RPM services exploded in popularity during the COVID-19 pandemic, as people were socially isolating. However, only a small number of primary care physicians generated most of the RPM billing claims. MedTwitter
, might benefit the most. But the researchers did not find pinpoint targeting of RPM services to people at greater risk.
"People were probably billing these codes without actually doing very much real remote patient monitoring," Joseph Ross, MD, MHS, a professor of medicine and public health at Yale University, New Haven, Connecticut, who was not involved in the analysis but studies trends in clinical adoption of tools such as RPM devices.
"We have no reason at all to suspect fraud here," added Ariel D. Stern, PhD, associate professor at Harvard Business School and the senior author on the paper.Early in the COVID-19 pandemic, Medicare regulators and commercial insurance carriers eased billing for RPM services in order to promote telemedical care in the absence of in-person visits, which had effectively ceased., which includes medical billing records for approximately 20 million people in the United States.
On the basis of Medicare reimbursement rates, the researchers estimate that each RPM patient generated an average of $706 in billing charges during their first year of using such services. If each of the 342 high-volume providers billed equally for RPM services, they would have earned approximately $71,000 for such claims.
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