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New Codes from the AMA could mean more RPM Reimbursement by 2025
The American Medical Association (AMA) is contemplating significant changes to Remote Patient Monitoring (RPM) coding, potentially impacting providers and patients by 2025. Proposed revisions include introducing a new code to cover 2-15 calendar days of patient data, relaxing the requirement for care management time under existing codes, and adjusting interactive communication criteria. Daniel Tashnek, founder of Prevounce, views these changes as vital for promoting higher RPM adoption and program flexibility. He emphasizes that successful adoption hinges on Medicare and private payer alignment with the new codes. If implemented, these changes could expand RPM program scope, benefitting patients with chronic conditions and rural populations. Tashnek underscores the importance of providers updating their systems to comply with evolving coding rules to optimize reimbursement and patient care.
Medigy Insights
The American Medical Association (AMA) is considering significant changes to Remote Patient Monitoring (RPM) coding that could take effect by 2025. These changes aim to expand RPM program scope and flexibility, including introducing a new code for 2-15 days of patient data coverage and revising existing care management time requirements. Daniel Tashnek, founder of Prevounce, highlights the potential impact on providers and patients, emphasizing the need for Medicare and private payer alignment with the new codes. The proposed revisions are seen as crucial for encouraging higher RPM adoption and addressing healthcare disparities, particularly in rural areas. Providers are advised to update their systems to comply with evolving coding rules to optimize reimbursement and patient care.
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