decisionhealth Newsletters, Coder Pink Sheets - 2023 Issue 12 (December)
Q&A: Here’s when you may report RTM or RPM during the global period, per CMS
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Article Overview
This Q&A reviews CMS guidance from the 2024 physician fee schedule about remote monitoring services furnished during a surgical global period. It is aimed at coding and billing professionals who need to understand the relationship between global surgery rules, Medicare coverage considerations, and when beneficiary liability notices are or are not appropriate. The article also points readers to CMS manual and educational resources for broader policy context.
Why This Topic Matters
It helps billing and coding staff assess whether remote monitoring services can be treated separately from global surgical services under Medicare policy, and whether an advance beneficiary notice is appropriate in those situations.
What You Will Learn
- How Medicare addresses remote monitoring services during a surgical global period
- How global surgery policy interacts with separate reporting of remote monitoring
- When beneficiary liability notices are discussed in the context of Medicare coverage
- What CMS resources are cited for related billing and coverage guidance
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practice administrators
- Durable medical equipment and remote monitoring stakeholders
Codes Discussed
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