RPM and CCM Best Practices for 2026: Billing, Compliance and Building a Program That Works

Presenter: Dr. Irina Koyfman, DNP, NP-C, RN, CEO of Affinity Expert

Date: Wednesday, November 18, 2026

Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT

Duration: 60 minutes

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Course Description

Medicare pays for the care your team already provides between office visits, but many practices leave that revenue on the table or bill these services in ways that put them at risk. Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) are two of the most valuable programs available to primary care and specialty practices today, and 2026 brought some of the biggest changes since these codes were introduced.

Starting January 1, 2026, CMS added new RPM codes for patients who submit only 2 to 15 days of readings, as well as a new code for the first 10 minutes of monthly management. Advanced Primary Care Management (APCM) now includes behavioral health add-on codes, and FQHCs and RHCs can now bill care management services using individual codes. Practices that do not update their workflows may miss revenue opportunities and face claim denials.

In this session, Dr. Irina Koyfman, nurse practitioner and CEO of Affinity Expert, walks you through RPM, CCM, PCM, and APCM, including who qualifies, which codes to use, and how to properly document consent and time. She also shares practical insights that most webinars skip: how to estimate your eligible patient population, how many patients a case manager can realistically support, when to outsource versus build in-house, and what to look for in a vendor or software platform.

You will leave with a clear understanding of the 2026 rules, a compliance checklist, and proven best practices to increase enrollment, keep patients engaged, and build a program that improves outcomes while supporting your bottom line.

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Learning Outcomes

• Explain what RPM and CCM are and identify which patients qualify.
• Apply the 2026 RPM rules, including the new 2-to-15-day code (99445) and 10-minute management code (99470).
• Choose the appropriate CCM, PCM, or APCM code for each patient.
• Obtain and document patient consent correctly for each program.
• Understand who can bill for these services and how clinical staff and contractors fit under general supervision requirements.
• Assess your eligible patient population and determine appropriate staffing needs.
• Compare outsourcing options with managing the program in-house.
• Implement proven best practices to increase enrollment, patient engagement, and revenue.
• Identify the 2026 updates affecting APCM, RTM, and care management services for FQHCs and RHCs.
• Recognize the role of family caregivers in supporting successful remote monitoring programs.

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Areas Covered in the Session

• History and Evolution of Care Management Programs
  • Development of RPM and CCM from their inception through the 2026 updates
• Remote Patient Monitoring (RPM): Eligibility and Fundamentals
• RPM Requirements and Compliance
  • Established patient requirements
  • FDA-cleared device requirements
  • Automatic data transmission standards
  • Data collection and interactive communication requirements
• The RPM Workflow: From Enrollment to Reimbursement
• 2026 RPM Coding Updates
  • New code 99445 for patients submitting 2–15 days of readings
  • New code 99470 for the first 10 minutes of monthly management
• Understanding CCM, PCM, and APCM
• Qualifying Patients for CCM, PCM, and APCM Services
• CCM Activities That Count Toward Monthly Time Requirements
• Care Management Coding and Billing
  • CCM, PCM, and APCM code selection
  • APCM behavioral health add-on codes (G0568, G0569, G0570)
• Consent Requirements Across Programs
• Billing Rules, Clinical Staff Roles, and Supervision Requirements
• Patient Population Analysis and Staffing Planning
• Outsourcing vs. In-House Program Management
  • Advantages and disadvantages of each model
  • Vendor evaluation checklist
  • Essential software capabilities
• Common Implementation Challenges and Practical Solutions
• Best Practices for Enrollment, Engagement, and Program Success
• Key 2026 Updates for APCM, RTM, FQHCs, and RHC Care Management Services
• Interactive Q&A Session with Dr. Irina Koyfman

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Recommended Participants

• Physicians
• Nurse Practitioners
• Physician Assistants
• Clinical Nurse Specialists
• Practice Owners and Administrators
• Practice Managers
• Medical Billers
• Medical Coders
• Revenue Cycle Managers
• Compliance Officers
• Care Managers and Care Coordinators
• Registered Nurses and Medical Assistants
• Population Health Managers
• FQHC and RHC Leaders
• Healthcare Consultants

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About the Presenter

Dr. Irina Koyfman, DNP, NP-C, RN, is the President and CEO of Affinity Expert, a company focused on chronic care management, care coordination, and related healthcare services. She brings more than 25 years of clinical and executive experience and leads by a simple principle: Purpose Before Profit.

Dr. Koyfman is a certified Adult Nurse Practitioner and Dementia Care Specialist. She earned her Bachelor of Science in Nursing from Villa Julie College, her Master of Science in Nursing as a Nurse Practitioner from the University of Maryland, and her Doctor of Nursing Practice with an executive focus from the Johns Hopkins School of Nursing. She continues to care for homebound patients and has served as adjunct faculty at several universities.

She is a member of the American Academy of Nurse Practitioners and the Gerontological Advanced Practice Nurses Association. She has also served on community and nonprofit boards, including the Board of Trustees of the Community College of Baltimore County. Dr. Koyfman is the author of an upcoming book on the Sandwich Generation, which offers emotional, spiritual, and practical tools for individuals caring for others while also caring for themselves.

Learn more at AffinityExpert.com and Sandwich-Generation.org.

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