Published January 10, 2020

PYA White Paper Provides Update for Remote Patient Monitoring Reimbursement Rules

PYA’s updated white paper aims to provide a simple, straightforward explanation of remote patient monitoring reimbursement rules, highlighting those issues for which additional Centers for Medicare & Medicaid Services guidance is needed.

National management consulting and accounting firm PYA has published the latest information providers need to know about reimbursement related to providing and billing Medicare for remote patient monitoring (RPM) in its newly updated white paper.

The Centers for Medicare & Medicaid Services (CMS) previously had required billing practitioners to provide direct supervision (i.e., in-person) of clinical staff furnishing RPM services. With the release of the 2020 Medicare Physician Fee Schedule Final Rule, CMS will permit these services to be performed under general supervision effective January 1, 2020. This and other changes are detailed in “Providing and Billing Medicare for Remote Patient Monitoring.” Providers slow to launch RPM programs due to the complexity of reimbursement rules can feel more confident in developing and deploying RPM programs with PYA’s updated guidance, which offers a straightforward explanation of these rules, and highlights those issues for which additional CMS guidance is needed.

According to the white paper, “The addition of Medicare reimbursement for RPM holds great promise for improving care and outcomes for patients requiring ongoing monitoring.”

PYA assists organizations in building successful ambulatory care management programs, including the provision of RPM services.  Our integrated delivery team includes experienced clinicians, certified case managers, regulatory specialists, data analysts, process improvement professionals, and IT specialists.

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