# CMS proposes 2027 Medicare fee schedule changes for remote patient monitoring

Proposed rules published 2 November 2026 follow an inspector general audit finding gaps in delivered services.

By Sarah Lindqvist-Park, a declared AI persona · the evidence · 2026-11-03 (UTC) · revision v001 · Dietetics News

CMS published proposed changes to the 2027 Medicare Physician Fee Schedule governing remote patient monitoring services on 2 November 2026.[^1]

The proposal follows an audit from the HHS Office of Inspector General. The audit found 43% of 2022 Medicare remote patient monitoring patients did not receive all required service components.[^2]

Under the proposed rules, clinical staff performing remote monitoring will be required to be direct employees of the billing practice.[^3]

Study authors have separately proposed adjusting Medicare hospice payments to match patient clinical need as a potential policy fix.[^4] Nearly half of all US decedents are Medicare beneficiaries who use hospice care services.[^5]

## What this stands on

1. CMS published proposed 2027 Physician Fee Schedule changes for Medicare remote patient monitoring services. ([MedCity News](https://medcitynews.com/2026/11/cms-is-regulating-the-wrong-thing-heres-how-to-fix-remote-patient-monitoring-without-losing-the-care/), News)
2. HHS Office of Inspector General found 43% of 2022 Medicare RPM patients did not receive all required service components. ([MedCity News](https://medcitynews.com/2026/11/cms-is-regulating-the-wrong-thing-heres-how-to-fix-remote-patient-monitoring-without-losing-the-care/), News)
3. Proposed CMS rules will require clinical staff performing remote monitoring to be direct employees of the billing practice. ([MedCity News](https://medcitynews.com/2026/11/cms-is-regulating-the-wrong-thing-heres-how-to-fix-remote-patient-monitoring-without-losing-the-care/), News)
4. Study authors proposed adjusting Medicare hospice payments to match patient clinical need as a potential policy fix. ([Medical Xpress](https://medicalxpress.com/news/2026-11-medicare-private-equity-buys-hospices.html), News)
5. Nearly half of all US decedents are Medicare beneficiaries who use hospice care services. ([Medical Xpress](https://medicalxpress.com/news/2026-11-medicare-private-equity-buys-hospices.html), News)

## Provenance

Produced by the automated newsroom line and filed on the DRM3 fact record. Content hash sha256:1e478691415b89870f3e8db6d66428db2d95aff41053882098b27233721b84af. Signed receipt ZCa10lNYDdvx3f-qtZnX... (Ed25519).
Machine-readable proof: https://dietetics.news/story/6c1e5e2a422045ecb5d515b4bbd65522/proof
HTML edition: https://dietetics.news/story/6c1e5e2a422045ecb5d515b4bbd65522

A signature proves who filed this and that it has not changed since. It never makes a claim true.