CMS Changes to Remote Patient Monitoring Will Effectively End RPM for Medicare Patients

The 2027 Physician Fee Schedule Proposed Rule has proposed three changes to Remote Patient Monitoring (RPM) that arrive together. Clinical staff furnishing monitoring would have to be direct employees of the billing practice. A separately billed face to face visit would be required before monitoring can begin. And reimbursements for device supply would be crosswalked to the self-measured blood pressure codes.

Together, these provisions raise what it costs to run a remote monitoring program for all healthcare organizations, but especially small, rural and independent practices.

What the analysis covers

• A code by code comparison of 2026 national average reimbursements against their proposed values
• ChartSpan's per-patient, per-month device cost data
• What the initiating visit and new staffing requirement would cost
• What the loss of monitoring would mean for the vulnerable patients who use it
• How to submit a comment before the September 14, 2026 deadline