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The CY 2027 MPFS Proposed Rule is here: What’s at Stake for RPM, RTM, and Care Management?
The CY 2027 Physician Fee Schedule (PFS) proposed rule represents the most significant shift to remote monitoring since its inception. CMS proposes to dismantle the third-party clinical staffing model by mandating direct employment for RPM and RTM billing, introducing mandatory initiating visits, and slashing code valuations. Discover how these regulatory shifts affect your digital health operations and how to submit public comments before the September 14, 2026, deadline.
What Does the CY 2027 Medicare Physician Fee Schedule Proposed Rule Mean for Digital Health Companies?
CMS's 2027 Medicare Physician Fee Schedule proposed rule introduces sweeping changes for digital health, telehealth platforms, AI-enabled care, remote patient monitoring (RPM), remote therapeutic monitoring (RTM), software-based medical services, interoperability, and physician reimbursement. This comprehensive analysis explains the proposed BB/BC telehealth modifiers, the potential end of third-party RPM staffing models, CMS's new Software as a Medical Service (SaMS) framework, AI-focused requests for information, and the opportunities for digital health companies to influence the final rule before comments close on September 14, 2026.