A practicing clinician and owner of a practice that partners with a clinical monitoring organization opposes the proposed CMS payment policies. The commenter argues that the proposed employment restrictions, initiating visit requirements, and flat-rate payment consolidations would end remote monitoring services for their patients, particularly in rural and underserved areas.

A healthcare provider at a skilled nursing facility opposes proposed reimbursement reductions for CPT code 97610 in the CY 2027 Medicare Physician Fee Schedule. The commenter argues that the proposed cuts are based on inaccurate cost estimates and would make the woundmist technology financially unsustainable for treating severe, chronic wounds.

The commenter expresses concern that the proposed CMS-1848-P will lead to reimbursement reductions and increased administrative burdens for specialty providers like podiatry practices and ambulatory surgery centers. They argue these changes threaten the financial viability of independent facilities and could ultimately limit patient access to cost-effective care.

A practicing clinician opposes the proposed CMS payment policies for remote patient monitoring, arguing that the employment restrictions and payment consolidations would end the service for rural and underserved patients. The commenter advocates for the OIG's recommendations, which focus on oversight and credentialing rather than restricting clinical staffing models.

A healthcare employee at Ada West Dermatology supports the proposed Medicare policy's preservation of payment for separately identifiable evaluation and management services performed on the same day as a procedure. They argue that allowing these services in a single visit is crucial for timely patient care, particularly for rural and elderly populations.

Meredith F. Hirsh, CEO of The Hirsh Center for Arthritis and Sports Medicine, opposes the proposed Medicare Physician Fee Schedule for 2027. The commenter argues that the proposed reductions in physician reimbursement and the payment structure for multiple services during a single encounter will create financial burdens for practices and reduce patient access to comprehensive care.

An ENT physician in rural Iowa opposes the proposed CMS 2027 fee schedule reduction for modifier 25. The commenter argues that the reduction will negatively impact patient care, particularly in rural areas, and may force remaining specialists to retire early.

A medical practice provider opposes the proposed rule (CMS-1848-P), arguing that the reimbursement cuts will threaten the financial sustainability of medical practices and negatively impact access to care for rural patients. The commenter highlights that these cuts will force patients to travel long distances for procedures, creating significant logistical and financial burdens for them.

A Board-Certified Nurse Coach and Registered Nurse expresses strong support for the CMS proposal to establish national payment for health and well-being coaching services. The commenter argues that coaching provides essential behavior change and individualized support that complements clinical care and improves outcomes for Medicare beneficiaries.