Billing

Medication adherence tracking is key to managing chronic conditions like musculoskeletal (MSK) and respiratory disorders. Ensuring patients follow their prescribed medication regimens helps prevent disease progression, reduce hospitalizations, and improve overall health outcomes.  In this article, we examine remote therapeutic monitoring (RTM), how it is used for medication adherence tracking musculoskeletal (MSK) and respiratory conditions, […]

On July 10, 2024, the Center for Medicare and Medicaid Services (CMS) released its 2025 Proposed Rule and Medicare Physician Fee Schedule, outlining potential changes to various healthcare services and reimbursements. The CMS 2025 Proposed Rule did not detail any changes to remote patient monitoring (RPM) or to 2024 RPM CPT codes. This article explores

Companies offering remote patient monitoring (RPM) solutions often face the question: How does remote patient monitoring work? Many healthcare providers understand the benefits of RPM but are unsure where to begin. This comprehensive guide explains how remote patient monitoring works, benefiting RPM service providers, software companies, chronic care management organizations, and telehealth businesses. It also

Remote patient monitoring (RPM) has become an essential tool in modern healthcare, allowing providers to track patient health data outside traditional clinical settings. However, many healthcare organizations need help to fully maximize remote patient monitoring reimbursement opportunities. This guide offers practical tips for providers to optimize their RPM programs and maximize RPM reimbursement. Understand Current

In 2024, the Centers for Medicare and Medicaid Services (CMS) approved billing for remote patient monitoring (RPM) and remote therapeutic monitoring (RTM) services by federally qualified health centers (FQHCs) and rural health centers (RHCs). This change opens new opportunities to enhance patient care and add to FQHCs’ financial stability. This article outlines 10 key points

The Centers for Medicare and Medicaid Services (CMS) created CPT code 99454 to reimburse providers for the continuous supply of devices and daily remote patient monitoring. Like all CPT codes, CPT 99454 reimbursement has specific guidelines and qualifications. This comprehensive guide will help you understand how to properly bill for and be reimbursed for remote patient

The introduction of Principal Illness Navigation (PIN) incident-to-services is outlined in the 2024 Physician Fee Schedule Final Rule by the Centers for Medicare & Medicaid Services (CMS). These are 4 new service codes for the professional services of a physician or billing practitioner under general supervision. Two codes describe PIN services, and 2 codes describe Principal

Remote care models offer significant advantages in healthcare delivery, but distinguishing between remote patient monitoring (RPM) and remote therapeutic monitoring (RTM) reimbursement can be complex. This article provides an overview comparing RPM vs RTM. it covers the technologies each uses, the data types collected, how to bill for services, and supervision and billing rules requirements.

If you are a medical professional interested in leveraging remote technology to optimize patient health, this guide outlines remote therapeutic monitoring codes for 2024 and how to bill using RTM CPT codes. Remote therapeutic monitoring (RTM) is similar to remote patient monitoring. However, RTM is used to acquire non-physiological patient data for the respiratory and

Quality care should be the priority for remote patient monitoring (RPM) and chronic care management (CCM). These complementary technologies improve patient outcomes. This article compares Medicare RPM and CCM billing codes and discusses the benefits of outsourcing RPM and CCM services to a third-party provider. RPM and CCM: A Lot in Common  Chronic care management