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

In 2025, the Centers for Medicare and Medicaid Services (CMS) expanded and clarified billing pathways for Remote patient monitoring (RPM) and remote therapeutic monitoring (RTM) services delivered by Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). The updates provide clearer guidance on how to bill for these services and reflect CMS’s broader push

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

On November 2, 2023, in the 2024 final rule for the physician fee schedule, the Centers for Medicare & Medicaid Services (CMS) finalized crucial policies impacting remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM) services reimbursed under the Medicare program. This article breaks down the key takeaways of the Medicare final rule 2024 to

Remote patient monitoring (RPM) continues to be a pivotal technology for managing chronic conditions and enhancing patient outcomes. However, reimbursement and coverage by private insurance plans remain inconsistent. This article provides updated insights into the current healthcare landscape, emerging trends, and the challenges associated with adopting digital health within commercial health plans. Remote Patient Monitoring