Providers Form Coalition to Challenge CMS Remote Monitoring Proposals

The coalition, led by Greenville-based ChartSpan, explicitly rejects four specific provisions within the CMS-1848-P proposal. Chief among their concerns is a new staffing restriction that would limit payment for remote monitoring services to clinical staff directly employed by the billing practice. Critics contend this reversal of the 2021 Physician Fee Schedule ignores the reality of small, understaffed rural clinics that rely on third-party contractors to provide necessary patient oversight.

Beyond staffing, the coalition opposes a mandatory face-to-face initiating visit, which they claim creates an unnecessary barrier for mobility-limited patients. They also object to the downward revaluation of device supply codes and the bundling of distinct service codes into singular G-codes. According to the coalition, these structural changes fail to address fraudulent billing practices and instead penalize compliant providers. They argue that the agency should pivot toward direct enforcement against bad actors, rather than imposing broad financial restrictions that threaten the viability of remote monitoring programs nationwide. Stakeholders have until September 14, 2026, to submit formal comments on the proposed rule through the federal regulatory portal.