Is the 16-Day RPM Rule No Longer a Revenue Barrier for OBGYNs?

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The 16-day RPM rule is becoming less of a revenue barrier for OBGYNs due to regulatory clarifications, improved device compliance, and better billing workflows. Previously, the requirement that remote patient monitoring (RPM) devices collect data for at least 16 days per 30-day period limited reimbursement opportunities. For OBGYN practices managing pregnancy-related monitoring and chronic maternal conditions, this rule often restricted consistent RPM reimbursement . Recent operational adjustments and clearer CMS guidance are changing how practices approach RPM billing for OBGYNs . What Is the 16-Day RPM Rule? The 16-day RPM rule requires that patient monitoring devices record and transmit data for at least 16 days within 30 days to qualify for monthly RPM reimbursement. This rule was designed to ensure consistent patient engagement, but it created challenges in: Short-term pregnancy monitoring Intermittent blood pressure tracking Gestational diabetes management Post...
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Initial Step in Behavioral Health Billing Process

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Initial Step in Behavioral Health Billing Process

Medical Billing itself is a complicated process. However, medical billing for Behavioral health is a whole new level of complexity. We make the Behavioral Health Billing Process smoother and more efficient to get paid faster. Behavioral Health billing comes with its own set of unique and complex challenges. Between the types of services offered, unbundling concerns, pre-authorization, and the number of staff and their time availability, behavioral health facilities are often at a disadvantage compared to other health professionals.

By ensuring that the process for Behavioral Health Billing is running error-free you can spend more time and energy focusing on what truly matters – you can focus on your patients.

Why is Behavioral Health Billing So Difficult and Complex?

Medical billing for behavioral health services is more complex than other areas of healthcare of the types of services, scope, time, and restraints placed on behavioral treatments. For an instance, if someone visits a behavioral specialist, one must likely undergo a standard series of tests. This typically includes information like the patient’s height and weight, checking blood pressure, listening to the patient’s heart, and a few other tests if required.

Get A Free RCM Audit For Your Behavioral Health Billing Practice

These tests and exams are standardized across all patients, require some amount of time, and slightly differ from patient to patient. In the same way, when providers bill these routine check-ups to healthcare payers, the billing is standardized and repetitive and is often bundled into one overall charge.

However, the very unpredictable and varied nature of behavioral health treatment does not allow the luxury of convenient medical billing to those who practice it. This treatment is much different than other practices. Behavioral health practices include session length, the therapeutic approach, and the location in which services are rendered – all contribute to the complex nature of behavioral health medical billing.

To know more about the Initial Step in Behavioral Health Billing Process click here: https://bit.ly/3CAJErt Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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