For an overview of Remote Monitoring, to include Chronic Care Management (CCM), Remote Therapeutic Monitoring (RTM) and Remote Physiologic Monitoring (RPM) see “About Remote Monitoring”. This toolkit will focus on Remote Physiologic Monitoring (RPM).
Launching and Running an RPM Program
If you are considering starting your own RPM program or re-invigorating a dormant RPM program, we have just the guide for you! Our “Launching & Running RPM Toolkit” takes you through each of the steps, along with the key considerations necessary to move from program planning to implementation. Since 2024 FQHCs and RHCs, are now also able to bill for RPM services, using, as of 2025, the same billing codes as Medicare.
Reimbursement for RPM Services
Remote Physiological Monitoring (RPM) billing allows healthcare providers to receive reimbursement for monitoring patients’ health data remotely, helping to improve outcomes and support ongoing care between in-person visits.
RPM billing guidelines are updated annually by the Centers for Medicare and Medicaid Services (CMS) to reflect new reimbursement rates and support continued adoption of RPM services. Accurate billing is essential for program sustainability and compliance with CMS requirements.
RPM Reimbursement and Billing Guide” is COMING SOON and will provide up-to-date information on Medicare billing codes, reimbursement rates, and program criteria. It also includes details on FQHC/RHC billing, additional covered care management services, and examples of dual billing scenarios.
Who does what in RPM?
The following videos provide an overview of roles and responsibilities when launching and running an RPM program.
Executive
At the start of an RPM program, the Executive Leader or Senior Manager is responsible for creating a business case, ensuring solid support for the program - including the provision of funding and staff - and the creation of policy.
Provider
The Provider understands the Inclusion Criteria for RPM and CCM and how to make a referral. Referrals to the RPM program. The Provider also uses the RPM data to guide care decisions in order to manage the patient's chronic conditions.
The Monitoring Nurse is responsible for the monitoring of the patient's RPM data, intervening or triaging as necessary, and escalating the patient's care to the Provider when needed.
Technician
The RPM Technician is responsible for configuring and preparing the monitoring devices for the patient and assisting the patient in learning how to operate the devices. They may also manage the inventory and clean and re-calibrate devices upon return.
Billing
Successful implementation of Remote Patient Monitoring (RPM) requires an understanding of CPT billing requirements unique to RPM. Learning how to translate these requirements into an efficient business will save your practice time and money.
Interview with Bonnie Britton
Bonnie Britton (in memoriam) had over 25 years of experience in designing and launching RPM programs. In this 2019 interview with MATRC Consultative Service Partners and Advisory Board Member, Jay Ostrowski, she discusses the clinical and financial aspects of RPM and chronic care management programs.
