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Trudy Bearden PA-C, MPAS
Comagine Health
Senior Consultant and State Director, Idaho

Trudy Bearden

Mon, 08/31/2020 - 08:49 am

In reply to by Elaine Hartman (not verified)

Elaine,

Many thanks for this excellent question! No — the long-term care facility that collects the data may not bill for the seven RPM codes. In the CY 2021 Physician Fee Schedule — Proposed Rule, CMS clarifies that because the RPM codes are Evaluation and Management (E/M) codes, they can be ordered and billed only by physicians or nonphysician practitioners (NPPs) who are eligible to bill Medicare for E/M services. Feel free to contact me directly with any follow-up questions or comments at tbearden@comagine.org.