Cindy N Ho, Alessandra T Ayers, David T Ahn, David C Klonoff
{"title":"How to Provide Additional Oversight to Ensure That Remote Patient Monitoring for People With Diabetes is Being Used and Billed Appropriately.","authors":"Cindy N Ho, Alessandra T Ayers, David T Ahn, David C Klonoff","doi":"10.1177/19322968241309357","DOIUrl":null,"url":null,"abstract":"<p><p>An Office of the Inspector General (OIG) report on September 19, 2024, highlighted the need for additional oversight of remote patient monitoring (RPM), which is covered by Medicare. OIG noted that Medicare claims frequently lack crucial information that would facilitate proper oversight. While Medicare has published guidelines for reimbursement according to RPM billing codes, greater clarity is needed to avoid inadvertent improper billing practices. In this article, we discuss potential revisions in Medicare policies for documenting RPM services. Such revisions will result in enhanced accountability and traceability of RPM services and reduce the potential for improper billing. Adherence to clear billing guidelines will ensure appropriate allocation of funds and safeguards the future of RPM services for Medicare beneficiaries who genuinely need them.</p>","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"19322968241309357"},"PeriodicalIF":4.1000,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Diabetes Science and Technology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/19322968241309357","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
An Office of the Inspector General (OIG) report on September 19, 2024, highlighted the need for additional oversight of remote patient monitoring (RPM), which is covered by Medicare. OIG noted that Medicare claims frequently lack crucial information that would facilitate proper oversight. While Medicare has published guidelines for reimbursement according to RPM billing codes, greater clarity is needed to avoid inadvertent improper billing practices. In this article, we discuss potential revisions in Medicare policies for documenting RPM services. Such revisions will result in enhanced accountability and traceability of RPM services and reduce the potential for improper billing. Adherence to clear billing guidelines will ensure appropriate allocation of funds and safeguards the future of RPM services for Medicare beneficiaries who genuinely need them.
期刊介绍：
The Journal of Diabetes Science and Technology (JDST) is a bi-monthly, peer-reviewed scientific journal published by the Diabetes Technology Society. JDST covers scientific and clinical aspects of diabetes technology including glucose monitoring, insulin and metabolic peptide delivery, the artificial pancreas, digital health, precision medicine, social media, cybersecurity, software for modeling, physiologic monitoring, technology for managing obesity, and diagnostic tests of glycation. The journal also covers the development and use of mobile applications and wireless communication, as well as bioengineered tools such as MEMS, new biomaterials, and nanotechnology to develop new sensors. Articles in JDST cover both basic research and clinical applications of technologies being developed to help people with diabetes.
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