Care Management Blog

While Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) cannot be billed by the same clinician for the same patient in the same month, the two services complement each other.

The Centers for Medicare & Medicaid Services (CMS) introduced Remote Therapeutic Monitoring (RTM) in 2022, expanding the use cases for remote digital health technologies. CMS launched its Remote Patient Monitoring (RPM) program in 2019.

Artificial Intelligence has profoundly impacted healthcare. Innovations in medical imaging and diagnostics, drug discovery and development, personalized medicine, surgery, virtual health, and predictive analytics lead the way.

Rural healthcare providers face unique challenges in providing care to the one in five Americans (67 million) who reside in rural, Tribal, or remote communities. The number of rural Accountable Care Organizations (ACOs) is growing to counteract hospital closures and buoy physicians experiencing lower reimbursement and greater responsibility.

The Centers for Medicare & Medicaid Services (CMS) created the Shared Savings Program (SSP) to encourage physician groups, hospitals, and other healthcare providers to support more coordinated, high-quality, and cost-effective care.

Accountable Care Organizations (ACOs) consist of groups of doctors, hospitals, and other healthcare providers who collaborate and coordinate care for groups of patients. Through performance-based payment models, ACOs share in the savings they attain with the primary goal of improving healthcare quality while reducing costs.

Care management service providers—the companies to which physicians and their practices outsource their programs—are becoming increasingly popular.

In 2020, the Centers for Medicare & Medicaid Services (CMS) finalized that auxiliary personnel, including contracted vendors or service companies, may perform Remote Patient Monitoring (RPM). This includes services described by CPT codes 99453, 99454, and 99457.