100Plus is a wristwatch designed for seniors that monitors for sudden changes or stopping of heart, falling and accidents, and steps, and also allows wearers to get help from 911 dispatch and their designated emergency contacts if needed. The solution sends patient data to the medical provider to be reviewed on a monthly basis, which enables providers to qualify for Medicare reimbursement under the new Remote Patient Monitoring program. As part of the Remote Monitoring program, providers are reimbursed for the setup, hardware and service costs, and ongoing review of patient data. Eligible Medicare patients receive the wristwatch and service at no cost to them.

Medicare has long attempted to incentive providers to engage with elderly patients more proactively, versus traditional periodic visits when a patient’s condition has escalated. To drive this initiative forward, 2019 Medicare's Remote Patient Monitoring program compensate providers for recommending and reviewing data from a products like 100Plus that monitor patients. Remote patient monitoring simply refers to the use of technology to record health data for review by a provider in a different location than the patient. It is a great resource for many physicians caring for patients who are suffering from chronic conditions, are less mobile, are at risk of falling, or are geographically separated from their healthcare providers.

Medical providers with a valid NPI (National Provider Identifier) who bill Medicare may participate. Medicare uses the term ‘qualified clinician,’ which can refer to a licensed doctor, nurse, nurse practitioner, and physician's assistant.

Patients aged 65+ who can benefit from remote monitoring are eligible to participate as part of Medicare’s new Remote Patient Monitoring initiative. It’s best suited for seniors who have any of the following: heart risk or disease, obesity, are at risk of falling, those with limited mobility or who live alone and may need emergency help on demand.

Providers receive approximately $55/month ($660 per patient per year) for reviewing data from products like 100Plus once a month for 20 minutes. The review of the patient data can be delegated to qualified practitioners in your practice. Providers can also bill approximately $20 for RPM setup and patient education. Here is a breakdown for additional revenue based on how many Medicare patients you serve: 1 patient x (($55 x 12 months) + $20) = $680 per year 50 patients x (($55 x 12 months) + $20) = $34,000 per year 250 patients x (($55 x 12 months) + $20) = $170,000 per year

Nothing - it is FREE for eligible Medicare patients. Patients who do not have Medicare part B coverage with Medigap Parts A, B, C, D, F, G, M, N or a supplementary insurance may have co-pays.

You can create an account for your medical practice at 100plus.com/doctors. You will need to provide basic information about your medical practice (name, address, etc), including a valid National Provider Identifier (NPI). After you sign the license agreement (affiliate and business associate’s agreements), you will be eligible to start enrolling your Medicare patients in the 100Plus program (with their consent). We will reach out to you to schedule a brief remote training session with your practice to get you up and running. We will train your front office staff to identify ideal 100Plus patients and ensure the patient qualifies for reimbursement. Additionally, 100Plus will need direct access to the practice’s biller to ensure that reimbursement is submitted correctly.

If you have identified a Medicare patient who would benefit from 100Plus, you can enroll the patient via the 100Plus portal. It’s a simple 3-step process:

The 100Plus watch will be shipped to the patient; the device will be fully setup and activated with their emergency contacts configured and cellular connectivity enabled. The device will be associated to the medical provider who recommended it. Your patient can simply open the package and start to wear it. It’s important that you discuss your recommendation and the program with your patient, so they understand its benefits and the importance of their continued usage of the watch once they receive it. These steps are simple - we will show you how to do it during the remote training session.

Important: There is no financial obligation to the patient if he or she is a Medicare Part B enrollee and has Medigap type supplementary insurance that covers co-pays. Otherwise, the patient may be subject to just the copay fees.

Your patients need to sign 100Plus’ User Agreement. After that, we will reach out to verify their shipping information and then ship them a pre-configured, ready-to-wear watch. Once they receive it, all they need to do is adjust it to fit their wrist and start wearing it and charge it, as needed.

Little to none. The watch is designed for seniors and very easy to use. It has a large and simple display, is fully cellular without the user needing to setup a plan or pay for a mobile phone plan, and has a battery that lasts several days and can be charged while the user wears it.

Periodically, the watch will send data (usage, heart rate, and falls and emergencies activity) to your 100Plus portal. It does this automatically via our cellular network with no patient intervention. Every month, you will be notified via email to log in and document your review. Note that there are no costs and no configuring of Wi-Fi or Bluetooth for you or the user.

Within the ‘Enrollment’ section of the 100Plus portal you can view how far along in the enrollment process your patient is: this includes successfully providing all necessary contact information, signing the User Agreement, and completed enrollment. When 'Enrollment' is complete, devices are ready to be shipped and we can provide the tracking number upon request.

The 100Plus portal contains all the information you need to monitor your patients’ activity. You can see if they have provided all the necessary information to receive a watch, including signing the User Agreement. Once they start wearing the watch, you can also see all of the statistics on their usage, heart rate, and incident activity.

Patient data is transferred continually to your provider portal via small, secure, HIPAA compliant data messages. To view this data, log into your provider portal by clicking here. In the portal, you will be able to view all of the patient's data over a 30-day period and finalize before submitting to your billing department.

If your patient experiences a cardiac event or a fall and needs help, the watch will contact dispatch and their emergency contacts. The medical practice will receive a notification the next day that there was an event, so you can follow up with them as needed.

Each month, you will be notified to review your patients’ activity via the 100Plus portal Your biller will submit reimbursement to Medicare for this review activity. You can log a patient report based on this review via the doctor portal.

When a patient is enrolled in the 100Plus program, we do not need to collect the patients Medicare or supplemental information because we do not bill Medicare. We take the provider at their word and expect them to have done their due diligence before enrolling that their coverage is active. At this time, we do not have the man power to offer benefit investigations to our patients but are looking into adding those services down the road. We cover the cost of the hardware, network service, and 24/7 dispatch and then are reimbursed by Medicare just like your practice (CPT code 99454).

2019 Medicare reimbursement rules compensate medical providers for prescribing and reviewing data that is produced by monitoring devices that capture/store/transmit patients’ physiological data, and also subsidize the device/service costs. You receive a one-time reimbursement for setup and patient education. Every Month, you receive an additional reimbursement of, on average, $59/per patient per month or $708 per patient per year.

We will send a monthly notification to your biller with detailed instructions on what to bill. Once the data is reviewed, your biller will be notified prompted to submit a claim for your services to CMS.

Your patient can learn more about the watch and program at 100plus.com/watch. If they have specific questions, they can reach our Help Center by emailing support@100plus.com or contact us at (844) 483-7587, Option 2.

In the event a patient can't get a signal in their home to detect their exact GPS location, our dispatch will provide local 911 with their home address as a last resort. This is why it is crucial that the patient's home address is entered correctly upon enrollment. In the event there is no connection, the watch will display "100Plus Connecting" but the watch only requires a limited amount of network to upload the data to our dispatch (1 bar should be sufficient).

If you are practitioner and you have any more questions, please don't hesitate to email sales@100plus.com or call (844) 483-7587, Option 1.