CommercialPrior AuthMedium impact
Telehealth: Remote Patient Monitoring Services
Blue Cross & Blue Shield of Mississippi·MS · Family Medicine, Internal Medicine, Cardiology +3 more·Medical Policy
We identified it
Jun 20, 2026
Summary
BCBS Mississippi has established new comprehensive prior authorization requirements for Remote Patient Monitoring services. All RPM services must now be pre-authorized with detailed documentation including physician orders, care plans, and specific patient criteria before billing can occur.
Action Required
Immediately: Billing team must implement prior authorization workflow for all Remote Patient Monitoring services before submitting claims. Providers must submit detailed orders, care plans with specific monitoring parameters, patient diagnosis documentation, and attestations. Set up system alerts to prevent RPM billing without prior auth approval. Claims will be denied without proper authorization.