolls the patient into RPM can receive reimbursements.
Absolutely! We deliver cellular-enabled devices directly to patients’ homes. These devices automatically transmit readings in real time—no smartphone, internet connection, or Bluetooth required. We also engage with patients through their preferred communication channels, such as phone calls, SMS, in-app messaging, or telehealth.
Yes, our cellular-connected devices are ESL-friendly, and we offer full support in Spanish through our omni-channel communication options, including SMS, phone, and video.
Providers have no ongoing obligations for patients enrolled in the RPM program.
Real-time patient data, risk stratification insights, and monthly clinical reports are accessible anytime through our RPM platform.
MoonMD’s remote monitoring team maintains regular contact with enrolled patients to encourage compliance and timely check-ins.
Provider staff are alerted only when necessary, based on risk stratification alerts, and only during regular office hours.
MoonMD places the highest priority on patient data security. Our platform runs on HIPAA-compliant servers and follows industry best practices for incident management, database protection, and data privacy.
MoonMD uses cellular-enabled devices that eliminate the need for an internet connection, Bluetooth, or a smartphone. These devices are ready to use out of the box and automatically transmit data directly to our RPM platform.
Although there is no restriction on the number of devices a patient can receive through the RPM program, most patients are provided with up to two devices to maintain compliance without feeling overwhelmed.
No, RPM reimbursement rates remain the same regardless of how many devices a patient uses during the program.
Actual reimbursement rates depend on the provider’s MAC region and specific contract terms.
No, RPM reimbursement rates are consistent across all qualifying conditions. Each patient receives the same reimbursement amount regardless of how many chronic conditions they have.
Our clients typically receive their first monthly reimbursement within 60 days of their initial submission to payors. Subsequent reimbursements are submitted monthly, at the beginning of each new month, for the services provided in the previous month.
All reimbursements are issued directly to providers; **MoonMD** does not receive any portion of these payments.
Medicare, Medicare Advantage, and most commercial insurance plans cover RPM.
No, RPM is not encounter-based. With **MoonMD’s** monthly monitoring, your staff are not required to reach out to patients each month for RPM activities.
MoonMD can launch your RPM program within two weeks. Our streamlined onboarding process requires only 2–3 hours of online training for your staff.
Referring patients to RPM is quick and simple—just a few clicks once integration with your EMR is complete. If your staff uses the MoonMD platform for referrals, the process typically takes less than a minute.
MoonMD handles benefit verification and device distribution, allowing most patients to begin using their devices within 24–48 hours after referral.
No, MoonMD provides U.S.-based expert remote monitoring staff for our clients. However, if you have your own team and prefer to manage monitoring internally, your staff can use the intuitive MoonMD platform to monitor and triage patients. MoonMD also provides full training and support for your team.