RPM Manual
The practical 2026 guide to device rules, day thresholds, management time, and audit defensibility for Remote Patient Monitoring.
Read the RPM Guide →FairPath Resources Library
A curated reference library for RPM, APCM, CCM, RTM, and payer policy.
Built for practice owners, RCM leaders, and clinical operations teams.
Trending & Urgent
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Urgent Update
UHC Postpones RPM Rollback
Official PDFs still show Jan 1, but the policy is delayed. Here is the strategy.
The "Block Gapping" Risk
Why pausing billing cycles creates gaps that auditors target.
Reviewing RPM Data (No Spreadsheets)
Block "Ghost Minutes" and automate the CPT 99457 timer.
Tools & Calculators
Interactive
Popular
The Vendor P&L Analyzer
Model true net profit, device costs, staffing, and splits to sanity-check any rev-share RPM arrangement.
Analyze Profit
Compliance Signal Scanner
Generate a confidential RPM Fraud Risk report based on the same OIG fraud red-flag signals auditors already monitor.
Scan Risks
APCM Revenue Calculator
Estimate stable, predictable monthly revenue under Advanced Primary Care Management.
Calculate Revenue
Core Program Guides
Definitive ManualsThe 2026 RPM Manual
Codes 99453, 99454, 99457
The APCM Playbook
Codes G0556 - G0558
CCM Billing Guide
Codes 99490, 99491
RTM for Specialists
Codes 98975, 98977
RTM Briefs
Coding Guidance
RTM vs. RPM: The Difference
Physiological vs. Therapeutic data signals explained.
RPM Device Supply & Coding
Integrity & 99454The “Block Stretching” Trap (99454)
Why extending billing windows to “reach 16 days” misstates the billed unit and creates denial risk.
The “Block Gapping” Risk (99454)
How pausing cycles until adherence returns can resemble period manipulation and create audit exposure.
2026 RPM Coding Changes
Authoritative breakdown of the new 2–15 day and 10–19 minute rules--and how to automate them safely.
The 2026 RTM Update & 2–15 Day Codes
How RTM supply/time windows change, plus therapy modifiers and assistant rules.
Anthem CG-MED-91: 2026 Short-Cycle RPM/RTM Codes
Anthem’s 12/18/2025 guideline update adds 2–15 day and 10-minute codes, forcing new eligibility and documentation logic.
RPM and RTM After 2026: Shorter Thresholds, Same Burden
Why attribution and evidence controls still matter despite shorter thresholds.
APCM & Care Management
2026 ReadinessAPCM Bundle Rules: When CCM/PCM Must Stay Off the Claim
Once-per-month APCM logic and bundled services you cannot stack.
APCM Eligibility, Attribution, and Continuity
Why CMS treats eligibility and continuity as one monthly system.
APCM Readiness Checklist (2026)
One-page operational checklist covering BH add-ons and guardrails.
APCM Behavioral Health Add-On Rule (2026)
Why G0568/G0569/G0570 must be billed by the same practitioner in the same month as APCM.
Build APCM + BH + RPM on One Operational Spine
Blueprint the monthly APCM spine and integrate BH add-ons and RPM/RTM.
Essential Strategy
2026 Revenue & Compliance Survival Guide
How APCM, behavioral-health add-ons, and RPM/RTM fit together in 2026.
FairPath Feature Series
Platform Demos
Building an Audit-Ready Care Plan
Constructing a multi-condition protocol in 90 seconds.
Amy: AI Assistant Triage & Support
Using agentic AI to solve device issues and filter alerts.
Audit & Guardrails
OIG & MUETop 5 OIG Red Flags for RPM
The most common oversight triggers--from stacking to missing evidence.
OIG 2026 RPM Audit Prep
Understand the oversight cycle and defensive workflows before fieldwork starts.
CMS 2026 Q1 MUE Guide
What changed in the Jan 1 tables and how MAI drives denials.
Virtual Direct Supervision
Documenting immediate availability under permanent A/V rules.
RHC/FQHC Billing 2026
Replacing wrapper codes with component evidence.
The "Block Stretching" Trick
How extending billing cycles dilutes your annual revenue.
Enrollment Velocity Risk
Why adding 500 patients in one month triggers an audit.
The "Vendor Trap"
Why indemnification clauses don't stop the OIG.
Payer Volatility & Policy
Coverage & EconomicsUHC Just Cut RPM. Here's How to Protect Your Practice.
Strategy when a major payer narrows RPM indications.
UHC Postpones RPM Rollback, But PDFs Still Show Jan 1
Operational guidance for the mismatch between delay communications and written policy.
Insurers Rolling Back RPM Coverage in 2026
Eligibility and documentation playbook for narrowing coverage.
ACCESS + TEMPO Guide
Operationalizing enrollment and device posture.
Billing RPM Under Capitation
Fixing CO-24 denials and bundle logic.
Why OPPS Creates RPM Risk
How OPPS data influences rates and volatility.
2026 PFS Final Rule: Full Breakdown
APCM, BHI add-ons, RPM/RTM implications, and operational automation steps.
Why the 2025–26 Rule Changes End the RPM Vendor Era
How APCM reshapes economics and why vendor splits erode margin.
Operations & Vendor Exit
PlaybooksVendor Exit Blueprint: 3 Steps to Take Your Data Back
Migrating patient data while keeping your program defensible.
From Minutes to Ownership (2026)
How CMS is re-weighting care management around attribution integrity.
Case Studies
See how practices use FairPath to automate compliance, tighten documentation, and build durable remote-care operations.
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