Posts for CMS Updates

Below you will find a list of the most recent posts made on the Accuhealth Blog tagged with the term: CMS Updates. You may filter the posts using the right-hand sidebar to limit the visible content.

  • CMS Introduces New APCM Codes to Enhance Remote Care in 2025

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    14 minute read

    The Centers for Medicare & Medicaid Services (CMS) is shaping the future with the introduction of new Advanced Primary Care Management (APCM) codes and service-based billing codes for Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs).

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  • Beyond the Visit: How Remote Care (RPM & CCM) Is Transforming FQHCs and RHCs in 2025

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    11 minute read

    The Evolving Landscape of Remote Care for FQHCs & RHCs For Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs), keeping up with evolving value-based care models has long been a challenge. Limited funding, provider shortages, and outdated reimbursement models have made it difficult to expand care beyond in-person visits.

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  • The Future of CMS and Remote Patient Monitoring

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    6 minute read

    One major change outlined in the 2024 Proposed Rule pertains to the reimbursement for remote monitoring services provided to new versus established patients. Currently, CMS provides a higher reimbursement rate for remote monitoring services delivered to new patients as compared to established patients. However, in the 2024 Proposed Rule, CMS is opting to eliminate this distinction and provide equal reimbursement rates for both new and established patients. This change aims to encourage providers to continue offering remote monitoring services to all patients, regardless of their status as new or established.

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  • Cpt 99453 & 99454 Billing Guidelines: The 16 Day Rule

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    4 minute read

    Introduction By now, it is pretty easy to understand why Remote Patient/Physiological Monitoring (RPM) is here to stay. It’s very difficult to debunk this service as it benefits the patient, the public, and the provider. But as with all successful programs, the laws and regulations evolve with time to ensure compliance and efficacy of the program.

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  • Understanding the New Remote Therapeutic Monitoring CPT Codes

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    6 minute read

    The Centers for Medicare and Medicaid Services released their proposed 2022 Medicare Physician Fees Schedule on July 13th. The release was in accordance with five new CPT Remote Therapeutic Monitoring (RTM) codes that deal with non-physiologic patient data, including respiratory system status, musculoskeletal system status, therapy/medication response, therapy/medication adherence, and pain. Although the proposed set of codes is accepted by advocates for virtual care, the proposed MPFS that deals with RTM is likely to bring as many questions as it answers.

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  • Remote Patient Monitoring & the Proposed Medicare Physician Fee Schedule

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    9 minute read

    How Accuhealth navigates RPM services through the proposed changes to the 2021 MPFS. The Centers for Medicare and Medicaid Services proposed a new Medicare Physician Fee Schedule for 2021, which has several implications that may affect Remote Patient Monitoring Programs throughout the United States.

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