Operational guidance and analysis for APCM, RPM, RTM, and value-based care execution.
RPM brings physiologic readings into treatment decisions. CCM coordinates care across multiple chronic conditions. Compare patient fit, Medicare requirements, and billing both without double-counting time.
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A denied claim arrives after your team has already done the work. Use three connected checks to catch avoidable enrollment and payment problems earlier.
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The costs of RPM, APCM, and CCM exist whether you outsource or run the program yourself. FairPath helps reduce wasted clinician time, manual work, and payment rework.
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FairPath helps practices using Tebra/Kareo reduce duplicate documentation work, connect care-management workflows, and save time on RPM, CCM, APCM, billing, and report follow-up.
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OIG's new CCM audit focus shows why practices and pharmacy partners need pre-claim intelligence that connects eligibility, care plans, evidence, overlap checks, and billing readiness before claims go out.
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For years, Physician Fee Schedule (PFS) rates were set using data from office-based practices. Starting in 2026, CMS will now use auditable cost data from Hospital Outpatient Departments (OPPS) to set the rates for some PFS technical services, explicitly in...
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CMS has fused APCM eligibility, practitioner attribution, and continuity into a single monthly operating system. Billing without that coherence now creates denial and audit exposure. If you are treating these as three separate checkboxes, you are already be...
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CMS permanently adopted virtual direct supervision for services furnished after December 31, 2025. That sounds like a green light for remote care management, but it is narrower than most practices think. It changes where the supervisor can be, not what can...
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If your RPM, CCM, or RTM vendor is charging a percentage of collections, you may have a federal fraud-and-abuse problem that neither of you is talking about. It is the most common vendor pricing model in remote care, and it is structurally the hardest to de...
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Independent pharmacies are being told they need to "diversify revenue." The default answer from industry consultants is telepharmacy - remote dispensing to underserved areas. That is a real business, but it is not the same business as clinical services re...
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Eating disorders are not just a behavioral health problem. They are a chronic medical condition that requires ongoing primary care coordination, medical monitoring, medication review, nutrition support, family communication, and escalation planning. If your...
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The CMS 2026 Physician Fee Schedule updates reshape how remote care coordination can be staffed, supervised, and reimbursed. Here’s what changed and how to operationalize it.
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If your practice adopted APCM by shutting down RPM and RTM programs, you left money on the table. If you're running all three programs separately, you're burning cash on duplicate documentation and exposing yourself to compliance risk.
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On January 1, CMS introduced a brand-new benefit called Advanced Primary Care Management (APCM), a monthly payment designed to roll up the core elements of care coordination under a single code. For primary care leaders, this changes the landscape in profound ways. APCM overlaps…
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