May 1, 2018

PYA White Paper Offers Guidance for Providing and Billing Medicare for Remote Patient Monitoring

PYA has released a new white paper that offers a “how to” guide for providers seeking Medicare reimbursement of remote patient monitoring.

The paper provides step-by-step instructions on how providers can take advantage of Medicare reimbursement for remote patient monitoring, or RPM, which became available on January 1, 2018.


“CMS surprised nearly everyone with its decision to pay for remote patient monitoring effective January 1, 2018, but the agency recognizes the value of RPM in reducing healthcare spending,” said PYA Principal Martie Ross.  “Providers should take advantage of this new opportunity to leverage the power of technology to improve patient outcomes.”

According to the white paper, “While the Medicare billing rules for RPM are challenging, these rules should not be viewed as an absolute barrier to providing this important service.  Instead, practitioners should be familiar with, and structure, their service delivery models to meet the requirements.”

The white paper provides a practical explanation of these billing rules, including staffing and documentation requirements.  Providers interested in furnishing RPM will find the white paper an essential guide to navigating potential compliance concerns.

PYA assists organization 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.

About the Authors

Lori Foley

Office Managing Principal | Atlanta and Managing Principal of Compliance Services

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