Remote Monitoring Services Under Review: Update on Potential Medicare Coverage Policies

By Caroline Reignley, Deborah Godes, Michael Ryan, Dale C. Van Demark, Marshall E. Jackson, Jr. and Abby Higgins on July 12, 2023

Posted In Digital Health, Employee Benefits, Health and Welfare Plans

On May 19, 2023, Novitas Solutions and First Coast Options sent an email to certain interested parties, with whom they had engaged following the multijurisdictional contractor advisory committee (CAC) meeting, explaining that they have decided to not pursue at this time a local coverage determination for remote physiological monitoring (RPM) and remote therapeutic monitoring (RTM).

What does this communication mean for RPM/RTM service providers?

Learn more here.

Tags: First Coast Options, Novitas Solutions, remote physiological monitoring, remote therapeutic monitoring

Caroline Reignley
Caroline Reignley provides valuable counsel on healthcare regulatory and reimbursement law to her clients, including for-profit and nonprofit hospitals, health systems and physician groups. She is particularly focused on advising clients on Medicare and Medicaid fee-for-service reimbursement, billing and coding, licensure, accreditation and healthcare compliance matters.Read Caroline Reignley's full bio.

Deborah Godes
Deborah is a seasoned regulatory and reimbursement consultant, advising clients on reimbursement and policy strategy for medical devices, diagnostics, biologics and health services with public and private payers. She focuses primarily on market access (e.g., coding, coverage, payment and other reimbursement models) for new and existing products and services, including AI-powered solutions. She has more than 20 years of experience providing strategic, operational and policy consultative services to companies of all sizes, from start-ups to Fortune 100 companies. Deborah offers clients the ability to analyze and manipulate reimbursement databases to buttress data-oriented policy positions. Read Deborah Godes's full bio.

Michael Ryan
Michael W. Ryan advises manufacturers, health care providers, developers, and investors on the legal, regulatory, and reimbursement issues that arise during the development and commercialization of medical devices, drugs, biological products, and clinical laboratory testing services. Read Michael Ryan's full bio.

Dale C. Van Demark
Dale C. Van Demark advises clients in the health industry on strategic transactions and the evolution of health care delivery models. He has extensive experience in health system affiliations and joint venture transactions. Dale also provides counseling on the development of technology in health care delivery, with a particular emphasis on telemedicine. Dale has been at the forefront of advising clients with respect to the globalization of the US health care industry. He advises US and non-US enterprises with respect to the formation of cross-border affiliations and international patient programs. In addition to writing regularly on matters related to his practice, Dale has spoken at numerous conferences around the world on the globalization of health care. Read Dale Van Demark's full bio.

Marshall E. Jackson, Jr.
Marshall E. Jackson, Jr. focuses his practice on transactional and regulatory counseling for clients in the health care industry, as well as advises clients on the legal, regulatory and compliance aspects of digital health. Marshall provides counseling and advice to hospitals and health systems, private equity firms and their portfolio companies, post/sub-acute providers, physician practices, and other public and private health care companies in a variety of complex transactions and health regulatory compliance matters. Read Marshall Jackson's full bio.

Abby Higgins
Abby Higgins provides regulatory counseling on all aspects of state and federal healthcare laws impacting hospitals and healthcare systems, with a particular emphasis on digital health products and services. Abby has experience handling issues related to fraud and abuse, Stark Law, federal Anti-Kickback Statute (AKS), Food & Drug Administration regulations, cannabis laws and patient data protection. Read Abby Higgins's full bio.

Remote Monitoring Services Under Review: Update on Potential Medicare Coverage Policies

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