2026 updates for RPM, RTM and APCM CPT codes
One of the most notable shifts is the refinement of RPM requirements, including the move toward shorter data-collection windows and greater operational flexibility.
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How recent healthcare policy changes highlight the value of Medsien’s Remote Care Management services
Preventative care is a proven strategy for cutting healthcare expenses and improving patient outcomes. According to the Centers for Medicare & Medicaid Services (CMS), preventable hospital admissions cost Medicare over $30 billion annually. The administration aims to reduce these expenses through initiatives that emphasize keeping patients healthy and managing chronic conditions proactively.
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Remote Patient Monitoring under scrutiny: Why Medsien stands out in an evolving landscape
To address these gaps, the OIG has recommended additional safeguards to enhance oversight, including greater specificity on monitored health data, and enhanced provider education on correct billing practices.
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2024 CMS Update Spotlight: Expansion of RPM and RTM to FQHCs and RHCs
On November 2, 2023, CMS released its 2024 Final Physician Fee Schedule on policies related to remote care management. At the time of the release, Medsien provided a full summary of 2024 updates and changes that would impact Medsien clients and programs related to remote care management. Here we offer a bit more information to highlight specific, important changes for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).
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CMS 2024 Updates and Changes for Remote Care Services
CMS continues to advance the ability of RPM and RTM services to drive revenue and improve the patient care experience. The 2024 Final Rule addresses billing scenarios and requests for clarifications on the appropriate use of these remote monitoring codes, and clarifies CMS’ position on how it interprets certain requirements for these services.
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CMS final rules for 2023 – expansion of RTM billing applications
The 2023 Centers for Medicare and Medicaid Services (CMS) Medicare Physician Fee Schedule (MPFS) final rules were just released, and the biggest takeaway is the continued growth of Remote Therapeutic Monitoring (RTM) with the expansion of billing to include/allow for general supervision billing.
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