In 2022 Medicare claims and Medicare Advantage encounter data, OIG found about 43% of enrollees receiving RPM lacked a record for at least one of three components.

Provenance

First verified

2026-05-14

Source updated

2026-05-14

Revision state

Version 1.1 limits the 43% finding to 2022 claims and encounter data, adds the billing-ascertainment boundary, and records the September 3, 2026 re-verification.

Last verified

2026-09-03

Status

Current oversight · historical 2022 claims/encounter-data finding

Freshness

Current

Version

1.1

Fingerprint

6e1fa9926c2bd57b

Change sensitivity

Medium

Evidence limits

CMS did not require providers to bill all three components, so no claim or encounter record does not prove a component was not furnished. This is not a current rate or proof of inappropriate or ineffective care.

Primary sources

• https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-may-14-2026
• https://oig.hhs.gov/documents/evaluation/10001/OEI-02-23-00260.pdf
• https://oig.hhs.gov/reports/all/2024/additional-oversight-of-remote-patient-monitoring-in-medicare-is-needed/

Related signals

• SIG-2026-025 — OIG found missing RPM-component records in 2022 claims/encounter data