A proven benefit is under threat. Help us defend it.
The CY 2027 Physician Fee Schedule includes four provisions that would cut access to Remote Patient Monitoring for the patients who need it most. There is still time to be heard. Comments close September 14, 2026.
Remote Patient Monitoring gives clinicians a daily line of sight into patients living with chronic conditions like hypertension, heart failure, and diabetes. It is one of the most meaningful advances in preventive care in a generation.
The CY 2027 Physician Fee Schedule proposed rule (CMS-1848-P) contains four provisions that would undermine that progress. Our position is direct: hold bad actors accountable through real enforcement, and reject structural changes that punish compliant providers and their patients. CMS did not propose stronger enforcement. It proposed cuts and restrictions that fall hardest on the responsible majority.
Read what is at stake, then add your voice before September 14.
Payment would be allowed only when monitoring is performed by staff employed directly by the billing practice, cutting off the contracted partners that rural and small practices depend on. CMS authorized this exact model in 2021. Reversing it now, with no evidence that staffing structure causes improper billing, would strand patients, not stop fraud.
A required in-person visit before monitoring can begin builds a barrier in front of the homebound, rural, and frail patients the benefit exists to reach. A physician's order and documented patient consent already establish medical necessity.
A downward revaluation of the device supply codes ignores the real cost of delivering monitoring: FDA-cleared connected devices, cellular connectivity, secure logistics, and a clinical team reviewing patient data every day. Cutting payment below the cost of the service does not create efficiency. It closes programs. That is not savings. It is access by arithmetic.
Collapsing the distinct monitoring codes into a small set of bundled G-codes obscures the separate work of setup, device supply, and treatment management, destabilizes every compliant program, and forces practices to rebuild billing they spent years getting right. It addresses no documented problem.
These proposals lean on oversight work from the HHS Office of Inspector General, but a careful reading does not support them. The often-repeated figure that 43 percent of enrollees did not receive all three service components measures whether education and setup, device supply, and treatment management all appeared together in a fixed study window. It does not measure whether care was improper. Patients enroll mid-period, stabilize and discontinue, or clinically need only some components.
The same report noted that Medicare could not identify the ordering provider for many enrollees. That reflects a gap in the data fields Medicare collects on claims, not proof that no provider ordered the service. And the alarm over tenfold enrollment growth describes exactly what successful adoption of a valuable benefit looks like across an aging population. Growth is being treated as guilt.
Comments on CMS-1848-P are open through September 14, 2026, at 5:00 p.m. ET. Every comment strengthens the record.
A note on impact: CMS gives the most weight to submissions backed by specific, sourced numbers. Attach your real operating costs, labor figures, and device invoices.
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Plain-language perspective on the proposed rule and what it means for your practice.
Official coalition news and announcements.
In-depth analysis of the four provisions, the OIG data, and the real cost of delivering Remote Patient Monitoring.
These proposals are not final. A strong comment record can change them. Add your voice, and bring your data.
Take ActionSave Remote Monitoring is a coalition of providers, remote monitoring companies, and patient advocates working to protect access to Remote Patient Monitoring for the Medicare patients who depend on it.