We helped a life sciences company to optimise reimbursement of remote care services in the US using their remote monitoring solution.

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What was the digital health solution?

A remote monitoring solution designed to enable reimbursement of remote physiologic monitoring (RPM) and chronic care management (CCM) services in the US.

What was the objective?

To understand opportunities and best practices for reimbursement of remote care services in the US and how the solution could optimise reimbursement for their customers.

 

How did we do it?

  • Reviewed the official CPT Professional codebook (2024 edition) published by the American Medical Association (AMA).
  • Interviewed five experts to understand how to increase the chances of successful reimbursement for remote care services.
  • Engaged a certified coder to understand common reasons for claims denials and mitigate against these.
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We helped a top-10 diagnostics company to define the value proposition for clinical algorithms, map reimbursement pathways, and identify relevant CPT codes.