Patient Demographics
Name:
Age:
Sex:
Date of Birth:
Attending Physician:
Date of Service (Date of Note)
Reason for RPM Enrollment
Briefly state the primary chronic condition(s) the patient is being monitored for using RPM.
Monitored Parameters
List the specific physiological parameters being monitored through the RPM program.
This may include vital signs (blood pressure, heart rate, oxygen saturation), weight, blood glucose levels, or others depending on the patient’s condition.
Monitoring Data
Summarize the key findings from the RPM data collected during the relevant timeframe (e.g., past week, month).
Mention any trends, outliers, or areas of concern identified in the data.
You can include visuals like graphs or charts to represent the data.
Patient Reported Outcomes
If applicable, document any symptoms or concerns reported by the patient through the RPM program.
Assessment and Interventions
Based on the reviewed RPM data and patient-reported outcomes, formulate an assessment of the patient’s current status.
Outline any interventions initiated based on the data, such as:
Medication adjustments
Scheduling in-person visits
Educational resources provided remotely
Alerts triggered due to abnormal readings requiring further action
Care Plan Updates
Document any adjustments made to the patient’s overall care plan based on the RPM data and assessment.
Communication with Patient
Briefly mention any communication with the patient regarding the RPM data, findings, or interventions implemented.
Next Steps
Outline the next steps in the patient’s RPM program.
This may include:
Scheduling follow-up assessments based on data trends
Encouraging continued adherence with RPM data collection
Planning adjustments to monitored parameters or interventions
Important Note:
The specific content of an RPM note may vary depending on your facility’s RPM program, the patient’s condition, and the data collected.
Always follow your local and national guidelines for billing and documenting Remote Patient Monitoring services.