Billing

Get the latest on CMS billing codes, remote patient monitoring (RPM), remote therapeutic monitoring (RTM) reimbursement strategies, and how Tenovi helps remote patient monitoring companies, care companies, telehealth teams, FQHCs, and RHCs bill with confidence.

The OIG remote patient monitoring report

OIG Remote Patient Monitoring Report: Medicare Billing Insights

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The latest Office of Inspector General – OIG remote patient monitoring report takes a data-driven look at Medicare’s growing use of connected health services. In 2024, Medicare payments for remote patient monitoring climbed to $536 million, a 31% increase from the prior year. Nearly one million Medicare enrollees received monitoring services, up 27% from 2023. […]

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payers and remote patient monitoring

Payers and Remote Patient Monitoring: More Value in Chronic Care

Billing, Research /

Healthcare costs are rising, chronic conditions are accelerating, all while members expect and need more personalized care. Payers and remote patient monitoring (RPM) together create one of the most effective opportunities to lower costs, improve outcomes, and strengthen quality measures across populations. By proactively engaging members in their homes with simple, connected devices, payers can

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musculoskeletal and respiratory specialists RTM

Musculoskeletal & Respiratory Specialists Supporting RTM Med Adherence

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Managing chronic musculoskeletal and respiratory conditions often requires strict medication adherence. However, over 50% of chronic care patients do not take their medication as prescribed. Remote therapeutic monitoring (RTM) is one solution that is addressing medication adherence challenges. RTM can be used to track that medication adherence with smart pillbox technology. A smart pillbox is

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trividia and tenovi

FQHCs: Cut Diabetes Costs & Drive Revenue with Tenovi and Trividia’s TRUE METRIX® AIR

Benefits, Billing /

Federally Qualified Health Centers (FQHCs) care for underserved communities, often operating on tight budgets. Compared to 11% of the general adult population, 21% of FQHC patients have diabetes. A large hurdle to FQHC diabetes-focused RPM programs is the cost and availability of test strips for glucometer testing. Many meters do not support test strips covered

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Principal Illness Navigation (PIN) Services

Principal Illness Navigation (PIN) Services & How to Bill

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Principal Illness Navigation (PIN) incident-to-services were introduced in the 2024 Physician Fee Schedule Final Rule by the Centers for Medicare & Medicaid Services (CMS). These four new service codes are for the professional services of a physician or billing practitioner under general supervision. Two codes describe PIN services, and 2 codes describe Principal Illness Navigation-Peer Support

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remote patient monitoring medicare

July 1 Reminder: Medicare Patients May Now Qualify for RPM

Billing, Conditions /

Every July 1, a valuable, but often overlooked opportunity emerges for healthcare providers. It is the date when coverage begins for patients who enrolled in Medicare during the Medicare General Enrollment Period (January 1 – March 31). For providers, July 1 marks a chance to identify patients who are newly eligible for Medicare, and who

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CMS star ratings for medication adherence

How Pharmacies Can Help Improve Star Ratings

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Medication non-adherence leads to poor treatment outcomes, avoidable hospitalizations, an estimated 125,000 deaths annually, and U.S. healthcare costs of up to $300 billion. Medication adherence is a heavily weighted factor in the CMS Medicare Advantage and Part D Star Ratings. While pharmacies are not directly rated by CMS star ratings for medication adherence, they can

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improve medicare advantage star ratings

How Can RPM Help Improve Medicare Advantage Star Ratings? 

Benefits, Billing /

To improve Medicare Advantage star ratings requires strong focus on patient outcomes, medication adherence, preventive care, and member experience. The Centers for Medicare & Medicaid Services (CMS) Medicare Advantage plan star ratings were created to measure how well health plans support members through preventive care, chronic disease management, medication adherence, and overall satisfaction. Plans that

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