The 2025 PFS proposed rule extends existing virtual care payment rules and introduces new codes for digital therapeutics, highlighting virtual care’s lasting role in healthcare. The Centers for Medicare & Medicaid Services (CMS) issued its 2025 Physician Fee Schedule (PFS) proposed rule earlier this month. Alongside a 2.8 percent payment cut for physicians, the rule includes numerous proposals directed […]
As the adoption of telehealth, remote monitoring, and connected care technologies continues to increase, it’s important for healthcare leaders to stay on top of the latest updates in telehealth reimbursement. Some of the most significant updates come from the Centers for Medicare & Medicaid Services (CMS), which released its final rule for Medicare payments under the Physician Fee […]
If you are a medical professional interested in leveraging remote technology to optimize patient health, this guide outlines remote therapeutic monitoring codes for 2024 and how to bill using RTM CPT codes. Remote therapeutic monitoring (RTM) is similar to remote patient monitoring. However, RTM is used to acquire non-physiological patient data for the respiratory and musculoskeletal […]
Executive Summary Digital health advocates believe remote monitoring—the use of digital technologies to collect and relay patient data to health care professionals—has the potential to transform disease management, health outcomes, and patient care, especially for individuals with multiple chronic conditions who lack convenient access to providers. Medicare, most state Medicaid agencies, and many private health […]
In November 2023, CMS issued final rules for the 2024 Medicare Physician Fee Schedule (MPFS) and the 2024 Medicare Outpatient Prospective Payment System (OPPS). Both of these rules contained finalized policy proposals that will impact rural health clinics (RHCs) beginning in January 2024: Telehealth Flexibilities CMS has officially extended some telehealth flexibilities that were allowed […]
In this article, you’ll learn the differences and rates between RTM billing codes and RPM billing codes for 2024. CMS released the CY 2024 Physician Fee Schedule Final Rule in November 2024. The final rule includes 3,000 pages of detailed policy changes related to remote therapeutic monitoring (RTM) and remote patient monitoring (RPM) Medicare reimbursement. This article breaks down the […]
On November 2, 2023, in the 2024 final rule for the physician fee schedule, the Centers for Medicare & Medicaid Services (CMS) finalized crucial policies impacting remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM) services reimbursed under the Medicare program. This article breaks down the key takeaways of the Medicare final rule 2024 to guide […]
“This article was originally published by Foley & Lardner LLP [Centers for Medicare and Medicaid Services RPM Policies (natlawreview.com)] on [11/8/2023], and is reprinted with permission.” On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) finalized new policies related to remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM) services reimbursed under the […]
CMS 2024 Proposed Rule Policy Updates On July 13, 2023, the Center for Medicare and Medicaid Services (CMS) released the CMS 2024 Proposed Rule and Medicare Physician Fee Schedule, including possible Medicare payments under the Physician Fee Schedule and other Medicare Part B issues policy updates. While the CMS 2024 proposed rule contained no new CPT […]
At a Glance The annual Medicare physician payment rule is upon us, proposed July 13, 2023, for calendar year (CY) 2024 and open for public comment through September 11. Each year, the couple-of-thousand-page rule makes modifications to how Medicare pays physician and nonphysician providers for their services, including for telehealth services. In recent years, the physician […]
CMS recently released the CY 2024 Medicare Physician Fee Schedule (MPFS) Proposed Rule (Proposed Rule), which included many noteworthy proposals and clarifications related to Medicare telehealth services and other remote services. Since the COVID-19 Public Health Emergency (PHE) terminated on May 11, 2023, providers and practitioners have sought clarity on the end dates of various waivers and […]
Over the past several years, the Centers for Medicare and Medicaid Services (CMS) has expanded payment for care management and remote monitoring services in an effort to recognize and pay for non-face-to-face services that improve care coordination for Medicare beneficiaries. In connection with the calendar year 2024 Medicare Physician Fee Schedule (MPFS) proposed rule, CMS […]
The U.S. Centers for Medicare & Medicaid Services has released the proposed 2024 Medicare Part B Physician Fee Schedule, and, as always, it’s a mixed bag of good and not-so-good news. Unfortunately, as in previous years, payment cuts are a part of the proposal. This time around, however, other upsides are more prevalent than they’ve been […]
The 2023 Physician Fee Schedule final rule (“Final Rule”), which became effective in January 2023, lists the services and rates for which Medicare will reimburse providers. The Final Rule sets forth updates regarding several of Center for Medicare and Medicaid Service (CMS) key provisions relating to the delivery and reimbursement of Remote Therapeutic Monitoring (RTM), most notably […]