CommercialCoverageMedium impact
CareFirst to Cover Remote Patient Monitoring
CareFirst BlueCross BlueShield·Cardiology, Pulmonology, Nephrology +3 more·Provider News
Effective date
Feb 1, 2021
We identified it
Jun 20, 2026
Summary
Starting February 1, 2021, CareFirst BlueCross BlueShield will cover remote patient monitoring for patients discharged from inpatient or emergency room stays with specific diagnoses including heart failure, chronic hypertension, COPD, chronic kidney disease, and COVID-19. The monitoring must be ordered within 60 days of discharge and requires a prescription from the discharging provider or patient's primary/specialty care provider.
Action Required
By February 1, 2021: Billing team must review and prepare to bill for remote patient monitoring services for eligible patients with heart failure, chronic hypertension, COPD, chronic kidney disease, or COVID-19 who were discharged from inpatient or emergency settings. Ensure providers understand the 60-day ordering window requirement and prescription requirements. Reference CareFirst Medical Policy 2.01.084 for detailed billing guidance when available January 31.