Remote Patient Monitoring: Contract Structures, Medicare Coverage, and Regulatory Compliance
Recording of a 90-minute CLE video webinar with Q&A
This CLE course will guide healthcare counsel on remote patient monitoring. The panel will examine reimbursement standards for remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM). The panel will also address privacy, security, and compliance challenges of remote patient monitoring.
Outline
- Reimbursement standards
- RPM
- RTM
- RPM and RTM contracting, collaboration, and supervision structures
- Risks
- Privacy
- Security
- Payor audits
- Fraud and abuse
- Compliance considerations
- Professional qualifications for supervision and billing
- Self-referral and anti-kickback
- Payment and regulatory flexibilities during the COVID-19 PHE
- State and federal data privacy and security requirements
Benefits
The panel will review these and other key issues:
- How have reimbursement standards for RTM changed under the 2023 MPFS?
- What are the key distinctions between the RTM and RTM billing codes?
- How can healthcare providers collaborate with clinical staffing companies, IT, and medical device vendors and others to furnish remote patient monitoring?
- What are the privacy and security risks associated with remote patient monitoring?
- How should HIPAA covered entities, business associates, and others implement such devices while protecting data privacy and security?
- What steps should healthcare providers take to ensure compliance with RPM and RTM requirements?
Faculty
Rick L. Hindmand
Counsel
McDonald Hopkins
Mr. Hindman focuses his practice on healthcare regulatory, data privacy, cybersecurity, corporate, and... | Read More
Mr. Hindman focuses his practice on healthcare regulatory, data privacy, cybersecurity, corporate, and transactional matters. He represents physicians and other healthcare providers and organizations in structuring group practices, joint ventures, medical device companies, as well as physician/hospital alignment strategies and involvement in accountable care organizations (ACOs). He also assits healthcare providers and businesses with potential compliance challenges, including compliance with the Stark physician self-referral law, federal and state anti-kickback laws, and corporate practice and fee-splitting restrictions.
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Iliana L. Peters
Shareholder
Polsinelli
Ms. Peters is recognized by the healthcare industry as a preeminent thinker and speaker on data privacy and security,... | Read More
Ms. Peters is recognized by the healthcare industry as a preeminent thinker and speaker on data privacy and security, particularly with regard to HIPAA, the HITECH Act, the 21st Century Cures Act, the Genetic Information Nondiscrimination Act (GINA), the Privacy Act, and emerging cyber threats to health data. For over a decade, Ms. Peters both developed health information privacy and security policy, including on emerging technologies and cyber threats, for the Department of Health and Human Services, and enforced HIPAA regulations through spearheading multi-million-dollar settlement agreements and civil money penalties pursuant to HIPAA. She also focused on training individuals in both the private and public sector, including compliance investigators, auditors, and State Attorneys General, on HIPAA regulations and policy, and on good data privacy and security practices. As a CISSP, Ms. Peters works hard to bridge the gap between legal requirements for the security of health data and security industry best practices, so that clients can better understand data security issues and jargon.
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