APCM Revenue Opportunity circle designed with Elementor, featuring arrows pointing to Cost-Sharing, CCM/RPM Uncertainty, and Service Elements; “+10% in 2026” is highlighted in green below.
Key Takeaways • APCM launched January 1, 2025, and its reimbursement rates increased by approximately 10% in 2026. Most practices still haven't enrolled a single patient. • The three most…
A calendar shows September 14, 2026, with a clock and a label reading "Comment Deadline," reminding stakeholders of the approaching date to submit their Comment Letter on the proposed CMS 2027 RPM Rule. Icons for documents, medical forms, and dollar signs are in the background, highlighting key aspects relevant to RPM Logix and regulatory updates.
Key Takeaways•CMS's proposed CY 2027 rule would bar contracted clinical staff from billing RPM and RTM. RPM Logix has formally asked CMS to reconsider.•CMS already tried restrictive RPM supervision rules…
A graphic showing that under the CMS 2027 proposal, direct employees may receive payment for RPM and RTM services, while contractors or third-party vendors are excluded from contracted staff billing—illustrated with icons and arrows.
Key Takeaways•CMS's CY 2027 proposed rule would bar contracted and third-party clinical staff from billing RPM and RTM. Only direct employees of the billing practice would qualify.•This is a proposed…
Bar graph illustrating transition from fee-for-service alternatives Medicare, associated with decline, to CCM & RPM growth; highlights chronic care management reimbursement 2026 and includes medical and checklist icons.
Key Takeaways • CMS finalized a -2.5% efficiency adjustment to work Relative Value Units (RVUs) for non-time-based services in 2026, compressing reimbursement across thousands of procedure-based CPT codes. • 80%…
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.
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…
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…
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.
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.…
A healthcare professional discusses outcome-based chronic care with an older woman, showing her information on a clipboard in a bright, indoor setting.
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…
Wooden blocks with various healthcare, technology, and automotive icons are stacked in front of rising blue arrows and a red upward graph line, symbolizing growth in multiple sectors like BHI Integration and 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…
A person in an orange shirt touches a virtual screen displaying a rising financial chart, highlighting the projected rpm reimbursement increase 2026 with upward arrows and glowing data points.
Key Takeaways CMS increased RPM and CCM reimbursement rates by 7–21% for 2026. New billing codes expand the revenue potential of remote care programs. Practices can convert previously uncompensated care…
