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Remote Therapeutic Monitoring (RTM) – Key Component to Hybrid Care

The healthcare industry is always changing, and technology plays a big part in how patients receive care. One way that technology is helping is through Remote Therapeutic Monitoring (RTM). This blog will explore what RTM is, why it matters, and how it can benefit both healthcare providers and patients. What is Remote Therapeutic Monitoring (RTM)? What are the five (5) RTM Current Procedural Terminology (CPT) Codes? ** For CPT codes 98980 and 98981, when we…

Pitfalls of the Patient-Driven Payment Model (PDPM) – Focus on Diagnosis and Surgical Miscoding

Welcome back to our blog series on PDPM! You can find blog #1 here! The Patient-Driven Payment Model (PDPM) is the reimbursement methodology for Medicare Part A that has been implemented for Skilled Nursing Facilities (SNFs) since October 1, 2019. The PDPM was designed to improve the accuracy of Medicare reimbursement to SNFs by basing the payment on the patient’s clinical characteristics and care needs rather than on the therapy minutes provided. To ensure accurate…

Are You Aware of the New Caregiver Training Service (CTS) Codes?

In healthcare, the role of caregivers is important in supporting patients’ functional performance in their homes or communities. For traditional Medicare Part B, beginning Fiscal Year (FY) 2024, the Centers for Medicare and Medicaid Services (CMS) adopted Current Procedural Terminology (CPT) codes for Caregiver Training Services (CTS). CPT codes 97550, 97551, and 97552 are reimbursable by Medicare when a physician or a non-physician practitioner (NPP) (nurse practitioners, clinical nurse specialists, certified nurse-midwives, physician assistants, and…