Billing

The Centers for Medicare and Medicaid Services (CMS) created CPT code 99454 to make RPM available to patients and 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 […]

The world of remote patient monitoring (RPM) is becoming more flexible and aligned with real-world clinical practice, due to key updates from the Centers for Medicare & Medicaid Services (CMS) for Calendar Year (CY) 2026. A part of this evolution is the introduction of CPT code 99470 and CPT Code 99445. For care services teams, new

The landscape of remote patient monitoring (RPM) is evolving, and the introduction of CPT code 99445 is a pivotal moment for healthcare providers. This new code, finalized by the Centers for Medicare & Medicaid Services (CMS) in the Calendar Year (CY) 2026 Physician Fee Schedule (PFS) Final Rule, brings much-needed flexibility to billing so that

Medicare Fall Open Enrollment is a time for patients to compare premiums and copays. It is also a strategic opportunity for care teams to identify patients eligible for remote patient monitoring (RPM). During this period, many seniors are reassessing their healthcare needs while managing chronic conditions such as hypertension, diabetes, congestive heart failure, or COPD.

The latest Office of Inspector General – OIG remote patient monitoring report takes a data-driven look at Medicare’s growing use of connected health services. In 2024, Medicare payments for remote patient monitoring climbed to $536 million, a 31% increase from the prior year. Nearly one million Medicare enrollees received monitoring services, up 27% from 2023.