FairPath + Tebra: Less Manual Work for Care-Management Teams
FairPath helps practices using Tebra/Kareo reduce duplicate documentation work, connect care-management workflows, and save time on RPM, CCM, APCM, billing, and report follow-up.
Read MoreFairPath Insights
Blog
Operational guidance and analysis for APCM, RPM, RTM, and value-based care execution.
Filtering by tag: Ccm
Clear
CCM Compliance Is Becoming an Analytics Problem
OIG's new CCM audit focus shows why practices and pharmacy partners need pre-claim intelligence that connects eligibility, care plans, evidence, overlap checks, and billing readiness before claims go out.
Read More
CMS Just Tied RPM Rates to Hospital Data. Here's Why That Creates New Risk for Your Practice.
For years, Physician Fee Schedule (PFS) rates were set using data from office-based practices. Starting in 2026, CMS will now use auditable cost data from Hospital Outpatient Departments (OPPS) to set the rates for some PFS technical services, explicitly in...
Read More
APCM Eligibility, Attribution, and Continuity: Why CMS Now Treats Them as One System
CMS has fused APCM eligibility, practitioner attribution, and continuity into a single monthly operating system. Billing without that coherence now creates denial and audit exposure. If you are treating these as three separate checkboxes, you are already be...
Read More
Virtual Direct Supervision in Medicare 2026: What It Enables - and What It Does Not
CMS permanently adopted virtual direct supervision for services furnished after December 31, 2025. That sounds like a green light for remote care management, but it is narrower than most practices think. It changes where the supervisor can be, not what can...
Read More
Percentage-of-Collections Vendor Contracts: Why Revenue Share in RPM, CCM, and RTM Creates AKS and Stark Risk
If your RPM, CCM, or RTM vendor is charging a percentage of collections, you may have a federal fraud-and-abuse problem that neither of you is talking about. It is the most common vendor pricing model in remote care, and it is structurally the hardest to de...
Read More
The 2026 Billing Workflow Matrix: Your Month-End Cheat Sheet for APCM, Behavioral Health, RPM, and RTM
If you are running APCM, RPM, RTM, and behavioral health add-ons in the same practice, month-end billing is where most of the money leaks happen. Not because the codes are wrong, but because the overlap rules are complex enough that even experienced billers...
Read More
Telepharmacy vs. Clinic-Partnered Remote Care: Why Most Independent Pharmacies Are Choosing the Wrong Model
Independent pharmacies are being told they need to "diversify revenue." The default answer from industry consultants is telepharmacy - remote dispensing to underserved areas. That is a real business, but it is not the same business as clinical services re...
Read More
Eating Disorders and CCM: Why Primary Care Teams Are Missing a Billable Care Management Opportunity
Eating disorders are not just a behavioral health problem. They are a chronic medical condition that requires ongoing primary care coordination, medical monitoring, medication review, nutrition support, family communication, and escalation planning. If your...
Read More
CMS’s 2026 Updates Signal a New Era for In-House Remote Care Coordination
The CMS 2026 Physician Fee Schedule updates reshape how remote care coordination can be staffed, supervised, and reimbursed. Here’s what changed and how to operationalize it.
Read More
Stop Choosing Between APCM and Your RPM/RTM Revenue
If your practice adopted APCM by shutting down RPM and RTM programs, you left money on the table. If you're running all three programs separately, you're burning cash on duplicate documentation and exposing yourself to compliance risk.
Read More
APCM vs. CCM Explained: Medicare’s 2025 Coding Shift Every Primary Care Leader Must Understand
On January 1, CMS introduced a brand-new benefit called Advanced Primary Care Management (APCM), a monthly payment designed to roll up the core elements of care coordination under a single code. For primary care leaders, this changes the landscape in profound ways. APCM overlaps…
Read More