decisionhealth Newsletters, Part B News - 2024 Issue 10 (October)
RPM, RTM codes on the rise, denials down; but warning signs flash
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Article Overview
This article examines 2023 Medicare claims trends for remote physiologic monitoring and remote therapeutic monitoring services, including utilization growth, denial-rate patterns, and specialty-level reporting activity. It is useful for coders, billing staff, compliance teams, and practices that report monitoring services and want a current, high-level view of how these services are being used and where caution is advised. The discussion centers on trend analysis, reporting specialties, and general oversight concerns.
Why This Topic Matters
It helps organizations gauge whether their use of remote monitoring services aligns with national Medicare trends and where denials or compliance attention may be increasing.
Article Sections
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Benchmark of the week
An overview of recent Medicare claims trends for remote physiologic monitoring and remote therapeutic monitoring services. The section frames the year-over-year utilization picture and related denial-rate context.
What You Will Learn
- How Medicare utilization trends for remote physiologic and remote therapeutic monitoring have changed over time
- Which broad service categories are showing growth in claims activity
- How denial-rate patterns compare across monitoring services and reporting specialties
- Which specialties are most frequently associated with these monitoring claims
- Why these services are drawing increased compliance attention
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance teams
- Revenue cycle professionals
- Physician practices reporting monitoring services
Codes Discussed
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