Remote Patient Monitoring

The Platform that Powers Dynamic Remote Care

The ultimate care program engine that connects patients, clinicians, data and systems together 24/7/365 – for improved patient outcomes, practice efficiency and business results.

New Program to Keep You Healthy at

We have partnered with RevUp to offer you a new care management and wellness program. RevUp is designed to help you stay healthy at home and keep your doctor better aware of how you’re doing. With RevUp, we can monitor your health at home and support you between visits to your doctor and, in some cases, reduce the amount of in-person care you need. As your physicians, we are here for you - in the office and at home - and our goal is to keep you as healthy as possible.

How to Enroll

Talk to your doctor to see if you are eligible for Direct Care

You may receive a call from Direct Care directly to help you enroll. You may also begin your program by calling 888-298-6718 or visit us at www.directcareai.com

Direct Care supports you at home with a team of coaches and nurses so you can focus on what’s important: life.

Program Highlights

The Direct Care program is flexible and customized for your health needs and includes:

A dedicated team providing you health coaching and care coordination - 24/7 when you need it

Increased sense of security to live independently while being supported by licensed health professionals

Peace of mind for your family and friends, knowing you are monitored at home

More control over your own health journey and improved results

What’s Included

Telephone support and monthly coaching

Secure messaging with your health coach 24/7 for questions or concerns

The Direct Care - easy to use and connected to your clinical team

Connected devices like a blood pressure cuff, scale and pulse oximeter that keep track of your health

An electronic record of your vitals and health status is shared with
your doctor

Direct Care is a Medicare Benefit

Direct Care is a huge upgrade offered by your doctor, allowing us to monitor and support you at home and keep you in the best health possible.Your Direct Care enrollment specialist will give you details about your individual situation. Direct Care is covered by Medicare Part B and the co-pay is usually covered by secondary insurance. There is no obligation or long-term contracts.

The Direct Care Hub

The Direct Care is an easy-to-use device your doctor may order for you connects to your health coach and to remote monitoring devices like a blood pressure cuff, scale and pulse oximeter, and shares data with your health coach in real time.

Emergency Response

Patients with the Direct Care also have the benefit of the emergency response service: in an emergency, just press the button on your watch pendant or Direct Care and you will be connected to an emergency response team who will stay on the line and get help.

These Are Turn-key Solutions, With Benefits Handled For You

Direct Care industry-leading Remote Patient Monitoring (RPM) platform adds value to your practice by taking a load off your clinical staff, without compromising patient care. Our clinical care team works as an extension of your practice, seamlessly integrating with current protocols to provide an individualized care experience. With a strategy designed to fit your business model, we ensure that all outcomes reflect the unique needs of your patients and your practice. Direct Care handles implementation so you don’t have to, and our experts are always available to provide turn-key solutions.

Revolutionizing Healthcare

Fully integrated RPM and CCM, together providing the most comprehensive remote solution available

Interdisciplinary patient-centered care plans

Seamless implementation in days, not weeks, scalable to any practice size

Vital monitoring with built-in alerts and intervention capability

Reimbursement for a one-time patient education, monthly device connection, transmission of data, and monthly clinical monitoring and support

Our Industry-Leading Solutions

Innovative Healthcare at its Finest

Robust platform to connect patients, physicians, clinical care teams

Transparent care produces optimal outcomes and encourages patient engagement.

Enrollment services leveraging built-in EHR workflows ramp up and scale your program efficiently and effectively.

Faster enrollment means faster reimbursement.

Wide selection of integrated, cellular devices with the ability to connect to wearable devices

Ready to go out of the box, no Bluetooth pairing or setup required.

Devices are ordered, provisioned and shipped directly to patients

No up-front cost and no long-term commitment to the practice.

Platform integrates directly with leading EHR systems, analytics tools and patient devices

Documentation and billing claims are fully integrated into your practice workflow.

Secure messaging to aid in patient goal-setting and progress tracking

We build trust with RN-led clinical teams, monitoring your patients 24/7.

Relevant Cpt Codes

RPM:

CPT 99453, CPT 99454, CPT 99457

CCM:

99490, G0511 for FQHC/ RHC and G0506 for
initiation visits.

RPM:

99484, FQHC/RCH G0511

Little Effort. Big Return.

Simply identify eligible Medicare and Medicare Advantage patients with two or more chronic conditions within your EHR and provide patient-centered care plans. Then we do the rest!

Enroll And Provision

Enroll patients and obtain consent

Distribute/connect health devices or application

Plan Care & Educate

Provide device education

Establish patient goals and engagement plan

Set up Direct Care access

Engage & Measure

Engage patient to provide ongoing measurements though devices and application

Provide customized health content and patient reminders

Monitor & Measure

Monitor patient measures and other alerts

Communicate with patient through Direct Care or by phone

Escalate to provider based on protocols

Report & Generate Claims

Document care delivery, measures, and tasks to provider

Generate claims or billing reports for eligible patient services

A Vital Decision

How to select the right RPM vendor partner for your practice?

Do You Offer Other Complementary Medicare Care Management Services, Or Solely RPM?

Medicare’s remote patient monitoring and chronic care management are better together – that’s what we do best! With a robust, comprehensive platform and clinical support at our core, Direct Care offers these programs and more to address critical gaps in care, optimizing access for your patients while allowing practices to capitalize on expanding Medicare reimbursement.

Specialized Behavioral Health Integration (BHI) programs

Annual Wellness Visits for increased patient engagement

Transitional Care Management (TCM) solutions proven to decrease hospital readmission rates

Who will enroll and market the remote care program to my Medicare patients?

We do! We know from experience that implementing a successful remote care program is contingent on educating and enrolling patients, efficiently and effectively. Our team leverages built-in EHR workflows to enroll qualified Medicare patients for the practice, prompted by enrollment flags and trigger ordering by service. Practices can see enrollment status real-time in the existing clinical workflow, and patients receive integrated vitals monitoring equipment to their home within 5 days.

Who will perform the work to monitor my patients’ data real-time?

We offer nationwide, multilingual RN’s and MA’s as an extension of your practice, providing first-line clinical monitoring of all vital sign data 24/7/365 AND fulfilling 20 minutes of chronic care management services for each dually-enrolled patient, every month. Practice escalation protocols are in place for biometric data exceeding a critical threshold, and our nurses will alert your practice of patients needing attention.

How and where are devices stored, provisioned, and shipped to my patients?

We manage all device storage, fulfillment, shipping and returns, beginning with seamless trigger ordering by service, directly within your EHR. Providers will never need to store or distribute devices to patients. Before the patient receives their RevUp care Hub and one or more prescribed devices, our engagement efforts ensue to guide your patients every step of the way, from SMS messaging to two-way interactions on the RevUp application, to telephonic coaching from our dedicated health coaches.

What kind of devices are available, and will my patients have to setup devices themselves?

We believe in offering the easiest experience to providers and your patients. We have found that the most reliable devices are those with built-in cellular chips that avoid the complexity of Bluetooth and instead send data wirelessly to our platform without any patient interaction. Our cellular-connected home hub device provides configuration free device connection, on demand support and 24/7 emergency response. We offer a wide range of ancillary cellular devices, such as connected blood pressure monitors, weight scales, blood glucose meters, spirometers, and pulse oximeters, requiring no Wi-Fi connection, Bluetooth pairing, or setup.

Have existing wearable devices? Our RevUp application has the ability to connect with these, too. We’ll work with your practice to determine the best device connections for your unique program, designed for long-term compliance with remote care.

Do you offer comprehensive integration with my EHR, or will I need to login to a third-party platform? What does your integration entail?

Not all integrations are created equal. Logging into another platform is cumbersome and impedes real-time decision making based on real-time data. At MD Revolution, our two-way integrations mean everything is at your fingertips within your EHR, from patient vitals from our devices to automatic claims creation, invoiced alongside your other EHR services. We integrate with the top practice based EHR’s below and are always adding more.

Do you automatically generate claims in my EHR each month?

One of the most robust features of our RevUp platform is accurate, automatic claims creation directly within your EHR, eliminating the manual process for each patient, each code, each month. We handle the often-complicated nuances of monthly and timestamped data transmission code adherence, so you can focus on patient care.

How much revenue can my practice expect?

Many vendors offer revenue calculators with unrealistic assumptions of profits. We pride ourselves in setting straight-forward, attainable goals for each of our partnerships, customized for your practice’s Medicare population. Contact us today for a picture of sustained program success and a tailored practice pro forma.

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