Billing

Is remote patient monitoring considered telehealth? While remote monitoring and prevailing telehealth platforms enable similar modalities of virtual care delivery, nuances do exhist.  Specifically, the Centers for Medicare and Medicaid Services (CMS) adheres to strict definitional criteria regarding which remote healthcare services constitute real-time telehealth vs. alternative virtual interventions. This article clarifies the distinctions between […]

The ongoing evolution of telehealth over the past decade has rapidly enhanced virtual care management to improve patient outcomes and increase access to care. This article traces the evolution of virtual care management and reimbursement models. We begin with transitional care management in 2013 and end with chronic pain telemanagement in 2023. Explore these milestones

In this article, you’ll learn the differences and rates between RTM billing codes and RPM billing codes for 2024. CMS released the CY 2024 Physician Fee Schedule Final Rule in November 2024. The final rule includes 3,000 pages of detailed policy changes related to remote therapeutic monitoring (RTM) and remote patient monitoring (RPM) Medicare reimbursement.

If you are looking for up-to-date remote patient monitoring (RPM) CPT codes for 2024, this comprehensive guide provides a quick reference for the 5 RPM CPT codes, reimbursement rates, and billing requirements. The cost fee structure for the RPM CPT codes in 2024  (99454, 99457, 99458, 99091) was revised, leading to slightly reduced reimbursement rates. Follow

The CPT code 99453 reimbursement, established by the Centers for Medicare and Medicaid Services (CMS), compensates providers for the continuous supply of devices used in remote patient monitoring (RPM). The 2024 CMS final rule enabled companies providing RPM services to generate revenue while improving patient care experiences and health outcomes. Each of the 5 CPT codes

Are you interested in understanding CPT code 99457 in remote patient monitoring (RPM) and its reimbursement potential? This complete guide to 99457 billing and reimbursement helps outline all the procedures for CPT 99457 reimbursement, according to The 2024 CMS final rule. Like all 5 CPT Codes (99453, 99454, 99091, 99457,99458), CPT 99457 has specific guidelines and

CPT code 99458 allows qualified healthcare professionals to support patients with extra care and additional services. It also enables remote patient monitoring reimbursement for a healthcare professional’s time spent monitoring data and engaging with patients during a 30-day period. This step-by-step guide shows you how to bill for remote patient monitoring CPT 99458 correctly. What

In 2002, the Centers for Medicare and Medicaid Services (CMS) first developed CPT code 99091 billing guidelines for remote patient monitoring (RPM) services. It was bundled along with RPM CPT billing codes. By 2018, the billing code became separate for the time it takes to analyze and interpret patient physiological data to treat patient health