On September 24, 2024, the HHS OIG released a report illustrating the need for improved oversight of remote patient monitoring in Medicare.
A report by the HHS OIG reveals a massive surge in remote patient monitoring between 2019 and 2022. There was a tenfold increase in users and payments jumping from $15 million to over $300 million. The spike signals the growing potential of RPM to manage chronic conditions and the challenges in its oversight. Several issues were flagged concerning the fraud risks, misuse of Medicare billing processes, and the concern of equitable health technologies available to black enrollees eligible for both Medicare and Medicaid.
The OIG identifies these issues as red flags and recommends improved safeguards and more transparent billing practices to strengthen oversight and avoid potential fraud. While CMS has committed to reviewing and considering these recommendations, the rapid growth of RPM demands urgent attention to prevent financial abuse.
The OIG provided, “Taken together, our findings demonstrate the need for additional oversight to ensure that remote patient monitoring is being used and billed appropriately.”
While remote patient monitoring allows for improved management of chronic conditions, the gaps in implementation suggest providers might face increased scrutiny and pressure to ensure its proper use. The statistics from the report indicate a need for clearer billing practices, better provider education, and stricter safeguards to prevent misuse and fraud. As demand for remote patient monitoring grows, providers must adapt quickly to meet compliance standards while delivering effective care.
Related: HIPAA Compliant Email: The Definitive Guide
The HHS OIG is a federal agency that oversees and audits healthcare programs to prevent fraud.
HIPAA is a law that protects the privacy and security of patients' medical information.
Patient information can be protected during remote monitoring by using secure devices and software.