Billing

Remote patient monitoring (RPM) and telehealth are often lumped together under the umbrella of “virtual care,” but in reality, they serve very different roles in healthcare delivery. And, Medicare treats them differently when it comes to reimbursement. Understanding these distinctions is critical for providers and health systems seeking to maximize reimbursement opportunities while improving patient

Chronic care management (CCM) emphasizes care coordination and education, while remote patient monitoring (RPM) enables preventive care. Shifting from reactive to preventive care improves patient health outcomes, lowers costs, and increases reimbursement opportunities. Monitoring vitals at home between office visits is an example of preventive vs reactive healthcare. RPM helps detect risks early, reducing emergency

The evolution of telehealth over the past decade has significantly advanced virtual care management, improving patient outcomes and expanding access to care. This article explores key milestones in that evolution, focusing on changes in reimbursement models. We begin with the introduction of transitional care management in 2013 and follow the progression through chronic care coordination,

Remote care models offer significant advantages in healthcare delivery, but distinguishing between remote patient monitoring (RPM) and remote therapeutic monitoring (RTM) reimbursement can be complex. This article provides an overview comparing RPM vs RTM. It covers the technologies each uses, the data types collected, how to bill for services, and supervision and billing rules requirements.

Remote therapeutic monitoring (RTM) codes allow healthcare providers to bill for the use of digital tools that track non-physiological data such as respiratory status, musculoskeletal function, and medication therapy adherence. These codes are distinct from remote patient monitoring (RPM) and support the management of conditions where metrics such as movement, medication use, or inhaler activity

In this article, you’ll learn the differences between remote therapeutic monitoring (RTM) and remote patient monitoring (RPM) billing codes and their associated payment rates for 2025. CMS released the CY 2025 Physician Fee Schedule Final Rule in November 2024. This article breaks down the final rule and provides key takeaways for the RPM and RTM

As remote patient monitoring (RPM) continues to expand across care settings, healthcare leaders want to be aware of the latest RPM CPT codes for 2025. This guide explains 2025 reimbursement rates, billing guidelines, and documentation requirements for codes 99453, 99454, 99457, 99458, and G0511. This overview will help ensure you’re maximizing reimbursement while remaining compliant

In 2002, the Centers for Medicare and Medicaid Services (CMS) first developed CPT code 99091 billing guidelines for remote patient monitoring (RPM) services. Like all five remote patient monitoring CPT codes (99453, 99454,99457, 99458, and 99091), CPT code 99091 has a unique set of guidelines for Medicare reimbursement. This comprehensive billing guide outlines CPT code 99091