In 2022 the Centers for Medicare and Medicaid Services (CMS) expanded its digital health coverage and began reimbursing providers for remote therapy monitoring (RTM). RTM differs from existing Remote Patient Monitoring (RPM) in that it monitors therapeutic data, such as medication adherence. RPM measures physiologic data, such as blood pressure and heart rate.
Unlike the RPM codes, RTM services are available to Qualified Health Care Practitioners (“QHCPs”) who are not able to independently order and bill for E/M services. RTM is in an evolving state of development. In the near future, we can expect CMS will broaden its RTM coverage beyond musculoskeletal and respiratory disorders. In addition, as with most other CMS payment policy once there is significant RTM activity private insurers will adopt coverage for these services.