Remote Patient Monitoring is a $500 million market — and the Office of Inspector General is watching closely.

Medicare is moving toward connected, ongoing care models with one hand — and tightening compliance enforcement around concierge-style practices with the other. Attorney Jim Eischen breaks down what that means for your practice right now.

Unlike CCM, which has seen slower traction, RPM adoption has been swift and widespread. The Office of Inspector General (OIG) has expressed concerns in recent reports, but this very scrutiny highlights the scale of adoption and the significant investment in ongoing monitoring that the U.S. healthcare system has never truly embraced before.

📑 Source: OIG RPM Report, 2025 (View: https://oig.hhs.gov/reports/all/2025/billing-for-remote-patient-monitoring/)

In addition, the April 2025 OIG report marked the fourth prosecution in U.S. history related to cash-based healthcare models. This case provides perhaps the clearest signal yet from OIG that traditional concierge-style marketing—emphasizing same- or next-day access, extended visits, care coordination, and direct physician communication—is not compliant with Medicare assignment rules unless it is paired with proper, routine exam structuring.

FOR ADDITIONAL REFERENCE and LEARNING, here is the 4th OIG alert in US history:

https://oig.hhs.gov/fraud/enforcement/greenfield-health-system-agreed-to-pay-286000-for-allegedly-violating-the-civil-monetary-penalties-law-by-requesting-payment-from-beneficiaries-in-violation-of-an-assignment-agreement/

About Our Guest

James Eischen, Esq (Jim Eischen) is a licensed California attorney with over 32 years of experience handling complex corporate, business planning, and real estate matters. He received his J.D. from the University of California at Davis in 1987, and his B.A. from Creighton University in 1984.

Mr. Eischen is recognized nationally for compliance experience regarding complex corporate business planning and transactions. As a speaker at conferences throughout the US, he addresses data privacy, regulatory business planning problem-solving, and start-up innovation monetization.

Mr. Eischen's broad complex business planning experience includes life science/start-up enterprise regulatory support and structuring corporate practice of medicine business modeling. He advises business enterprises in matters connected to reimbursement, contracts, interdisciplinary employment and labor issues, and Health Insurance Portability and Accountability Act (HIPAA) compliance.

LEARN MORE www.eischenlawoffice.com

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DocPreneur Leadership Podcast is produced by Concierge Medicine Today (CMT) — the industry's independent trade publication since 2007. Host of the annual Concierge Medicine Forum.

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For general informational purposes only. Not medical, legal, or financial advice. Views expressed are those of the speakers and do not represent Concierge Medicine Today, LLC. Full terms: conciergemedicinetoday.com/tcpp