Federal Policy
CMS Proposes Tighter Remote Patient Monitoring Requirements in 2027 Physician Fee Schedule
CMS published a proposed rule on July 16, 2026, that would tighten requirements for remote patient monitoring (RPM) services in the Calendar Year 2027 Medicare Physician Fee Schedule. The changes respond to Office of Inspector General reports flagging program integrity concerns about RPM billing. The proposed rule affects how providers document and bill for remote monitoring services under Medicare. Comments on the proposed rule are typically due 60 days after publication in the Federal Register.
Why it mattersMedicaid managed care organizations that offer RPM or telehealth benefits should monitor this rule, as state Medicaid programs often adopt Medicare billing standards and program integrity measures for remote monitoring services.