Limber Health

Today is the last day to comment on the CY2027 Proposed Rule. If remote therapeutic monitoring is part of how you care for your patients, this is your last chance to get your perspective into the record on the proposed changes to RTM. The comment period closes tonight. Everything you need to weigh in, what's being proposed, how to submit a comment, and a template you can personalize, is here: https://lnkd.in/eBdbRgwW

I wanted to provide an update on where things stand with the CY2027 Proposed Rule, and why it matters for anyone who delivers remote therapeutic monitoring. Over the past several weeks, we at Limber Health have taken our position directly to CMS and worked alongside industry organizations and coalitions across rehab therapy. The message to CMS has been consistent: the proposed structural and payment changes to RTM shouldn't move forward as written. We submitted our detailed comments to CMS this week. These were the key themes: 1) We support CMS's goal of preventing fraud, waste, and abuse. But as proposed, several of these changes would penalize the providers already delivering RTM the right way within an established plan of care, with a clear clinical start and endpoint. 2) The direct-employment requirement would make RTM impractical for practices of all sizes and geographies, and does little to address the core concerns related to disconnected, unsupervised remote care. What matters for good care is clinical integration between the clinicians supporting the patient at home and the treating therapist, not whether or not they have the same employer-of-record. 3) The proposed payment cuts benchmark RTM against the wrong technologies, cross-walking it to a cardiac rhythm recorder and a blood-pressure cuff. We're urging CMS to hold 2026 rates until there is more accurate cost data to benchmark with. 4) CMS is also seeking comment on collapsing the current RTM codes into two bundled codes. The current set was created barely a year ago to better reflect how RTM is actually delivered. Reversing that now, before the data can show what RTM makes possible, is premature. The comment period closes September 14, and CMS weighs firsthand input from the people who deliver this care. If RTM is part of how you care for your patients, your voice belongs in the record. We've pulled together everything you need to submit a comment, including a template letter, which can be found here: https://lnkd.in/gsrqxdes

The CY2027 proposed rule would require RTM to be furnished only by staff directly employed by the billing practice. The intent is clear: CMS wants RTM to have a stronger therapeutic alliance between the clinician and patient. But does employment status actually create that connection? As Nirav J. Modi, Division President at Limber Health, explains, a directly employed clinician can still be remote and disconnected from the treating therapist's care, while a non-employed clinician can be closely integrated with the patient's plan of care. Employment status doesn't create therapeutic alliance. The working relationship does. Hear the full discussion in our webinar with billing and compliance expert Rick Gawenda on the 2027 proposed rule. Watch on demand: https://lnkd.in/ew5kbCFW

The comment period on the CY2027 CMS proposed rule closes September 14, and there's still time to weigh in on the proposed changes to remote therapeutic monitoring. Since the proposed rule was released, we've been actively advocating for RTM: working alongside industry organizations and coalitions, sharing our perspective with CMS directly, and gathering the clinical and real-world evidence that shows what RTM makes impactful for patients. Part of that work is making it easier for others to weigh in, too. To achieve this, we've built the RTM Proposed Rule Resource Center. It breaks down what's actually proposed versus what CMS is only seeking comment on, walks through how to submit a comment, and includes a template letter you can personalize with your own experience. Anyone in the rehab therapy community can comment, and firsthand, specific input carries real weight with CMS. If RTM matters to the work you do, your voice belongs in the record: https://lnkd.in/eBdbRgwW

The CMS CY2027 proposed rule would limit who can furnish remote therapeutic monitoring to staff directly employed by the billing practice. For a rural practice, that limit lands hard. Benjamin Barron joined the Future Proof PT podcast and shared a story from a practice owner he works with. Ten clinics across a rural region, hoping to fill ten new-grad provider openings this cycle. He filled four. In his words: “I can’t put RTM services on my therapists who are already over capacity. I already have wait lists.” That practice is the only PT provider in many of the counties it serves. Under the proposed staffing limit, its patients could lose access to RTM, even though the care works, simply because the practice can’t hire fast enough. The comment period is open through September 14. If care that reaches beyond the clinic walls matters to your community, it’s worth weighing in. Watch the full podcast: https://bit.ly/4xfGfrH

This Friday, Limber Health’s own Benjamin Barron is taking the stage at TherapyCon 2026 with Jayne Fleck Pool PT, ATC, CHC, SCS Emeritus of U.S. Physical Therapy, Inc. Together, they’ll discuss what responsible RTM looks like in practice, what separates effective programs from bad actors, and why protecting access to well-run RTM matters for patients and providers alike. If you’re at Raintree Systems TherapyCon, join the conversation and visit the Limber Health team at booth #1.

Tomorrow at noon ET, Limber Health's Nirav J. Modi sits down with billing and compliance expert Rick Gawenda, PT, to walk through CMS's proposed changes to remote therapeutic monitoring (RTM) in the CY2027 Medicare Physician Fee Schedule. They'll cover the proposed changes provision by provision, including what they could mean for how practices deliver RTM and why the distinction between RTM and RPM matters in this rule. These proposals could shape how RTM is delivered going forward, which makes the session worth an hour for practices both utilizing RTM today and those considering it. We'll also cover how to weigh in with CMS. Live Q&A with Rick and Nirav at the end. If you can't attend live, register now, and we'll send you the recording. There's still time to save your seat: https://lnkd.in/gsmShBMQ

The Limber Health team will be in Austin from August 19–21 for TherapyCon 2026. We’ll be joining one of our clients for a panel discussion and connecting with attendees at Booth #1. Stop by to talk about where physical therapy is headed and how RTM, digital home exercise, and outcomes collection can help clinics keep patients engaged and progressing between visits.

Understanding the CY2027 proposed rule matters for any practice using RTM. On August 12 at 12PM, Limber Health's Nirav J. Modi sits down with billing and compliance expert Rick Gawenda, PT, to walk through what's proposed, what to watch, and how to weigh in. Register now: https://lnkd.in/ezVySWZS

The proposed Remote Therapeutic Monitoring changes in the CY2027 Medicare Physician Fee Schedule have the rehab therapy world talking, and for good reason. Like many of you, we’ve been working through the proposed changes, focused on understanding the spirit behind them and making sure any perspective we bring back to CMS reflects what we believe is best for the therapy industry, for patients, and for keeping RTM true to what it was intended to be. As the pioneers of RTM in the rehab industry, we believe it is our responsibility to lead from the front. Limber's north star has always been to extend care beyond the walls of the clinic and keep patients engaged in their recovery to achieve better outcomes. We have been doing just that and have served hundreds of thousands of patients with our partners. The evidence is clear. Patients engaged in RTM between visits stay more active in their recovery and reach better outcomes. Many of you told us you didn't have the resources to provide that between-visit support yourselves, so we built a model where our clinicians work in therapeutic alliance with your staff therapists, always under the direction of the supervising provider. We’ve seen what happens when it works: the patient who stayed engaged because someone was encouraging them at home, the setback caught early because the data showed it in time, the therapist who walked into the next visit already knowing how the patient had engaged in their home exercise program. Our team has begun working alongside clinicians, industry groups, and advocates, so the rehab therapy perspective is well represented before the comment period closes on September 14. If RTM matters for how you care for your patients, we’d value your voice in this. Comment below or follow along, and as we finalize how best to get involved, we’ll share ways to make your perspective heard, including with CMS.