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Medicare Compliance and Reimbursement for Remote Care Programs


HealthArc

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Remote healthcare is a technologically advanced and a competitive medical field where compliance matters at every step, whether it’s billing, insurance claims or reimbursements. To avoid penalties or reduced reimbursements, it is important to remain at the top of the compliance matters. For healthcare providers, service reimbursements using the right CPT codes is one of the primary sources of revenue generation and are applicable for all remote care programs. According to the latest Centers for Medicare & Medicaid Services (CMS) fact sheet, healthcare costs are expected to rise from 17.7% of the economy in 2018 to 19.7% by 2028. Remote care programs, including Remote Patient Monitoring (RPM), Chronic Care Management (CCM), Transitional Care Management (TCM), Principal Care Management (PCM), and Remote Therapeutic Monitoring (RTM) have become increasingly popular in delivering quality healthcare and care coordination, especially among the patients dealing with one or more chronic conditions.

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