Medicare’s New Remote Patient Monitoring Reimbursement: What Providers Need to Know

Mar 4, 2018

The new year continues to offer big opportunities for telemedicine and digital health companies, and one of the most notable developments is CMS’ decision to reimburse providers for remote patient monitoring (RPM).  Effective the Medicare program will  January 1, 2018, the Medicare program will pay providers for RPM services billed under CPT code 99091.   The service is currently defined as the “collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time.”

It is great to see CMS agree with health innovation advocates that RPM services can be a significant part of ongoing medical care and that the Medicare program should recognize these services for separate payment as soon as practicable.  Providers and telehealth companies should act now to embrace this landmark shift by Medicare to directly pay for RPM services on a monthly recurring basis.

Continue reading at: https://www.natlawreview.com/article/medicare-s-new-remote-patient-monitoring-reimbursement-what-providers-need-to-know