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.