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Mastering RPM Billing: CPT Codes, CMS Rules, and Audit-Proof Documentation
Healthcare
Recorded Webinar
 60Minutes
All Days
Keisha Wilson

Keisha Wilson

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Description

Remote Patient Monitoring (RPM) has become one of the fastest-growing service lines in healthcare — and one of the most heavily scrutinized by Medicare, OIG, and commercial payers. As reimbursement opportunities expand, so do the audit risks tied to incorrect code selection, insufficient documentation, missing patient consent, and failure to meet the 16-day data collection threshold.

This 60-minute session, led by industry expert Keisha Wilson, takes a practical, code-by-code walk through the complete RPM CPT family (99453, 99454, 99457, 99458, and 99091). Attendees will learn how to apply CMS coverage rules correctly, distinguish RPM from Remote Therapeutic Monitoring (RTM), and build documentation that holds up under audit scrutiny.

Drawing on real audit findings and current enforcement trends, Keisha will highlight the most common RPM billing mistakes — from improper time tracking to consent gaps and stacking errors — and share actionable strategies to correct them. You’ll leave with a clear compliance roadmap, ready-to-use documentation checkpoints, and the confidence to defend your RPM claims against payer scrutiny while maximizing legitimate reimbursement.

After this webinar attendees will be able to answer-

  • Which CPT codes (99453, 99454, 99457, 99458, 99091) apply to Remote Patient Monitoring services and how should they be reported?
  • What are the CMS coverage requirements, including the 16-day data collection rule and patient consent obligations?
  • How is RPM different from Remote Therapeutic Monitoring (RTM), and when should each set of codes be used?
  • What documentation elements are required to support medical necessity and survive a payer audit?
  • Which RPM billing practices are triggering OIG, CMS, and commercial payer audits in 2026?
  • How can practices identify and correct common RPM coding and billing errors before they lead to recoupments?
  • What internal controls and compliance safeguards should be in place to mitigate audit risk?
  • How should time-based RPM services be tracked and documented to meet the 20-minute monthly threshold?

This webinar benefits the following agencies-

  • Physician practices and multi-specialty group practices offering RPM services
  • Cardiology, endocrinology, pulmonology, and primary care clinics managing chronic conditions
  • Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs)
  • Accountable Care Organizations (ACOs) and value-based care entities
  • Hospital outpatient departments and integrated delivery networks
  • Telehealth and digital health vendors offering RPM platforms
  • Home health agencies and chronic care management providers
  • Third-party billing companies, MSOs, and revenue cycle service providers
  • Medicare Advantage plans and managed care organizations performing internal audits

Who should attend?

  • Medical Coders and Certified Professional Coders (CPCs)
  • Medical Billers and Billing Managers
  • Compliance Officers, Compliance Analysts, and Compliance Managers
  • Medical Auditors and Risk Adjustment Auditors (CPMAs, CRCs)
  • Practice Managers and Office Administrators
  • Revenue Cycle Managers and Reimbursement Specialists
  • Physicians, Nurse Practitioners, and Physician Assistants billing RPM services
  • Clinical Documentation Improvement (CDI) Specialists
  • Healthcare Attorneys and Regulatory Consultants
  • Chief Financial Officers and Practice Owners overseeing RPM programs
  • Telehealth Coordinators and Care Management Staff
Keisha Wilson

Keisha Wilson

Keisha Wilson, CCS, CPC, CPCO, CPMA, CRC, CPB, AAPC Approved Instructor, the founder/ CEO of KW Advanced Consulting, is a seasoned professional with over 20+ years of experience in the healthcare field. Her career in large teaching hospitals and acute ambulatory care systems includes roles such as an outpatient coding specialist, clinical documentation improvement (CDI) specialist, compliance operations coding and billing manager, interim compliance director, and consultant to various coding companies. Her extensive experience is a testament to her leadership and deep understanding of the industry....