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Improving Patient Outcomes & Increasing Practice Revenue
Special terms on the first 25 patients
● You can be up and running in minutes,
with no upfront costs - we take the risk
on the devices for your first 25 patients!
● Easy onboarding with your dedicated
Account Manager
● You just chart!
The fastest way to get RPM up and running in your practice.
Improve Patient Outcomes with AI Powered
Remote Monitoring and Increase Revenue
for Your Practice
Presenters
Mintu Turakhia, M.D. M.A.S., Consulting Head of Medical, 100Plus
Mike Wurm, Head of Product, 100Plus
Dan Gasparini, Director of Sales, 100Plus
The presenters have no financial conflicts with the information presented
Agenda
RPM and the medicare landscape
1
Improve patient outcomes with RPM
2
AI - maximize patient adherence and
increase your practice efficiency
3
4 The economics and implementation of RPM
RPM and The Medicare Landscape
The challenge with care today
Improving Patient Outcomes & Increasing Practice Revenue
Incomplete
assessment of
treatment
response
Office BP checks
are limited,
incomplete, and
sometimes spurious
Need for frequent
follow up
Identifying need for
treatment
intensification does
not happen until
patient is seen
Limited clinician
bandwidth
Patient calls to get
readings (blood
pressure, glucose,
weight) and assess
adherence are very
time intensive and
not scalable
Patients are out of
the loop
Patients do better
when they see their
data and also know
that their clinicians
are seeing it
Not getting
reimbursed for the
remote care that
you already
provide
“Remote patient
monitoring” is done
by clinicians all the
time with phone
calls and check-ins
with patients. A
process and
workflow can make
it more efficient and
ensure
reimbursement for
the care you are
already giving
Remote Patient Monitoring for your practice
Medicare’s Remote Patient Monitoring program
incentivizes practices like yours to remotely
monitor high-risk patients.
● Increase patient independence
and reduce avoidable and costly
emergency visits.
● Encourage doctors to track their
patients’ health in real time to
reduce the need for episodic care
by taking preventative steps.
● Incentivized practices to partake
in an RPM program by offering
meaningful economic backing via
added CPT codes.
Improving Patient Outcomes & Increasing Practice Revenue
CPT Codes for Remote Patient Monitoring
Improving Patient Outcomes & Increasing Practice Revenue
CPT Codes Coverage
Physician Billable
Fees*/month
99453 This code includes the initial setup of RPM services with the patient and patient education. $18.77
99454
This code includes the RPM device supply, data transmission, and programmed alerts. This
can be billed every 30 days.
$62.44
99457
This code includes 20 minutes of care and a patient care plan to address the patient’s
chronic conditions by clinical staff, a physician, or other qualified healthcare professional
during the calendar month. This requires interactive communication with the patient or
caregiver during the month.
$51.61
99458
This code includes an additional 20 minutes of care during the calendar month up to two
times. It is used in conjunction with 99457 as an add on code.
$84.44
Total monthly potential reimbursement per patient
(includes 2x 99458, excludes 99453, the initial setup fee)
$198.49**
* National averages from CMS **Excludes CPT Code 99453, the initial setup fee
Patients with Commercial and Medicaid Policies
Improving Patient Outcomes & Increasing Practice Revenue
Commercial: Foley reported that in
2021, 17 states required commercial
health plans to cover RPM
Medicaid: Half of Medicaid programs
reimburse from RPM
Takeaways:
● Promising trajectory, but variance
still remaining that your RPM
program has to account for.
● To make it painless for you,
100Plus automates checking:
a. Policy active?
b. Policy reimburses for RPM?
RPM Benefits Medicare Patients and Providers
Improving Patient Outcomes & Increasing Practice Revenue
Patients
● Improved health outcomes
● Efficient access to health providers
● Decline in patients’ hospitalization
Technology Providers
Making it possible by bringing RPM Medicare program to life
Practices
● More vigilant watch over your patient
population
● Add revenue to your practice
Outcomes
100Plus Study Profile
Demographics of patient and practice sample
● 18,555 patients (analytical subsets are smaller than overall cohort)
● 344 sites
● 42% male; 58% female
● Age
○ Men 74 ± 9 years
○ Woman 74 ± 12 years
Study Profile
Geographic distribution
100Plus Quality Improvement Analysis - Results
Obesity: patients > 220 lbs lost 6.4 lbs in 180 days (n = 821;
p<0.00001)
Cost savings potential of controlling obesity is $4,010 per patient per
year per the Journal of General Internal Medicine (Apr’17).
Diabetes: patients’ random glucose dropped -7.5 mg/dL in 180 days
(n = 2,324; p<0.00001)
Cost savings potential of controlling diabetes are $7,151 per patient per
year, according to the American Diabetes Association (May'18).
Hypertension: patients' BP reduced from 141.0 mmHg by -4.7 mmHg to
136.3 mmHg in 180 days (n = 9,219; p < 0.0001)
+69% greater reduction than that of comparable studies; cost savings
potential of controlling hypertension is $1,920 per patient per year,
according to the Journal of the American Heart Association (May'18).
100Plus’ initial analysis of biometric improvement across patients with Obesity, Hypertension,
and Diabetes indicates the establishment of a new gold standard in chronic RPM.
100Plus Clinician Survey
Improving Patient Outcomes & Increasing Practice Revenue
Source: 100Plus Provider Survey, Sept 2021, n = 28
Maximize patient adherence and
increase your practice efficiency
ROI of Your RPM Program
Improving Patient Outcomes & Increasing Practice Revenue
Clinical Outcomes
for Patients
Return
Investment
Profit Opportunity
for your Practice
Clinician time
spent on 99457/8
chart review
Additional time
spent on
managing your
RPM program
To maximize + , you’ll need to:
A) ensure patients take their 1st reading, and
B) maximize ongoing adherence
1 2
3 4
100Plus
service fee
5
To minimize 4, you need to find an
RPM platform that maximizes
automation of non-clinical activities
4
1 2
100Plus RPM Devices
Improving Patient Outcomes & Increasing Practice Revenue
● Patients receive their FDA registered medical
devices in days
● Cellular = zero click setup
○ No configuration required
○ Ready to use right of the box
● Batteries, glucose strips, and lancets provided in
perpetuity
● Device warranty, replacements and returns with no
questions asked
● Provide future hardware to patients an no cost
● US based customer support
Blood
Pressure Cuff
Blood Glucose
Monitor
Digital Weight
Scale
Pulse
Oximeter
Personal
Emergency
Response
Digital
Thermometer
1 https://www.pewresearch.org/internet/2017/05/17/tech-adoption-climbs-among-older-adults/
Let Ava facilitate your implementation!
Ava can automate:
● Patient enrollment
● Shipment notifications
● Training
● Ongoing adherence
Ava will yield significant staff-time savings for your RPM program
Texting Just Works, for Everyone
● 92% of seniors have SMS (61% on smartphones, 31% on feature phones)1
○ Zero patient configuration required
● No practice setup or configuration required
Ava has increased patient adherence by over +36% across all 100Plus practices.
Meet Ava, Your AI-Based Virtual Medical Assistant
The Economics and Implementation
of RPM
How does remote patient monitoring work with 100Plus?
Enrollment Patient data Reimbursement
Provider reviews patient’s
health data
Provider signs up
Patients enrolled
Patient consents
Devices shipped
Patients use device
Patient health data
electronically submitted
Provider submits billing
claims for reimbursement
Provider reimbursed for
RPM care
Improving Patient Outcomes & Increasing Practice Revenue
Integration
Billing Portal
● Automatically generates claim
notifications for practitioner payment
reconciliation using practice billing
workflow.
● Error handling to significantly reduce
claim denials and resubmittals from
administrative errors.
● RPM claim notifications eligible for
reimbursement are generated each
business day, reducing the lag time
between a practitioner providing RPM
services and getting paid.
● Reconciliation of any rejected claims
Improving Patient Outcomes & Increasing Practice Revenue
Clear and Substantial ROI
A mid-sized practice should see ~$300-$500K in potential yearly net profit from an RPM program with 100Plus
Email: Sales@100plus.com for a custom patient eligibility and pro-forma generated for your practice.
Improving Patient Outcomes & Increasing Practice Revenue
100Plus Pricing Model
No initial investment! Our RPM program is designed to be cash flow positive for your practice from
the first month of billing. Pricing fluctuates based on zip code (National averages displayed).
Improving Patient Outcomes & Increasing Practice Revenue
Implementing RPM at your practice
Nadia Ziyadeh-Hammad
Improving Patient Outcomes & Increasing Practice Revenue
As an LVN at Greenville Healthcare
Associates, I successfully implemented and
currently manage our 100Plus Remote
Patient Monitoring program. RPM has helped
me provide better care for patients by
enabling me and my team to closely monitor
their conditions.
Greenville Healthcare Associates - LVN, RPM Coordinator
Improving Patient Outcomes & Increasing Practice Revenue
Special terms on the first 25 patients
● You can be up and running in minutes,
with no upfront costs - we take the risk
on the devices for your first 25 patients!
● Easy onboarding with your dedicated
Account Manager
● You just chart!
The fastest way to get RPM up and running in your practice.
Improving Patient Outcomes & Increasing Practice Revenue
Learn more about 100Plus
www.100Plus.com
Questions?
sales@100plus.com
Thank you
2022 Guide to Improved Patient Outcomes: AI-Powered Remote Monitoring and Increasing Revenue for Your Practice

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2022 Guide to Improved Patient Outcomes: AI-Powered Remote Monitoring and Increasing Revenue for Your Practice

  • 1.
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  • 5. Improving Patient Outcomes & Increasing Practice Revenue Special terms on the first 25 patients ● You can be up and running in minutes, with no upfront costs - we take the risk on the devices for your first 25 patients! ● Easy onboarding with your dedicated Account Manager ● You just chart! The fastest way to get RPM up and running in your practice.
  • 6. Improve Patient Outcomes with AI Powered Remote Monitoring and Increase Revenue for Your Practice Presenters Mintu Turakhia, M.D. M.A.S., Consulting Head of Medical, 100Plus Mike Wurm, Head of Product, 100Plus Dan Gasparini, Director of Sales, 100Plus The presenters have no financial conflicts with the information presented
  • 7. Agenda RPM and the medicare landscape 1 Improve patient outcomes with RPM 2 AI - maximize patient adherence and increase your practice efficiency 3 4 The economics and implementation of RPM
  • 8. RPM and The Medicare Landscape
  • 9. The challenge with care today Improving Patient Outcomes & Increasing Practice Revenue Incomplete assessment of treatment response Office BP checks are limited, incomplete, and sometimes spurious Need for frequent follow up Identifying need for treatment intensification does not happen until patient is seen Limited clinician bandwidth Patient calls to get readings (blood pressure, glucose, weight) and assess adherence are very time intensive and not scalable Patients are out of the loop Patients do better when they see their data and also know that their clinicians are seeing it Not getting reimbursed for the remote care that you already provide “Remote patient monitoring” is done by clinicians all the time with phone calls and check-ins with patients. A process and workflow can make it more efficient and ensure reimbursement for the care you are already giving
  • 10. Remote Patient Monitoring for your practice Medicare’s Remote Patient Monitoring program incentivizes practices like yours to remotely monitor high-risk patients. ● Increase patient independence and reduce avoidable and costly emergency visits. ● Encourage doctors to track their patients’ health in real time to reduce the need for episodic care by taking preventative steps. ● Incentivized practices to partake in an RPM program by offering meaningful economic backing via added CPT codes. Improving Patient Outcomes & Increasing Practice Revenue
  • 11. CPT Codes for Remote Patient Monitoring Improving Patient Outcomes & Increasing Practice Revenue CPT Codes Coverage Physician Billable Fees*/month 99453 This code includes the initial setup of RPM services with the patient and patient education. $18.77 99454 This code includes the RPM device supply, data transmission, and programmed alerts. This can be billed every 30 days. $62.44 99457 This code includes 20 minutes of care and a patient care plan to address the patient’s chronic conditions by clinical staff, a physician, or other qualified healthcare professional during the calendar month. This requires interactive communication with the patient or caregiver during the month. $51.61 99458 This code includes an additional 20 minutes of care during the calendar month up to two times. It is used in conjunction with 99457 as an add on code. $84.44 Total monthly potential reimbursement per patient (includes 2x 99458, excludes 99453, the initial setup fee) $198.49** * National averages from CMS **Excludes CPT Code 99453, the initial setup fee
  • 12. Patients with Commercial and Medicaid Policies Improving Patient Outcomes & Increasing Practice Revenue Commercial: Foley reported that in 2021, 17 states required commercial health plans to cover RPM Medicaid: Half of Medicaid programs reimburse from RPM Takeaways: ● Promising trajectory, but variance still remaining that your RPM program has to account for. ● To make it painless for you, 100Plus automates checking: a. Policy active? b. Policy reimburses for RPM?
  • 13. RPM Benefits Medicare Patients and Providers Improving Patient Outcomes & Increasing Practice Revenue Patients ● Improved health outcomes ● Efficient access to health providers ● Decline in patients’ hospitalization Technology Providers Making it possible by bringing RPM Medicare program to life Practices ● More vigilant watch over your patient population ● Add revenue to your practice
  • 15. 100Plus Study Profile Demographics of patient and practice sample ● 18,555 patients (analytical subsets are smaller than overall cohort) ● 344 sites ● 42% male; 58% female ● Age ○ Men 74 ± 9 years ○ Woman 74 ± 12 years
  • 17. 100Plus Quality Improvement Analysis - Results Obesity: patients > 220 lbs lost 6.4 lbs in 180 days (n = 821; p<0.00001) Cost savings potential of controlling obesity is $4,010 per patient per year per the Journal of General Internal Medicine (Apr’17). Diabetes: patients’ random glucose dropped -7.5 mg/dL in 180 days (n = 2,324; p<0.00001) Cost savings potential of controlling diabetes are $7,151 per patient per year, according to the American Diabetes Association (May'18). Hypertension: patients' BP reduced from 141.0 mmHg by -4.7 mmHg to 136.3 mmHg in 180 days (n = 9,219; p < 0.0001) +69% greater reduction than that of comparable studies; cost savings potential of controlling hypertension is $1,920 per patient per year, according to the Journal of the American Heart Association (May'18). 100Plus’ initial analysis of biometric improvement across patients with Obesity, Hypertension, and Diabetes indicates the establishment of a new gold standard in chronic RPM.
  • 18.
  • 19. 100Plus Clinician Survey Improving Patient Outcomes & Increasing Practice Revenue Source: 100Plus Provider Survey, Sept 2021, n = 28
  • 20. Maximize patient adherence and increase your practice efficiency
  • 21. ROI of Your RPM Program Improving Patient Outcomes & Increasing Practice Revenue Clinical Outcomes for Patients Return Investment Profit Opportunity for your Practice Clinician time spent on 99457/8 chart review Additional time spent on managing your RPM program To maximize + , you’ll need to: A) ensure patients take their 1st reading, and B) maximize ongoing adherence 1 2 3 4 100Plus service fee 5 To minimize 4, you need to find an RPM platform that maximizes automation of non-clinical activities 4 1 2
  • 22. 100Plus RPM Devices Improving Patient Outcomes & Increasing Practice Revenue ● Patients receive their FDA registered medical devices in days ● Cellular = zero click setup ○ No configuration required ○ Ready to use right of the box ● Batteries, glucose strips, and lancets provided in perpetuity ● Device warranty, replacements and returns with no questions asked ● Provide future hardware to patients an no cost ● US based customer support Blood Pressure Cuff Blood Glucose Monitor Digital Weight Scale Pulse Oximeter Personal Emergency Response Digital Thermometer
  • 23. 1 https://www.pewresearch.org/internet/2017/05/17/tech-adoption-climbs-among-older-adults/ Let Ava facilitate your implementation! Ava can automate: ● Patient enrollment ● Shipment notifications ● Training ● Ongoing adherence Ava will yield significant staff-time savings for your RPM program Texting Just Works, for Everyone ● 92% of seniors have SMS (61% on smartphones, 31% on feature phones)1 ○ Zero patient configuration required ● No practice setup or configuration required Ava has increased patient adherence by over +36% across all 100Plus practices. Meet Ava, Your AI-Based Virtual Medical Assistant
  • 24. The Economics and Implementation of RPM
  • 25. How does remote patient monitoring work with 100Plus? Enrollment Patient data Reimbursement Provider reviews patient’s health data Provider signs up Patients enrolled Patient consents Devices shipped Patients use device Patient health data electronically submitted Provider submits billing claims for reimbursement Provider reimbursed for RPM care Improving Patient Outcomes & Increasing Practice Revenue
  • 26. Integration Billing Portal ● Automatically generates claim notifications for practitioner payment reconciliation using practice billing workflow. ● Error handling to significantly reduce claim denials and resubmittals from administrative errors. ● RPM claim notifications eligible for reimbursement are generated each business day, reducing the lag time between a practitioner providing RPM services and getting paid. ● Reconciliation of any rejected claims Improving Patient Outcomes & Increasing Practice Revenue
  • 27. Clear and Substantial ROI A mid-sized practice should see ~$300-$500K in potential yearly net profit from an RPM program with 100Plus Email: Sales@100plus.com for a custom patient eligibility and pro-forma generated for your practice. Improving Patient Outcomes & Increasing Practice Revenue
  • 28. 100Plus Pricing Model No initial investment! Our RPM program is designed to be cash flow positive for your practice from the first month of billing. Pricing fluctuates based on zip code (National averages displayed). Improving Patient Outcomes & Increasing Practice Revenue
  • 29. Implementing RPM at your practice
  • 30. Nadia Ziyadeh-Hammad Improving Patient Outcomes & Increasing Practice Revenue As an LVN at Greenville Healthcare Associates, I successfully implemented and currently manage our 100Plus Remote Patient Monitoring program. RPM has helped me provide better care for patients by enabling me and my team to closely monitor their conditions. Greenville Healthcare Associates - LVN, RPM Coordinator
  • 31. Improving Patient Outcomes & Increasing Practice Revenue Special terms on the first 25 patients ● You can be up and running in minutes, with no upfront costs - we take the risk on the devices for your first 25 patients! ● Easy onboarding with your dedicated Account Manager ● You just chart! The fastest way to get RPM up and running in your practice.
  • 32. Improving Patient Outcomes & Increasing Practice Revenue Learn more about 100Plus www.100Plus.com Questions? sales@100plus.com Thank you