CCM and RPM are different programs with different enrollment requirements. Eligible patients can be enrolled in both.
CCM covers care coordination outside of regular office visits. CCM can only be used for chronic conditions that place the patient at significant risk of death or decline. CCM requires a diagnosis of at least 2 conditions lasting 12 months or more.
RPM does not require a diagnosis but is used specifically for monitoring vital signs, such as blood pressure, weight, or blood sugar between office visits. RPM is often a great complement to CCM as it provides additional data for your care coordination team.
You can receive reimbursement for both RPM and CCM for the same patients, but you cannot double count your care team member’s time towards both programs.