Top 5 Rules for Medicare 2024 Remote Patient Monitoring and Remote Therapeutic Monitoring: What Companies Need to Know

Top 5 Rules for Medicare 2024 Remote Patient Monitoring and Remote Therapeutic Monitoring: What Companies Need to Know

The 2024 Medicare Final Rule shapes remote patient monitoring (RPM) and remote therapeutic monitoring (RTM) policies. Established patient status, data collection specifics, and concurrent billing rules have clear definitions. RPM mandates patient establishment, whereas RTM emphasizes treatment plan establishment. Notably, CMS clarified data collection requirements and the exclusive billing privilege for practitioners. It detailed global surgery billing restrictions and expanded billing options for FQHCs, RHCs, PTs, and OTs. Yet, certain ambiguities persist, urging stakeholder engagement for ongoing rule refinement and better leverage of these services in healthcare innovation.

Medigy Insights

The 2024 Medicare Final Rule delineates RPM and RTM policies, defining patient status, data specifics, and billing regulations. RPM necessitates patient establishment, contrasting RTM's focus on treatment plans. CMS clarified data requisites and billing exclusivity for practitioners, outlined global surgery constraints, and broadened billing scopes for FQHCs, RHCs, PTs, and OTs. However, lingering ambiguities stress the need for stakeholder engagement to refine rules, optimizing these services for healthcare innovation.


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