OIG To Review Remote Patient Monitoring

The US Office of the Inspector General (OIG) has announced its plan to review Medicare fee-for-service claims and Medicare Advantage encounter data for remote patient monitoring services.

The OIG states it will look at the extent to which remote patient monitoring services have changed, the nature of remote patient monitoring services being used by Medicare enrollees, and the characteristics of enrollees using remote patient monitoring services. This review also aims to determine the extent to which provider billing for remote patient monitoring services may indicate fraud, waste, or abuse.

As always, CPMA members are encouraged to reference CPT® guidance and third-party payer coverage guidelines before submitting claims for payment.