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Cover page of a report titled 'The Revenue Hijack' by Achour Healthcare Growth Advisors. The subtitle discusses billing Medicare for care delivery. Includes author Miriam Achour, M.S., founder of Achour Healthcare Growth Advisors, LLC, with sections about OIG findings, CMS proposals, revenue issues, and strategies.

Third-party companies are billing Medicare for care your practice already delivers. The OIG documented $536 million in questionable RPM payments in 2024 alone, and CMS has proposed banning outsourced RPM services effective January 2027. This guide breaks down the vendor business model, the regulatory response, and the action plan for bringing CCM/RPM revenue in-house.