After Discharge, the Hospital's Clock Doesn't Stop
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After Discharge, the Hospital's Clock Doesn't Stop
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Heads up: Since recording, CMS finalized CJR-X with a start date of January 1, 2028 (not October 2027), and a new proposed rule would restrict RTM billing to direct employees only — limiting the third-party model we discussed. The core concepts and career implications still apply. See the links below for the latest.
RTM and CJR-X — two policy changes most PTAs haven't heard of. Ken and Laura break down what they are, why they're happening, and why they're the same story: CJR-X creates a 90-day accountability window, RTM is the tool for monitoring it.
Resources:
- CMS — RTM: https://www.cms.gov/medicare/coding-billing/therapy-services
- CMS — CJR-X: https://www.cms.gov/priorities/innovation/innovation-models/cjr-x
- RTM 2027 Proposed Rule summary: https://www.nixonpeabody.com/insights/alerts/2026/07/22/medicare-proposes-changes-to-remote-patient-monitoring-and-remote-therapeutic-monitoring-services
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