DecisionHealth, DecisionHealth - 2023 Issue 12 (December)
Q&A: Here’s when you may report RTM or RPM during the global period, per CMS
Question: Please share your view on the following policy statement from Medicare’s final 2024 physician fee schedule regarding remote therapeutic monitoring (RTM) coverage:
“Other Clarifications for Appropriate Billing
We have received inquiries from interested parties during public forums regarding use of remote monitoring during global periods for surgery. In the proposed rule, we clarified that, in circumstances where an individual beneficiary may receive a procedure or surgery, and related services, which are covered under a payment for a global period, RPM [remote physiological monitoring] services or RTM services (but not both RPM and RTM services concurrently) may be furnished separately to the beneficiary, and the practitioner would receive payment for the RTM or RPM services, separate from the global service payment, so long as other requirements for the global service and any other service during the global period are met. For an individual beneficiary who is currently receiving services during a global period, a practitioner may furnish RPM or RTM services (but not both RPM or RTM services) to the individual beneficiary, and the practitioner will receive separate payment, so long as the remote monitoring services are unrelated to the diagnosis for which the global procedure is performed, and as long as the purpose of the remote monitoring addresses an episode of care that is separate and distinct from the episode of care for the global procedure— meaning that the remote monitoring services address an underlying condition that is not linked to the global procedure or service.”
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