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RPM Eligibility Checker

Check whether a patient's monitoring scenario commonly aligns with Medicare's Remote Patient Monitoring requirements. This is an educational screening check, not a diagnosis or a billing determination.

What this checks:

Common Medicare RPM considerations, based on our Medicare RPM Eligibility guide. Final eligibility and billing decisions must always be made by the treating provider.

Do not enter protected health information (PHI). This tool asks only general yes/no questions — never a patient name, date of birth, Medicare number, address, or specific diagnosis detail.

Based on the information entered, this scenario may align with common Medicare RPM requirements. Final eligibility and billing decisions should be verified against current CMS and payer requirements.

Where these questions come from

These questions summarize Medicare's published Remote Patient Monitoring requirements: a condition requiring monitoring, provider-determined medical necessity, an FDA-defined connected device, electronic data collection and transmission, treatment-management activity, and patient consent. See our Medicare RPM Eligibility guide and the RPM Revenue Calculator to estimate program revenue.

Source: CMS Telehealth & Remote Monitoring MLN Booklet (MLN901705, December 2025) and CMS Remote Patient Monitoring coverage page. Source last checked September 30, 2026. This tool is for educational and planning purposes only and does not constitute legal, coding, billing, financial, or medical advice.

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