Billing

The introduction of Principal Illness Navigation (PIN) incident-to-services is outlined in the 2024 Physician Fee Schedule Final Rule by the Centers for Medicare & Medicaid Services (CMS). These are 4 new service codes for the professional services of a physician or billing practitioner under general supervision. Two codes describe PIN services, and 2 codes describe Principal […]

Understanding the differences between remote patient monitoring (RPM) and remote therapeutic monitoring (RTM) is critical when considering remote care models. This article provides an overview comparing RPM vs RTM. We cover the technologies each uses, the data types collected, how to bill for services, and supervision and billing rules requirements. This overview will help you

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

Quality care should be the priority for remote patient monitoring (RPM) and chronic care management (CCM). These complementary technologies work to improve patient outcomes. This article compares Medicare RPM and CCM billing codes. It also discusses the benefits of outsourcing RPM and CCM services to a third-party provider. RPM and CCM: A Lot in Common 

Is remote patient monitoring considered telehealth? While remote monitoring and prevailing telehealth platforms enable similar modalities of virtual care delivery, nuances do exhist.  Specifically, the Centers for Medicare and Medicaid Services (CMS) adheres to strict definitional criteria regarding which remote healthcare services constitute real-time telehealth vs. alternative virtual interventions. This article clarifies the distinctions between

The ongoing evolution of telehealth over the past decade has rapidly enhanced virtual care management to improve patient outcomes and increase access to care. This article traces the evolution of virtual care management and reimbursement models. We begin with transitional care management in 2013 and end with chronic pain telemanagement in 2023. Explore these milestones

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.

If you are searching for remote patient monitoring (RPM) CPT codes for 2024 and corresponding reimbursement rates, this quick reference provides the 5 RPM CPT codes, reimbursement rates, and billing requirements. The cost fee structure for RPM CPT codes 2024 (99454, 99457, 99458, 99091) were revised, leading to slightly reduced reimbursement rates. Remote Patient Monitoring