Q- Who are the qualified providers that are permitted to furnish the RPM services under the law?

“Starting January 1, 2020, RPM services reported with CPT codes 99457 and 99458 may be billed ‘incident to’ under general supervision,” they concluded. “The physician or other qualified healthcare professional supervising the auxiliary personnel need not be the same individual treating the patient more broadly. However, only the supervising physician or other qualified healthcare professional may bill Medicare for ‘incident to’ services.”

  • Physicians
  • Nurse practitioners (NPS)
  • Physician Assistants (PAs)
  • Certified nurse-midwife (CNM)
  • Clinical nurse specialists (CNSs)
  • Certified registered nurse anesthetist (CRNA)
  • Clinical psychologist (CP) and clinical social worker (CSW)
  • Physical therapist (PT)
  • Other potential QHPs: Athletic Trainer, Dietitian

As of 2020, RPM can occur under general rather than direct supervision, which means providers can outsource monitoring and billing duties. This can free up providers’ time when caring for patients with intensive management needs.

Reference- https://www.aapc.com/blog/28964-define-a-qualified-healthcare-professional, https://mhealthintelligence.com/news/cms-finalizes-new-reimbursement-rules-for-remote-patient-monitoring