Keyword Analysis & Research: cms guidelines for rpm

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Frequently Asked Questions

What is the 2021 final rule on RPM services?

In the 2021 Final Rule, CMS stated that RPM services are limited to “established patients.” In support of this position, CMS asserted that a physician who has an established relationship with a patient would likely have had an opportunity to provide a new patient E/M service.

Is remote patient monitoring (RPM) available?

CMS Guidance for Remote Patient Monitoring (RPM) The Centers for Medicare & Medicaid Services (CMS) has provided some guidance within the “Medicare and Medicaid Programs Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency” interim final rule (IFR), allowing for remote patient monitoring, or RPM.

What is the CPT code for RPM?

CPT© codes for the provision of RPM include: CPT Code 99453: Remote monitoring of physiologic parameter (s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), plus initial set-up and patient education on use of equipment.

Can a practitioner bill Medicare for RPM services during the PHE?

CMS’ waiver suggests (but does not explicitly state) that during the PHE, practitioners may render RPM services without first conducting a new patient E/M service. After the PHE waiver expires, there will need to be an established patient-practitioner relationship in order to bill Medicare for CPT 99453, 99454, 99457, and 99458.

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