Revenue Model – SmarTrac

Generate A Profitable Revenue Model With SmarTrac

ATTENTION: Physicians can bill for SmarTrac using remote patient monitoring CPT codes or HCPCS codes, used when dispensing durable medical equipment. See Physician CPT codes below.

Additionally, Home Medical Equipment providers and Physiotherapists who dispense Durable Medical Equipment can bill for SmarTrac with approved HCPCS code noted below

HCPCS Billing

HCPCS Code A9279 – Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified

or just “Monitoring feature/devicenoc” for short.

A9279 can be used (1) whether the monitoring technology is incorporated as part of the base item, (2) supplied as an add-on module (3) or is a stand alone item.

This code can be used by Physicians or Physical Therapy offices that dispenses their own DME products to workers compensation patients.

For more information visit https://hcpcs.codes/a-codes/A9279/

CPT Codes for Remote Patient Monitoring

Many Physicians provide consultation and treatment for Chronic Care Medicare Patients. Arthritis is listed as a chronic care condition by Medicare.

Because SmarTrac is able to monitor heart rate, capture pulse oximeter oxygenation readings, and physical therapy activity on a daily basis, it meets FDA definition of a medical device billed under remote patient monitoring codes.

The following CPT codes are payable for Chronic Care Medicare Patients:

99453

Remote monitoring of physiologic parameter(s); initial set-up and patient education on use of equipment. CPT 99453 offers reimbursement for the work associated with onboarding a new patient onto a remote monitoring service, setting up the equipment and educating the patient on using the equipment.

99457

Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month. Under 99457, CMS will reimburse for clinical staff time that contributes toward monitoring and interactive

99454

Device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days. CPT 99454 offers reimbursement for providing the patient with a remote monitoring device for a 30-day period. Note that 99454 can be billed each 30 days.

99458

SmarTrac is an FDA approved device.

The FDA considers a product to be a device, and subject to FDA regulation, if it meets the definition of a medical device per Section 201(h) of the Food, Drug, and Cosmetic Act.

Per Section 201(h) of the Food, Drug, and Cosmetic Act, a device is:

An instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including a component part, or accessory which is:

recognized in the official National Formulary, or the United States Pharmacopoeia, or any supplement to them,
intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man or other animals, or
intended to affect the structure or any function of the body of man or other animals, and which does not achieve its primary intended purposes through chemical action within or on the body of man or other animals and which does not achieve its primary intended purposes through chemical action within or on the body of man or other animals and which is not dependent upon being metabolized for the achievement of its primary intended purpose. The term “device” does not include software functions excluded pursuant to section 520(0).

Generate A Profitable Revenue Model With SmarTrac

HCPCS Billing

CPT Codes for Remote Patient Monitoring

SmarTrac is an FDA approved device.

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