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Showing posts with the label 16-Day RPM Rule

Is Your Global Maternity Billing Capturing Every Reimbursable Service?

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Global maternity billing can make OB-GYN reimbursement look simpler than it actually is. A practice may bill a global maternity package and assume that most pregnancy-related services are automatically covered under one payment. But global maternity billing has specific rules about what is included, what may be separately reportable, and what requires careful documentation. That creates an important revenue-cycle question: Is your practice capturing every service that is actually reimbursable, while correctly keeping bundled services inside the global package? The answer requires more than checking whether the global maternity claim was accepted. It requires reviewing the entire pregnancy episode, including antepartum services, delivery, postpartum care, additional procedures, high-risk services, diagnostics, payer requirements, and documentation. What Does Global Maternity Billing Actually Include? Global obstetric codes can cover a broad package of services. For example, total obstet...

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...