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METHODS: This retrospective observational study was conducted across a multi-specialty ambulatory care network

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Key Compliance Safeguards Medical necessity: Document why RPM monitoring was clinically appropriate for each patient, even when fewer than 16 days of data were collected Accurate time tracking: Log all clinical staff time with timestamps, staff identification, and activity descriptions Interactive communication: Verify that at least one interactive communication occurred before billing any management code Code selection accuracy: Never bill 99445 and 99454 for the same patient in the same 30-day period, and never bill 99470 and 99457 for the same patient in the same month Patient consent: Maintain documented patient consent for RPM services, including acknowledgment of cost-sharing responsibilities Nsight Health's compliance infrastructure includes automated time logging, audit-ready documentation, and clinical oversight protocols designed to meet CMS and OIG standards