Remote Patient Monitoring (RPM) & Chronic Care Management (CCM): CMS Updates and Best Practices

As CMS continues to expand care management programs, including updates to coding and the introduction of new concepts, Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) have become integral components of modern healthcare. When combined, CCM and RPM provide enhanced value to patients while improving clinical outcomes and practice revenue. However, with more vendors entering the space offering software solutions, clinical teams, and billing services, providers must carefully evaluate their partners. Billing remains under the provider’s NPI, making them accountable for vendor compliance and performance.

This webinar provides a comprehensive guide to implementing effective, compliant, and efficient CCM and RPM programs. Participants will learn how to navigate CMS requirements, apply best practices, and structure programs to maximize patient engagement, quality outcomes, and reimbursement while minimizing risk.

Learning Objectives

• Describe the key components of CCM and RPM programs.

• Summarize the evaluation plan required for effective program implementation.

• Identify essential elements for a successful Implementation Plan.

• Understand CMS requirements for Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Principal Care Management (PCM).

• Examine the scope of services needed to bill Medicare for CCM, RPM, and PCM.

• Recognize how CCM and RPM can close care gaps and engage patients.

• Evaluate the financial and quality implications of incorporating CCM and RPM into your practice.

Areas Covered in the Session

• CMS policies and updates for RPM, CCM, and PCM

• Patient eligibility and qualification requirements

• Billing requirements and compliance considerations

• Determining who can bill and who can provide CCM services

• Consent requirements and documentation standards

• Developing comprehensive care plans

• Evaluation planning and patient population identification

• In-house versus outsourced program models: pros and cons

• Software versus EMR integration strategies

• Implementation planning and workflow optimization

Suggested Attendees

• Healthcare Administrators

• Physicians, Nurses, Nurse Practitioners, and Doctors

• Population Health Officers and Innovation Officers

• Chief Nursing Officers (CNO) and Chief Medical Officers (CMO)

• Billers, Coding Professionals, and Practice Managers

• Primary Care Providers (MD, NP, PA)

• Specialists (MD, NP, PA)

• Nurse Managers and Clinical Leaders

• C-Suite Healthcare Executives

About the Presenter

Dr. Irina Koyfman, DNP, NP-C, RN

Dr. Irina Koyfman is a Nurse Practitioner and Doctor of Nursing Practice with 25 years of clinical experience and 15 years of executive leadership in healthcare. She is a recognized expert in Patient-Centered Medical Home (PCMH), Home Health, Transitional Care, Community Health, Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Care Coordination.

As the founder of Affinity Expert, Dr. Koyfman has guided primary care providers in successfully implementing CCM and RPM programs, optimizing clinical, operational, and financial performance. She has launched four healthcare ventures, achieving significant operational growth, high team retention, and improved patient satisfaction. A frequent national conference speaker and Subject Matter Expert in CCM and RPM, Dr. Koyfman also engages the clinical community through her social media groups on Facebook and LinkedIn, providing free education and resources. She remains committed to giving back through board service and hands-on volunteer work, furthering her mission to enhance patient care and provider compliance.