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Description
Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) continue to evolve under updated federal reimbursement policies. The 2026 CMS final rules introduce important clarifications affecting patient eligibility, billing authority, consent requirements, documentation standards, and compliance expectations for virtual care programs.
This webinar provides a comprehensive review of CCM and RPM requirements under the Centers for Medicare & Medicaid Services (CMS), including key differences between proposed and final 2026 rule changes. Healthcare organizations offering or considering CCM and RPM services must understand these updates to maintain reimbursement integrity and reduce audit risk.
This webinar will explain CCM and RPM, and best practices such as:
- Understand the CMS Policy on CCM and RPM
- Overview of Chronic Care Management (CCM)
- Overview of Remote Patient Monitoring (RPM)
- CMS regulatory framework
- 2026 proposed vs final rule changes
- Impact on virtual care reimbursement
- Patient Eligibility Requirements for CCM and RPM
- CCM qualifying chronic conditions
- RPM patient qualification criteria
- Established patient requirements
- Documentation expectations
- CCM and RPM Billing Requirements in 2026
- CPT codes and billing frequency
- Time thresholds
- Supervision requirements
- Incident-to considerations
- Reimbursement updates under the 2026 CMS final rule
- Who Can and Cannot Bill for CCM and RPM
- Physicians
- Nurse Practitioners
- Clinical staff under supervision
- Restrictions on billing overlap
- Shared billing limitations
- Consent and Documentation Requirements
- Verbal vs written consent
- Documentation of consent
- Compliance safeguards
- Audit considerations
- Comprehensive Care Plan Requirements for CCM
- Required elements
- Patient-centered goals
- Medication management
- Care coordination standards
- 2026 CMS Final Rule – A Game Changer for RPM
- Clarifications affecting device supply
- Monitoring data collection standards
- Operational and compliance risks
- Revenue integrity considerations
- Best Practices for CCM and RPM Compliance
- Internal audit processes
- Billing documentation safeguards
- Avoiding duplicate billing
- Technology integration compliance
- Risk mitigation strategies
- 2026 CMS Proposed vs Final changes to some virtual programs
Learning Objectives
- Explain the CCM and RPM program requirements under CMS regulations
- Identify the 2026 proposed vs final CMS rule changes impacting virtual care
- Apply billing and documentation standards correctly
- Implement compliant and financially sustainable CCM/RPM programs.
Who Should Attend
This program is ideal for:
- Physicians and medical directors
- Nurses and Nurse Practitioners
- Population Health Officers
- Innovation and digital health leaders
- Chief Nursing Officers (CNO) and Chief Medical Officers (CMO)
- Revenue cycle professionals and billers
- Healthcare organizations implementing Chronic Care Management or Remote Patient Monitoring programs
Speaker
Dr. Koyfman is a Nurse Practitioner and a Doctor of Nursing Practice with 25 years of nursing and 15 years of executive experience. Dr. Koyfman is a Subject Matter Expert in Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Care Coordination, making her a frequent presenter at multiple conferences. Dr. Koyfman is a dedicated and enthusiastic clinician with an entrepreneurial drive. She has a history of establishing 4 successful healthcare ventures, where she drove significant operational growth (up to 1,000%), built successful teams with high retention rates, and improved patient satisfaction and patient outcomes. As a founder of Affinity Expert, a healthcare consulting company, she has been consulting primary care providers on all aspects of CCM and its successful clinical, operational, and financial implementation. She has created a growing community of clinicians through her CCM/RPM groups on Facebook and LinkedIn where she provides free information and education to providers. She loves to give back and volunteers on multiple boards along with hands-on volunteer work.