Updated April 10, 2025
The 2025 CMS Fee Schedule, finalized by the Centers for Medicare & Medicaid Services (CMS) on November 1, 2024, introduces updates that empower healthcare providers to leverage Remote Patient Monitoring (RPM) for better patient care. These changes are particularly impactful for health system leaders, ACO decision-makers, clinicians, practice managers, and specialty groups in fields like cardiology, nephrology, endocrinology, and bariatric care. At HealthSnap, we’re proud to partner with over 150 healthcare organizations—including health systems, ACOs, provider groups, FQHCs, and specialty practices—to support more than 100,000 patients across 33 states. Here’s how the 2025 CMS Fee Schedule updates enhance RPM, improve patient outcomes, and reduce emergency department (ED) visits, and why they matter for your organization.
1. Expanded RPM Reimbursement for Chronic Disease Management
The 2025 CMS Fee Schedule continues to support RPM reimbursement through established CPT codes, enabling providers to deliver continuous care for patients with chronic conditions. A key update includes the introduction of new Advanced Primary Care Management (APCM) codes (HCPCS G-codes), which bundle services like Chronic Care Management (CCM) and Principal Care Management into a comprehensive care model. These codes are stratified by patient complexity, reflecting both medical and social factors, and aim to reduce administrative burden while improving care coordination CMS, 2024.
For cardiology practices, RPM is helping patients with conditions like hypertension and chronic heart failure achieve better control of their health, reducing their risk of serious complications. Our 2025 Cardiology Clinical Outcomes Report highlights these improvements, showing how RPM leads to fewer ED visits and a better quality of life for cardiology patients. Beyond cardiology, HealthSnap works with nephrology, endocrinology, and bariatric specialty groups, helping patients manage conditions like kidney disease, diabetes, and obesity-related challenges. For health system quality officers and ACO clinical leads, this means improved outcomes, fewer emergencies, and better quality metrics for your organization.
2. Telehealth Flexibilities Support RPM Access
The 2025 CMS Fee Schedule extends several telehealth flexibilities through September 30, 2025, following recent legislation. These include allowing Medicare patients to receive non-behavioral telehealth services in their homes without geographic restrictions and permitting Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to bill for telehealth services as distant site providers. Additionally, CMS has permanently included audio-only communication for telehealth services when patients are unable or unwilling to use video technology, ensuring broader access CMS, 2024.
These updates make RPM more accessible for patients in rural or underserved areas—a key benefit for FQHCs and health systems focused on health equity. For example, endocrinology practices can use RPM to monitor diabetic patients’ glucose levels remotely, while bariatric practices can track patients’ progress and intervene early to prevent setbacks. For provider group IT managers and clinical directors, HealthSnap’s platform—with over 80 EHR integrations and HITRUST certification—ensures seamless implementation of RPM within these telehealth frameworks.
3. New Cardiovascular Risk Management Services Enhance RPM Impact
The 2025 CMS Fee Schedule introduces coding and payment for Atherosclerotic Cardiovascular Disease (ASCVD) risk assessment and risk management services, following the success of the CMS Innovation Center’s Million Hearts® Model. These services, performed in conjunction with an E/M visit, allow providers to identify and manage patients at risk for cardiovascular disease (CVD) who do not yet have a diagnosis, with the goal of reducing heart attacks and strokes CMS, 2024.
This update is particularly relevant for cardiology practices, where RPM can play a critical role in monitoring at-risk patients and preventing adverse events. For health system execs and ACO decision-makers, these new services create opportunities to improve outcomes while generating additional revenue through RPM reimbursement. HealthSnap’s programs, supported by over 400 Licensed Nurse Practitioners (LNPs), help you maximize these opportunities, acting as an extension of your team to reduce workload for clinicians and practice managers.
4. Expanded Preventive Services Support RPM Adoption
The 2025 CMS Fee Schedule expands coverage for preventive services, including hepatitis B vaccinations for individuals who have not completed the series or whose vaccination history is unknown. It also allows payment for the O/O E/M visit complexity add-on code (HCPCS G2211) when reported on the same day as an annual wellness visit (AWV) or other Medicare Part B preventive services, enhancing reimbursement for comprehensive care CMS, 2024.
These updates encourage providers to integrate RPM into preventive care strategies, ensuring patients receive consistent monitoring and support. For example, patients in nephrology practices can benefit from RPM to manage kidney disease progression, while those in bariatric programs can receive ongoing support for weight management. For clinicians and health system quality teams, this increased engagement leads to better adherence to care plans and fewer emergencies, helping you meet your quality goals.
5. RPM Data Insights Drive Outcome Improvements
The 2025 CMS Fee Schedule supports RPM by ensuring providers can bill for the time and resources spent turning patient data into actionable insights. HealthSnap’s platform helps clinicians, health system quality officers, and ACO clinical leads make sense of this data, providing clear visualizations and actionable recommendations. This means you can quickly identify trends, intervene early, and tailor care plans to each patient’s needs—whether they’re managing heart disease in a cardiology practice, diabetes in an endocrinology clinic, or weight-related issues in a bariatric program.
For example, RPM helps patients with chronic conditions achieve better control of their health, reducing their risk of serious issues. This proactive approach leads to fewer ED visits, saving time and resources for your organization while improving patient lives. Across specialties, from nephrology to bariatric care, HealthSnap’s data-driven insights—supported by reimbursable services—empower care teams to deliver better outcomes.
Why HealthSnap Is Your Partner for RPM Success in 2025
HealthSnap is committed to improving chronic disease management for health systems, ACOs, provider groups, FQHCs, and specialty groups like cardiology, nephrology, endocrinology, and bariatric practices. Our patient-centered approach ensures that care is both effective and compassionate, as one Prisma Health patient shared: “HealthSnap’s calm guidance and check-ins make me feel safe and supported, helping me manage my health without fear.” Across our programs, patients report feeling more confident, with many adopting healthier habits that enhance their well-being.
For healthcare leaders, our programs deliver measurable results: better patient outcomes, fewer ED visits, and new revenue opportunities through RPM reimbursement.
Ready to see how RPM can improve care for your organization? Schedule a free demo with our team to learn how HealthSnap can support your health system, ACO, provider group, or specialty practice.
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