What we bill · Telehealth & RPM
A growing revenue line — if it's billed correctly
Remote patient monitoring and telehealth turn chronic pulmonary care into recurring, reimbursable touchpoints. But the codes carry specific time, data, and consent requirements, and casual billing leaves the revenue on the table. Here's what to demand.
Compare free quotesThe opportunity and the rules
What makes RPM pay — or not
Telehealth and RPM codes, thresholds, and coverage change frequently and vary by payer — verify against current CPT and payer policy before billing.
The RPM code family. Setup and patient education, the monthly device-supply and data-transmission component, and clinician management time are reported separately — each with its own requirement, and the management-time codes are time-based.
Data-day minimums. The device-supply component generally requires a minimum number of monitoring days in the period. Fall short and the month isn't billable.
Consent and relationship. RPM typically requires documented patient consent and an established relationship — missing consent is a clean denial.
Telehealth modifiers and place of service. Telehealth visits depend on correct place-of-service coding and modifiers that vary by payer; get them wrong and the visit doesn't pay.
What to demand from a biller
Ask how they track data-day thresholds and management time for RPM, how they keep up with telehealth's shifting payer rules, and how they confirm consent is documented. Remote monitoring is one of the few genuinely growing revenue lines in pulmonology — but only for practices whose biller treats its requirements as a discipline, not an afterthought.
Telehealth & RPM billing, answered
What codes cover remote patient monitoring?
RPM is generally reported across a small family of codes for device setup and education, the monthly device supply and data transmission, and clinician management time. The exact codes and time thresholds are specific and change, so confirm current CPT and payer rules before billing.
Is telehealth still reimbursed for pulmonology?
Telehealth coverage has evolved and varies by payer and by service, with place-of-service and modifier rules that determine payment. It remains a real revenue channel — but one where the billing rules must be kept current per payer.
What documentation does RPM require?
Typically patient consent, an established relationship, a qualifying device, a minimum number of data days in the period, and documented clinician review or management time. Missing any one of these is where RPM claims fail.
Turn monitoring into revenue
Get competitive quotes, then ask each biller how they handle RPM data-day tracking and shifting telehealth rules.
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