How to Provide Additional Oversight to Ensure That Remote Patient Monitoring for People With Diabetes is Being Used and Billed Appropriately

An Office of the Inspector General (OIG) report on September 19, 2024, highlighted the need for additional oversight of remote patient monitoring (RPM), which is covered by Medicare. OIG noted that Medicare claims frequently lack crucial information that would facilitate proper oversight. While Medicare has published guidelines for reimbursement according to RPM billing codes, greater clarity is needed to avoid inadvertent improper billing practices. In this article, we discuss potential revisions in Medicare policies for documenting RPM services. Such revisions will result in enhanced accountability and traceability of RPM services and reduce the potential for improper billing. Adherence to clear billing guidelines will ensure appropriate allocation of funds and safeguards the future of RPM services for Medicare beneficiaries who genuinely need them.