Sectors
Foley & Lardner LLP partner Thomas Ferrante commented on the Centers for Medicare & Medicaid Services’ (CMS) proposed changes to remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM) in the Report on Medicare Compliance article, “CMS Flips the Script of RPM and RTM in Proposed 2027 MPFS Rule.”
Ferrante, vice chair of the firm’s nationally recognized Health Care Practice, explained that the agency is now considering changes that would narrow reimbursement opportunities, require monitoring services to be provided by a practice’s own clinical staff, and potentially consolidate numerous RPM and RTM codes into a smaller set of billing codes.
According to Ferrante, the most disruptive change would require RPM and RTM services to be furnished by clinical staff employed by the physician practice, limiting the role many third-party vendors currently play in supporting remote monitoring programs.
“Everyone is surprised,” he explained, noting while CMS has continually tweaked RPM/RTM coverage since 2018, it has generally improved access, meaning this proposal “is a departure from that posture.”
