Returned Remote Therapeutic Monitoring Management Claims

The Centers for Medicare and Medicaid Services (CMS) have issued instructions regarding remote therapeutic monitoring (RTM) management services claims that were returned in error between January 1, 2023 – June 30, 2023. In this article, I will answer the following questions:

Remote Therapeutic Monitoring: CPT Codes 98980-98981

Last week, I published an article titled “Remote Therapeutic Monitoring: CPT Codes 98976-98978“. The previous week, I published an article titled “Remote Therapeutic Monitoring: CPT Code 98975 FAQs“. In this week’s article, I will answer the following questions I have been receiving about CPT codes 98980 – 98981:

Remote Therapeutic Monitoring: CPT Codes 98976-98978

Last week, I published an article titled “Remote Therapeutic Monitoring: CPT Code 98975 FAQs“. In this week’s article, I will answer the following questions I have been receiving about CPT codes 98976 – 98978:

Remote Therapeutic Monitoring: CPT Code 98975

Effective January 1, 2022, there were 5 new CPT codes to describe remote therapeutic monitoring (RTM) and RTM management services. Beginning January 1, 2023, there was an additional RTM CPT code added for cognitive behavioral therapy. There remains much confusion on when can you bill each CPT code, how often can you bill each CPT, what constitutes monitoring and what documentation is required to support the billing of each CPT code. In this article, I will answer the following questions I have been receiving about CPT code 98975. Next week, I will publish an article answering questions on CPT codes … Read More

Rehab Agencies and CORFs RTM Billing Issues

Since January 1, 2023, Rehabilitation Agencies and Comprehensive Outpatient Rehabilitation Facilities (CORFs) have been experiencing issues being reimbursed for CPT codes 98980 and 98981 for remote therapeutic monitoring management services. For Rehabilitation Agencies and Comprehensive Outpatient Rehabilitation Facilities who submitted claims to their respective Medicare Administrative Contractor containing CPT codes 98980 and 98981, they were being returned with reason code W7072. The Centers for Medicare and Medicaid Services (CMS) was made aware of this issue and CMS has now announced a “fix” to this issue. Rehabilitation Agencies and Comprehensive Outpatient Rehabilitation Facilities must

CMS Releases CY 2023 Final Rule for Services Reimbursed Under the MPFS

Gawenda Seminars and Consulting

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 final rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). In this article, I will provide a summary regarding the following CMS changes for CY 2023: