Our team continues to lead the Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) Patient Care Intelligence space, and part of that is our dedication to helping healthcare providers protect their practices from Fraud, Waste, and Abuse (FWA) while improving patient outcomes. With the growing importance of RPM and CCM in managing chronic conditions, preventing FWA is crucial to maintaining compliance and trust with patients and payers.
What is Fraud, Waste, and Abuse?
- Fraud: The intentional act of submitting false or misleading claims.
- Waste: The misuse or overuse of healthcare resources that drive up costs without improving patient outcomes.
- Abuse: Practices that may not be intentional but still result in unnecessary costs, often due to errors or misunderstanding of billing rules and regulations.
Each of these can result in financial penalties, damage reputations, and erode patient trust. Nsight Health offers the tools and expertise to help providers mitigate these risks in both RPM and CCM programs.
How Nsight Health Supports FWA Prevention in RPM and CCM
- Compliance-Built Technology
Nsight Health’s platform for both RPM and CCM ensures accurate tracking of patient interactions and documentation for billing. Our system adheres to Medicare and Medicaid requirements, reducing the risk of billing errors, fraudulent claims, or misuse of services.
- Routine Audits and Compliance Reporting
Nsight Health offers built-in audit tools and regular compliance reports that help providers review billing and service practices for both RPM and CCM. These audits help ensure services are delivered within regulatory frameworks and flag potential issues before they escalate.
- Training and Education
We provide ongoing training to healthcare providers and staff to ensure they understand the billing requirements and patient eligibility criteria for both RPM and CCM services. This education helps prevent unintentional waste or abuse by increasing awareness of FWA regulations.
- Seamless EHR Integration
Nsight Health’s RPM and CCM platforms integrate seamlessly with electronic health records (EHR), ensuring that data collection is accurate and well-documented. This integration helps maintain compliance, reduce errors, and provide clear records that protect providers from FWA.
Protecting Ethical and Value-Based Care
Our compliance team is committed to helping providers deliver high-quality RPM and CCM services while maintaining compliance with FWA regulations. Our comprehensive technology solutions and support services equip providers with the tools needed to confidently navigate FWA complexities and deliver ethical, value-based care.
With our team, providers can focus on delivering better patient outcomes, knowing they have a reliable partner in ensuring compliance and preventing FWA in both RPM and CCM services.
To learn more about RPM devices and CCM through Nsight, click HERE to schedule a demo today. Whether you are a patient or provider looking to learn more about RPM, we would love to hear from you.