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.

Principal Illness Navigation (PIN) Services

Principal Illness Navigation (PIN) Services: A Comprehensive Guide

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 […]

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Is remote patient monitoring considered telehealth?

Is Remote Patient Monitoring Considered Telehealth?

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

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RPM CPT Codes 2024

Remote Patient Monitoring 2024 CPT Codes: A Complete Guide to Reimbursement & Examples

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

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RPM and RTM medicare final rule 2024

Medicare Final Rule 2024: Key Takeaways for RPM and RTM

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

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Importance of Remote patient monitoring private insurance

Exploring the RPM Coverage Disparity in Private Insurance

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

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CMS 2024 Proposed Rule Policy Updates for remote patient monitoring, remote therapeutic monitoring and telehealth

CMS 2024 Proposed Rule Key Takeaways for RPM, RTM & Telehealth

CMS 2024 Proposed Rule Policy Updates  On July 13, 2023, the Center for Medicare and Medicaid Services (CMS) released the CMS 2024 Proposed Rule and Medicare Physician Fee Schedule, including possible Medicare payments under the Physician Fee Schedule and other Medicare Part B issues policy updates. While the CMS 2024 proposed rule contained no new

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telehealth reimbursement policy is covered in this post for 2023

Navigating Telehealth Reimbursement Policy in 2023

The future of Telehealth reimbursement policy has become a topic of concern for healthcare organizations as the landscape evolves. However, recent legislative developments and regulatory updates offer insights into the future of telehealth reimbursements in 2023. This article explores key updates in telehealth Medicare reimbursement policy. Furthermore, it covers the importance of reassessing telehealth programs.

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Key Takeaways: CCHP Spring 2023 Telehealth Policy Report

CCHP Spring 2023 Telehealth Policy Report Reveals Expanding Medicaid Reimbursement and Evolving Regulations

The Center for Connected Health Policy (CCHP) released its Spring 2023 edition of the Summary Report on state telehealth policy changes. The report highlights significant trends and updates in telehealth policies across various states. It also offers insights into Medicaid reimbursement, private payer laws, and professional requirements. The findings indicate a notable expansion of telehealth

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