Use of RTM codes should be in compliance with payer guidelines. Providers seeking guidance on the use of RTM codes may contact CMS, their Medicare Administrative Contractor (MAC), relevant payers, and relevant state and national associations. This information does not constitute professional or legal advice on reimbursement and should be used at your sole liability and discretion.
Do patients and therapists get a notification when a message is sent?
Yes! The patient will get a phone app notification if this is set up on their phone, or a small pink dot is on the messaging icon in the app. The therapist will see a pink number on their screen over the bell to alert them of a message.
Do I have to complete a total of 20 mins to count towards codes 98980 and 98981?
Yes. You must get full increments of 20 minutes to charge for these codes, with the first 20 minutes applying to code 98980 and additional time towards 98981.
What information is informing the status on the dashboard?
There are several items we are using to determine the “met” status depending on the code.
98975: This is considered met when there are 16 days of data out of 30. The data that is counted includes: when patients complete an item on their task list, such as exercises, education, or outcomes.
98977 and 98976: This is considered met when there are 16 days of data out of 30. The data that is counted includes: when patients complete an item on their task list, such as exercises, education, or outcomes.
98980 and 98981: Currently, in order for time to start populating in the dashboard the provider needs to use the “RTM Time Count” Questionnaire in the patient’s POC. This is a therapist facing only item and helps to track time spent monitoring the patient.
Can we create our own educational content or workflows?
Yes! You can create your own Questionnaires, Exercises, and Education at your account or organization level. You can then use this content to create workflows to automate parts of this process.
Can I get reporting on questionnaires/outcomes built at the account or organization level?
No. This is currently not available for Outcome measures not at the Keet Global level.
Do I need to get consent to perform RTM with patients?
At this time we recommend looking at the CMS rules and regulations, state and federal regulations, as well as payers, and pay attention to the changes being made with regard to the PHE due to COVID 19. RPM requires consent and this consent has to be documented in the patient’s record, and RTM was modeled after RPM.
Does the Keet App qualify as a medical device per the FDA?
The term “Software as a Medical Device” (SaMD) is defined as software intended to be used for one or more medical purposes that perform these purposes without being part of a hardware medical device. Keet Health qualifies as SaMD according to the FDA guidelines; therefore, it’s eligible to be used for collecting monitoring data of qualifying patients, then billing the appropriate RTM code(s).
Which patients will be assigned content by the RTM global workflow?
Only the patients that are manually assigned the Internal Facing Questionnaire “RTM: Include in Patient Care Plan” and the provider answers “Yes”. These patients will receive Questionnaires and pieces of Education once the RTM Global Workflow has been turned on. If the Questionnaire was assigned and completed prior to the RTM Global Workflow being turned on will not be assigned these Questionnaires or pieces of Education.