RPM and CCM Program Guides for Providers

Read more about the article UnitedHealthcare’s Proposed 2026 RPM Coverage Cuts: What It Means for Your Practice and Why Medicare Fee-for-Service Still Has You Covered
A person sits at a desk using two monitors; one displays a security alert, and the other shows health dashboard charts and statistics related to Medicare Fee-for-Service and 2026 RPM coverage.

UnitedHealthcare’s Proposed 2026 RPM Coverage Cuts: What It Means for Your Practice and Why Medicare Fee-for-Service Still Has You Covered

Key Takeaways•UnitedHealthcare (UHC) announced plans to restrict RPM coverage to only two conditions: heart failure and hypertensive disorders of pregnancy, across its Medicare Advantage, commercial, and Medicaid plans.•The policy has…

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Read more about the article RTM vs. RPM: What the 2026 CPT Code Changes Mean for Your Practice
An elderly person uses a pulse oximeter as part of an RPM routine, while another follows exercises on a tablet in a bright living room.

RTM vs. RPM: What the 2026 CPT Code Changes Mean for Your Practice

Key Takeaways•RTM and RPM are distinct programs. They monitor different data types, can serve the same patient populations, but cannot be billed together for the same patient in the same…

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Read more about the article RPM + CCM + GLP-1: The New Chronic Care Trifecta for Medicare Patients
A Venn diagram labeled GLP-1, CCM, and RPM overlaps at the center with "Chronic Care Trifecta." Blurred in the background, two people hold hands—highlighting the unified impact of RPM, CCM, and GLP-1 in chronic care.

RPM + CCM + GLP-1: The New Chronic Care Trifecta for Medicare Patients

Key Takeaways • The RPM + CCM + GLP-1 Trifecta bridges the “management gap” for Medicare patients, ensuring that high-cost medications are backed by continuous physiological data and clinical oversight.…

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Read more about the article CMS ACCESS Model for Outcome-based Chronic Care
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CMS ACCESS Model for Outcome-based Chronic Care

Key Takeaways The ACCESS Model is a 10-year CMS initiative shifting chronic care from volume-based to outcomes-based reimbursement. CMS is introducing Outcome-Aligned Payments (OAPs) to reward measurable clinical improvements in…

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Read more about the article 2026 APCM Required Element 9: A Guide to Population Health Management for G0558 Compliance
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2026 APCM Required Element 9: A Guide to Population Health Management for G0558 Compliance

Key Takeaways APCM programs require population health reporting to meet CMS compliance standards. Population health analytics help identify high-risk patients earlier. Data-driven insights allow providers to close care gaps proactively.…

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Read more about the article 2026 APCM & BHI Integration: A Strategic Guide to G0558 Reimbursement
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2026 APCM & BHI Integration: A Strategic Guide to G0558 Reimbursement

Key Takeaways APCM (Advanced Primary Care Management) includes 13 required service elements that practices must meet. Integrating Behavioral Health Integration (BHI) enhances holistic patient care. Care teams help patients navigate…

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Read more about the article CMS Publishes 2026 Final Rule on Nov. 1

CMS Publishes 2026 Final Rule on Nov. 1

Major 2026 Updates to RPM, CCM, BHI, and APCM Remote Patient Monitoring (RPM) For Calendar Year (CY) 2026, CMS finalized important updates to the Remote Physiologic Monitoring (RPM) and Remote…

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Read more about the article 2026 Medicare Update: How The New BHI Codes Could Boost APCM Profitability
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2026 Medicare Update: How The New BHI Codes Could Boost APCM Profitability

The Centers for Medicare and Medicaid Services (CMS) is proposing key changes to the 2026 Medicare Physician Fee Schedule that could significantly increase the profitability of Advanced Primary Care Management…

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Read more about the article How Remote Patient Monitoring Supports Better Outcomes for CHF Patients
A healthcare worker wearing scrubs and a headset communicates via video call at a desk with a laptop, paperwork, and eyeglasses, supporting Remote Patient Monitoring to ensure better outcomes for CHF patients.

How Remote Patient Monitoring Supports Better Outcomes for CHF Patients

Key Takeaways CHF patients benefit from ongoing monitoring rather than periodic office visits. RPM enables real-time tracking of weight, blood pressure, and symptoms. Care teams can intervene earlier to prevent…

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Read more about the article Mastering the 13 APCM Elements: How RPM Logix Does the Heavy Lifting for You
A doctor and a patient sit at a desk with a stethoscope and a tablet, overlaid with the text "13 APCM Elements by RPM Logix.

Mastering the 13 APCM Elements: How RPM Logix Does the Heavy Lifting for You

Key Takeaways APCM requires 13 clinical service elements for Medicare reimbursement. Many practices struggle with the administrative burden of meeting these requirements. Care management teams can handle documentation, patient outreach,…

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