Care management services, as well as synchronous, real-time interactions. This means conversations with patients over the phone, via email, conversations with care takers, and managing referrals to other providers.

It also entails in office work, including reviewing and documenting the patient’s chart and plan, refilling prescriptions, ordering and reviewing labs results.

More information can be found here regarding CMS reimbursements for Remote Patient Monitoring for 2021: “We agree with commenters that our description of the required 20 minutes of time associated with CPT codes 99457 and 99458 should include care management services, as well as synchronous, real-time interactions,”

CMS wrote. “That is, we agree that ‘interactive communication’ as we defined it in the CY 2021 PFS proposed rule contributes to the total time, but is not the only activity that should be included in the total time.”

Additional information can be found here.