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 We are pausing publication of The Daily Briefing out of respect for the tragic passing of Brian Thompson. We will resume publication of this daily newsletter in the coming days.

Policy Primer

Remote patient monitoring: The evolving policy landscape

CMS added five new codes for remote therapeutic monitoring in 2022, broadening the scope of remote patient monitoring (RPM). Learn about the policy changes in RPM this year and what they mean for provider organizations over the next several years.
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The Physician Fee Schedule (PFS) lists how much Medicare pays doctors and other providers for services and procedures. In the 2022 FY PFS final rule, the Centers for Medicare and Medicaid Services (CMS) added five new codes that cover remote therapeutic monitoring (RTM).1 In the 2023 FY PFS, CMS clarified that remote therapeutic and remote physiologic monitoring services can be billed concurrently with select care management services. In 2024, the final rule allowed Rural Health Centers (RHCs) and Federally Qualified Health Centers (FQHCs) to receive payment for RPM and RTM services.2


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INTENDED AUDIENCE
  • Hospitals and health systems
  • Physicians and medical groups
  • Post-acute care providers

AFTER YOU READ THIS
  • Have insight into recent policy changes that affect reimbursement for remote patient monitoring.
  • Understand different types of remote patient monitoring and how they benefit health systems.
  • Know next steps to guide you in developing an effective remote monitoring program.

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