Remote Patient Monitoring (RPM) Fraud

Remote patient monitoring (RPM) is the ability for health care providers to monitor certain parts of a person’s health from their home. Providers collect and analyze different physiologic data (like heart rate, blood glucose, breathing rate, etc.) and then use it to make and oversee a person’s treatment plan. RPM can be good for people with short- and long-term conditions because it can cut down on travel costs and reduce the risk of getting an infection or illness.

Report potential remote patient monitoring (RPM) fraud, errors, or abuse if:

• You see charges on your Medicare statements for remote physiologic monitoring or remote therapeutic monitoring services:
  • You didn’t need
  • You didn’t get
  • You didn't agree to
  • That were from a provider you do not know
• You are offered a “free” device that tracks your daily steps, like a smartwatch, in exchange for your Medicare number or other personal information.
• You are told RPM services are free to Medicare beneficiaries and then RPM services are billed to Medicare.
• Your doctor’s office calls to ask how you are doing. Later, you notice they billed the phone call to Medicare as an RPM service.

To learn how to read your Medicare Summary Notice (MSN) or Explanation of Benefits (EOB), click here.

Report Suspected Fraud

To report suspected fraud, click here.