LIVE WEBINAR Virtual Care: Monitoring Patients Between Clinic Visits-Webinar Slides

Webinar Slides

Pdf Summary

This presentation by Joey Oliver, Co-Founder and COO of OsiLIFE, offers an educational overview of virtual care monitoring programs designed to manage patients between clinic visits, especially those with chronic conditions. With 6 in 10 U.S. adults diagnosed with chronic diseases—many having multiple co-morbidities—virtual care is critical to improving health outcomes while reducing healthcare costs.<br /><br />The talk covers the various CMS-supported remote patient monitoring (RPM) and remote therapeutic monitoring (RTM) programs, detailing CPT codes, requirements, and reimbursements. RPM focuses on physiological data for conditions like hypertension and diabetes via devices such as blood pressure monitors and glucose meters, requiring patient interactions for data review and follow-up. RTM targets therapy and behavioral health monitoring using tools like activity trackers and spirometers.<br /><br />Beyond device-based monitoring, care plans form a significant component, including Chronic Care Management (CCM), Principal Care Management (PCM), Advanced Primary Care Management (APCM), Chronic Pain Management (CPM), Principal Illness Navigation (PIN), Community Health Integration (CHI), and Behavioral Health Integration (BHI). Each has distinct eligibility criteria, service components, and reimbursement structures to support patients with complex and multiple chronic conditions.<br /><br />Transitional Care Management (TCM) programs aid patients during the critical 30-day period post-hospital discharge to ensure smooth care transitions and reduce readmissions. The presentation emphasizes medication adherence, quality metrics, and value-based care integration as vital elements of successful virtual care.<br /><br />Keys to building effective virtual care programs include aligning goals with patient populations, ensuring adequate resources, seamless clinic workflow integration, clear communication, and ongoing program management with quality assurance.<br /><br />Oliver advocates leveraging varied resource options, including internal staff, outsourcing, or collaboration, tailored to clinic capacities and patient needs. The ultimate goal is to enhance patient engagement, improve health outcomes, and create economically sustainable care models. Supporting materials and CME credits are available via the American Osteopathic Association.

Keywords

virtual care monitoring

chronic disease management

remote patient monitoring (RPM)

remote therapeutic monitoring (RTM)

CMS reimbursement codes

chronic care management (CCM)

transitional care management (TCM)

medication adherence

value-based care

patient engagement