Seva Care RPM

🔥 Put it on your calendar! ❤️ Feb 25th at 12pm CST/1pm EST
Reserve your spot here ‼️ : https://form.jotform.com/260396227219056

If you were looking for a sign that these programs were key to the future of patient health.... Here it is! CMS announces reimbursement INCREASES!

Want to know more? Book a meeting: https://calendly.com/amanda-seva/30min

Wishing everyone a wonderful Thanksgiving break

Pharmacies Are No Longer “Optional” — CMS Just Made You Essential to Patient Care & Reimbursement

💥 The Opportunity
CMS’ 2026 Final Rule officially opens the door for pharmacies to participate — and get paid — in ongoing patient care services like:

✅ Remote Patient Monitoring (RPM)
✅ Chronic Care Management (CCM)
✅ Advanced Primary Care Management (APCM)

These aren’t pilot programs. They’re billable Medicare services that clinics need help delivering — and pharmacies are perfectly positioned to lead.

🎯 Why This Matters for Pharmacies

RPM & CCM Remain Fully Covered in 2026
Device-based monitoring, monthly management, and care coordination remain payable — and still eligible for physician-pharmacist collaboration.

🛠 What Pharmacies Can Do Right Now

✅ Step 1: Offer to Manage These Services for Local Clinics
Remote BP/glucose monitoring (RPM)
Monthly chronic care touchpoints (CCM)
Management of chronic disease (APCM)
Medication adherence + documentation

✅ Step 2: Use Our Platform — We Handle:
✔ Devices, logistics & patient setup
✔ Billing support & compliant documentation
✔ Clinical workflows, alerts & dashboards
✔ Training for pharmacists & providers
✔ Ongoing consultation with you and your partnering clinics

✅ Step 3: Partner With Providers (We Help You Do This Too)
We provide collaboration agreements & templates
You provide the clinical touchpoints
Provider bills Medicare → revenue is shared

💸 What This Means in Dollars
Service Medicare Reimbursement Pharmacy Role As a Partner In Medical Billing

RPM 99457 + 99458~$54–$84 per patient per month Review vitals and call patients
CCM 99490 + 99439~$62–$110 per patient per month 20+ minutes/month care coordination
APCM G0557 + G0558~$50–$110 Health support and medication-related follow-ups

With just 50 patients, pharmacies can generate an additional $3,000–$5,000/month in revenue.

Why Clinics Say Yes

Because you help them:
Increase revenue without hiring extra staff
Improve quality scores & HEDIS measures
Keep patients out of the ER
Meet CMS requirements for chronic care & medication adherence

Be diligent in your choice when selecting your vendors.

APCM can be partnered in pharmacy, but only with a collaborative agreement similar to CCM with partnering clinics that manage the patient's whole life.

CMS States the following:

Starting January 1, 2025, you can bill for APCM services if:

✅ You’re a physician or non-physician practitioner (NPP), including a nurse practitioner (NP), physician assistant (PA), or clinical nurse specialist (CNS)

✅ You’re responsible for ALL of your patient’s primary care services

✅ You’re the focal point for ALL of your patient’s needed health care services

✅ You’ve gotten either written or verbal consent from your patient

APCM service codes are primarily for primary care specialties, like general
internal medicine, family medicine, geriatric medicine, or pediatrics.

NOT TO MENTION YOU HAVE TO MEET 13 DIFFERENT METRICS TO BILL!

This said --> We are working towards Pharmacies taking a bigger role clinically with patient care and be able to bill for services like these on their own. Until then..... protect yourself from fraud, waste, and abuse. ✌

Remote Patient Monitoring (RPM) & Clinical Management

Why? Because our patients deserve more than 30-second interactions at a counter. They deserve care coordination, data-driven insight, and real relationships.

You’re bringing care closer to home—and closer to you.

Don't just fill prescriptions.

Fill the gaps in care.

Want to offer Remote Patient Monitoring (RPM) with zero lift from your staff?

We partner with local pharmacies to do all the heavy lifting—patient setup, education, and monitoring.

💰 You bill Medicare

📊 You get better outcomes + better data.

⏱️ No platform. No hiring. No hassle.

If you’re curious how it works, DM me or comment “RPM” and I’ll send you the details.

Are you ready to integrate RPM into your pharmacy practice? Let’s connect and explore strategies to make it happen!

Unlock New Patient Care Opportunities with Remote Patient Monitoring!

Pharmacists are uniquely positioned to lead the way in remote patient monitoring (RPM), enhancing patient outcomes while expanding clinical services. By implementing an RPM program, pharmacists can:

✅ Improve medication adherence & chronic disease management ✅ Strengthen patient engagement & personalized care ✅ Generate new revenue streams through innovative service models ✅ Elevate their role as healthcare providers beyond traditional dispensing

With the right tools and workflow, pharmacists can seamlessly integrate RPM into their practice—bringing proactive, data-driven care to their communities. If you're looking to take your pharmacy to the next level with RPM, let’s connect!

📓 A good read..... This article demonstrates how healthcare is moving. We have been talking about Value Based Care for a very long time. It is finally coming. 🙌 Clearly, programs like APCM, RTM, RPM, and CCM are all pieces of the puzzle. 🧩


https://www.medicaleconomics.com/view/remote-patient-monitoring-in-2025-the-major-changes-physicians-need-to-know-about

Have a special day!