Billing

Remote patient monitoring (RPM) and telehealth are often lumped together under the umbrella of “virtual care,” but in reality, they serve very different roles in healthcare delivery. And, Medicare treats them differently when it comes to reimbursement. Understanding these distinctions is critical for providers and health systems seeking to maximize reimbursement opportunities while improving patient […]

The evolution of telehealth over the past decade has significantly advanced virtual care management, improving patient outcomes and expanding access to care. This article explores key milestones in that evolution, focusing on changes in reimbursement models. We begin with the introduction of transitional care management in 2013 and follow the progression through chronic care coordination,

Remote therapeutic monitoring (RTM) codes allow healthcare providers to bill for the use of digital tools that track non-physiological data such as respiratory status, musculoskeletal function, and medication therapy adherence. These codes are distinct from remote patient monitoring (RPM) and support the management of conditions where metrics such as movement, medication use, or inhaler activity

In this article, you’ll learn the differences between remote therapeutic monitoring (RTM) and remote patient monitoring (RPM) billing codes and their associated payment rates for 2025. CMS released the CY 2025 Physician Fee Schedule Final Rule in November 2024. This article breaks down the final rule and provides key takeaways for the RPM and RTM

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 explains 2025 reimbursement rates, billing guidelines, and documentation requirements for codes 99453, 99454, 99457, 99458, and G0511. This overview will help ensure you’re maximizing reimbursement while remaining compliant

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