The Rules Have Changed. Bill RPM with Confidence in 2026 and Stay Compliant.
A practical billing guide for physicians, practice managers, and billing teams navigating Remote Physiologic Monitoring CPT codes, documentation, and Medicare requirements.
RPM can be highly reimbursable — but only when billed correctly. With new RPM codes, time thresholds, and date-of-service rules in 2026, even experienced practices are seeing denials, underbilling, or compliance risk. This guide breaks down exactly how RPM billing works today and what clinics must do to bill with confidence.
New Billing Guide for Physicians: Unlock the Full Revenue Potential of RPM
We’re excited to offer our comprehensive "RPM Billing Guide"—designed specifically for healthcare providers and available free for a limited time. RPM billing mistakes are rarely intentional — but they are expensive. Incorrect time tracking, improper Date of Service selection, or misunderstanding new RPM codes can lead to denied claims, recoupments, or lost revenue. This guide was created to help practices avoid those pitfalls by explaining how RPM billing actually works in day-to-day operations.
This billing guide explains how RPM services should be billed under current CMS and AMA guidance, including new 2026 code changes. It is written for real-world use by clinics that want clarity — not theory — around RPM billing, documentation, and payer expectations..
What You’ll Learn:
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The Revenue Opportunity You’re Likely Missing
Discover why less than 1% of providers were billing Medicare for RPM in 2021—and how that’s changing fast in 2026. -
Billing RPM the Right Way (and Getting Paid for It)
Understand Medicare’s CPT codes (99453, 99454, 99457, 99458, 99470 and 99445) the billing structures, and common compliance pitfalls to avoid. -
Place-of-Service rules that commonly cause billing errors and what documentation must be retained for audits and payer reviews.
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Medicare, Medicare Advantage, commercial, and Medicaid billing considerations.
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Which RPM CPT codes apply in 2026 and how they differ by service period and how to correctly bill 30-day codes vs calendar-month codes.
About The Author
Don Self, CMCS, CPC, CEMCS, CASA, is a healthcare reimbursement specialist and consultant with over 30 years of experience in medical billing, coding, and practice management. Known for his expertise in Medicare compliance and revenue optimization, he provides training and consulting services to healthcare providers across the U.S. Don specializes in maximizing reimbursement through accurate coding, including CPT, ICD-10, and HCPCS codes, and frequently speaks at national conferences on topics related to medical billing, chronic care management, and value-based care. He is also the founder of Don Self & Associates, a consulting firm dedicated to helping practices improve their financial performance and navigate complex reimbursement challenges.
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RPM Billing Guide - Your Roadmap to Bill with Confidence and Stay Compliant!
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