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Payments for remote physiologic monitoring (RPM) services have skyrocketed under Medicare, surpassing $535 million in 2024. That's up from just $15 million five years earlier. As services spike, the HHS Office of Inspector General (OIG) is sending out a warning: we're keeping an eye on you.
 
 
 
You'll find five additions to the telehealth-eligible list of codes for CY 2026, along with a lone deletion. CMS published the updated telehealth services list as a supplementary file to the proposed 2026 Medicare physician fee schedule.
 
 
Professional Part B Medicare fees are on the upswing overall, but site of service will be a huge factor in reimbursement in 2026. The proposed 2026 Medicare physician fee schedule, released today, boosts the Part B conversion factor for CY 2026, adds billing opportunities for behavioral health services, previews new codes and updates the agency's quality reporting programs.
 
CMS also signaled other notable priorities, including significant changes to the way the agency calculates rate-setting on a per-code basis, a new payment model called the Ambulatory Specialty Model (ASM) that's focused on the treatment of heart failure and lower back pain, telehealth flexibilities and more.
 
 
Start training your staff on the diagnosis code changes that will go into effect Oct. 1. CMS will adopt the ICD-10-CM additions, revisions and deletions that it previewed in April.
 
 
When CMS released a list of 63 preventive service codes that could be reported with an E/M service and complexity care add-on code G2211 in CMS 100-20, Change Request 13705, people discovered several services were missing. A new change request updates the list.
 

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