The Centers for Medicare and Medicaid Services (CMS) has introduced significant changes in the 2025 Physician Fee Schedule Final Rule, marking this as a crucial year for healthcare organizations. These changes are especially important for those already participating in Medicare care management programs or considering participating in them.

The Centers for Medicare & Medicaid Services (CMS) released the Final Rule for its 2025 Medicare Physician Fee Schedule. It includes a significant change for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).

Many Medicare billing guides focus on reimbursement requirements but often lack clear steps on how to successfully and accurately bill Medicare for RPM services.

In 2019, the Center for Medicare and Medicaid Services (CMS) launched its Remote Patient Monitoring (RPM) program, to reimburse providers for using digital technology to monitor patients between visits. The program covers collecting and transmitting patient clinical data. It also supports a clinician’s time to review the data and intervene if it indicates a harmful clinical change.

The Centers for Medicare & Medicaid Services (CMS) has released the Final Rule for its 2025 Medicare Physician Fee Schedule. According to a CMS fact sheet, this update continues efforts to strengthen primary care, support preventive care, and promote better access to behavioral health.

Chronic Care Management supports patients in managing their chronic conditions, preventing future illness, slowing disease progression, and avoiding exacerbation.

In this video, we explore how targeted care management programs, including Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Behavioral Health Integration (BHI), can make a significant difference in supporting patients with hypertension. Discover how these programs empower care teams to deliver personalized, proactive care, helping patients maintain blood pressure control, improve medication adherence, and reduce their risk of complications.

An overarching shift has taken place over the past 100 years. It’s picked up speed in the last 20. Medicine has transitioned from a focus on infectious and non-communicable diseases to the prevalence of chronic illness.

Medicare’s Remote Patient Monitoring (RPM) program reimburses providers for:

Over the past 20 years, the number of chronic diseases has increased steadily. Today, 42% of adults have two or more chronic conditions, and 12% have at least five. The number of adults over 50 with at least one chronic disease is expected to increase from 71.5 million in 2020 to 142.6 million by 2050.