Open CMS Public Comment Opportunity
The Centers for Medicare & Medicaid Services has issued the CY 2027 Medicare Physician Fee Schedule Proposed Rule, file code CMS-1848-P, RIN 0938-AV82. The proposed rule addresses Medicare physician payment and Part B policy, the Medicare Shared Savings Program, the Ambulatory Specialty Model, remote monitoring, telehealth and communications technology, interoperability, and other policies. This is not a grant, cooperative agreement, procurement, contract solicitation, or funding award.
Deadline and Submission
The controlling Federal Register notice states that comments must be received by September 14, 2026. It does not publish a clock time or time zone. The CMS Ambulatory Specialty Model page separately states that comments on the proposed ASM updates are due by 11:59 PM on September 14, 2026, without identifying a time zone. Electronic comments are submitted through Regulations.gov docket CMS-2026-2377 and should reference file code CMS-1848-P.
Remote Monitoring and Telehealth Relevance
For CY 2027, CMS proposes that remote therapeutic monitoring be furnished only to established patients, that practitioners furnishing remote physiologic monitoring or remote therapeutic monitoring provide a separately reportable initiating visit at the start of those services, and that payment for RPM or RTM clinical staff work be allowed only when the clinical staff are employed by the practice rather than contractors. CMS also proposes valuation changes and is seeking comments on a possible bundled approach using four new HCPCS G-codes for remote monitoring services.
The proposed rule also addresses Medicare telehealth services and communications technology, and includes an RFI on duplicate laboratory testing, imaging, result sharing, and interoperability.
Ambulatory Specialty Model
CMS also proposes updates to the mandatory Ambulatory Specialty Model, which begins January 1, 2027 and focuses on selected specialists treating heart failure or low back pain in selected mandatory geographic areas. The model is intended to strengthen chronic disease management, care coordination, and upstream intervention while reducing avoidable hospitalizations and unnecessary procedures.
N9+ and QC Healthcare Fit
N9+ Fit Score: 88/100. The rule is materially relevant to technology-supported remote monitoring, telehealth-enabled care, longitudinal chronic-care workflows, and interoperability. Atlas does not represent the Nonagon N9+ device and platform as automatically qualifying for any RPM or RTM code, Medicare payment, or ASM requirement. Any reimbursement or coding position must be supported by the final CMS policy, applicable coding rules, and the actual device and service configuration.
Atlas Opportunity Score: 84/100. The opportunity is high value for policy intelligence and potentially for evidence-backed stakeholder comment because the proposed policies could materially affect digital-health, remote-care, and chronic-care delivery models. It carries no award value, total funding, Assistance Listing, cost share, UEI or SAM registration requirement, or procurement vehicle.
Direct Dr. Miltie Status
Dr. Miltie, LLC may submit public comments as an interested stakeholder. Atlas should not auto-submit. Any comment should use accurate, documentable experience and should not invent reimbursement history, claims data, regulatory status, clinical evidence, or operational capabilities.
Official Sources
CMS-1848-P regulation page
CMS CY 2027 PFS proposed rule fact sheet
Federal Register document 2026-14327
Regulations.gov docket CMS-2026-2377
CMS Ambulatory Specialty Model