THE PROBLEM
While billions are spent every year on prescription drugs, 50% of people still do not take their medications properly. The result is $350 billion a year in avoidable hospitalizations.
THE SOLUTION
The Medicare Physician Fee Schedule now reimburses providers for monitoring medication adherence between office visits using newly available RTM codes. By implementing emocha Health’s digital medication adherence program, healthcare providers can offer patients an interactive RTM solution that:
- Provides effective, daily support of medication regimens
- Combines digital and human engagement and interaction to improve adherence
- Observes the number of doses actually taken using asynchronous video
- Uses a proven CDC-endorsed model of care
- Has been clinically validated in 12 peer-reviewed journal publications
- Goes far beyond refill metrics to fully measure and improve real adherence
THE RESULTS
New Medicare Physician Fee Schedule RTM Codes* |
How we operate a medication adherence program under supervision of your qualified healthcare professionals** |
|---|---|
| CPT code 98975 Initial set-up and patient education |
Enrollment and initial engagement
|
| CPT code 98980 Monitoring/treatment management services, first 20 minutes |
Initial clinical observation and assessment Every month, emocha’s software allows clinical staff to interact with patients to:
emocha provides turnkey services upon request |
| CPT code 98981 Monitoring/treatment management services, each additional 20 minutes |
Ongoing monthly assessment and support We track and capture our time spent:
|
| CPT codes 98976, 98977 Device for supplying scheduled recording(s) and/or programmed alerts for respiratory and musculoskeletal conditions |
Remote patient adherence data collection
|
*Effective January 1, 2022
**Please note these are examples only. Each provider must make the determination as to services rendered and appropriate coding.
