Billing

Get the latest on CMS billing codes, remote patient monitoring (RPM), remote therapeutic monitoring (RTM) reimbursement strategies, and how Tenovi helps remote patient monitoring companies, care companies, telehealth teams, FQHCs, and RHCs bill with confidence.

2025 cpt codes rpm

2025 CPT Codes: Remote Patient Monitoring (RPM) Billing Guide

As remote patient monitoring (RPM) continues to expand across care settings, healthcare leaders want to be aware of the latest RPM CPT codes for 2025. This guide walks through the 2025 reimbursement rates, billing guidelines, and documentation requirements for codes 99453, 99454, 99457, 99458, and G0511. While CMS made some changes to payment rates, the […]

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Medicaid remote patient monitoring state by state

Medicaid & Remote Patient Monitoring: What’s Covered in Your State?

Medicaid covers remote patient monitoring, but coverage does vary significantly from state to state. For direction on coverage, the Center for Connected Health Policy (CCHP) released its summary of state telehealth policy changes for Fall 2024. The most current policy information is housed in the CCHIP policy finder tool, where state policy can be exported

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RPM and CCM billing procedures

Maximizing Medicare Reimbursement for RPM and CCM

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

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chronic care management and remote patient monitoring guide

Chronic Care Management and Remote Patient Monitoring: A Complete Guide to Benefits & Billing

Implementing Chronic Care Management (CCM) and remote patient monitoring (RPM) is pivotal in effectively managing chronic diseases. According to the CDC, heart disease, cancer, and diabetes are the leading chronic diseases in the United States. Furthermore, they significantly contribute to the nation’s staggering annual healthcare expenses of $4.2 trillion. This article explores the concepts of

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frequently asked questions about cpt 99091 billing guidelines

CPT Code 99091 Billing Guidelines for Remote Patient Monitoring

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

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Understanding CPT Code 99457

Guide to Understanding CPT Code 99457 RPM Reimbursement

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 2025 CMS final rule. Like all 4 CPT Codes (99453, 99454, 99457,99458), CPT 99457 has specific guidelines and qualifications

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increase revenue with rpm CPT code 99458

How to Bill for RPM CPT Code 99458: A Step-by-Step Guide

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

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CPT Code 99454 Reimbursement: FAQs & Answers

CPT Code 99454 Reimbursement: FAQs

The Centers for Medicare and Medicaid Services (CMS) created CPT code 99454 to reimburse providers for the continuous supply of devices for 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 remote patient monitoring services. 99454 Provider

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Remote patient monitoring and increased revenue with CPT code 99453.

CPT Code 99453: How to Bill for Remote Patient Monitoring Services

CPT code 99453 was established by the Centers for Medicare and Medicaid Services (CMS) to compensate healthcare providers for the supply of devices used in remote patient monitoring (RPM). Each of the 4 CPT codes (99453, 99454, 99457, 99458) as outlined in the 2025 CMS final rule has specific guidelines and qualifications. This article provides answers to

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