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.
The Centers for Medicare & Medicaid Services (CMS) has released its proposed Physician Fee Schedule (PFS) for calendar year 2026 and for practices offering remote patient monitoring (RPM), it may mark an important shift in reimbursement policy since RPM codes were first introduced. CMS Proposed Rule 2026 includes new time and device codes, and expanded […]
Takeaways on the CMS Proposed Rule for 2026 Read More »
Principal Illness Navigation (PIN) incident-to-services were introduced in the 2024 Physician Fee Schedule Final Rule by the Centers for Medicare & Medicaid Services (CMS). These four new service codes are for the professional services of a physician or billing practitioner under general supervision. Two codes describe PIN services, and 2 codes describe Principal Illness Navigation-Peer Support
Principal Illness Navigation (PIN) Services & How to Bill Read More »
Every July 1, a valuable, but often overlooked opportunity emerges for healthcare providers. It is the date when coverage begins for patients who enrolled in Medicare during the Medicare General Enrollment Period (January 1 – March 31). For providers, July 1 marks a chance to identify patients who are newly eligible for Medicare, and who
July 1 Reminder: Medicare Patients May Now Qualify for RPM Read More »
Medication non-adherence leads to poor treatment outcomes, avoidable hospitalizations, an estimated 125,000 deaths annually, and U.S. healthcare costs of up to $300 billion. Medication adherence is a heavily weighted factor in the CMS Medicare Advantage and Part D Star Ratings. While pharmacies are not directly rated by CMS star ratings for medication adherence, they can
How Pharmacies Can Help Improve Star Ratings Read More »
To improve Medicare Advantage star ratings requires strong focus on patient outcomes, medication adherence, preventive care, and member experience. The Centers for Medicare & Medicaid Services (CMS) Medicare Advantage plan star ratings were created to measure how well health plans support members through preventive care, chronic disease management, medication adherence, and overall satisfaction. Plans that
How Can RPM Help Improve Medicare Advantage Star Ratings? Read More »
Star ratings for hospitals are public indicators of clinical quality, patient satisfaction, and financial performance. With the push for value-based care models, hospitals must find smarter ways to improve outcomes and protect revenue. In this article, we explain how star ratings are calculated, why they impact patient care and revenue, and how technologies like remote
Hospital Star Ratings and How They Work Read More »
Although medical devices and other healthcare supplies were exempt from tariff lists in past years, recent changes to the United States trade policy with Canada, China, and Mexico will increase tariffs on imported goods, including medical devices. This shift is expected to affect costs, sourcing, and regulatory timelines for medical device manufacturers, with a measurable
What Is the Tariff Impact on Remote Patient Monitoring? Read More »
When it is allergy season, allergy management is especially important for 28 million Americans with asthma. This is because, pollen can trigger airway inflammation, causing coughing, wheezing, and breathing difficulties. Yet, sticking to an inhaler regimen can be a challenge for some. Smart inhalers for asthma can help with asthma management, providing real-time insights into
Smart Inhalers for Asthma: Improving Care & Adherence Read More »
Healthcare reimbursement is driving a shift toward more comprehensive and coordinated care models. To support this transition, the Centers for Medicare & Medicaid Services (CMS) introduced Advanced Primary Care Management (APCM) codes in the CY 2025 PFS final rule (PFS) final rule. APCM codes for 2025 simplify care management, enhance provider reimbursement, and promote a
Guide to Advanced Primary Care Management (APCM) Codes 2025 Read More »