A Financially Sustainable Solution

Smooth billing process, optimize reimbursement, and adding revenue to your practice

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Do you know...

Physicians can earn $200,000+ per year through Remote Patient Monitoring (RPM) and Chronic Care Management (CCM)?

What is RPM and CCM?

Remote Patient Monitoring (RPM)

RPM utilizes digital technologies to monitor patients' health conditions outside the clinic, making patient care more accessible.

Billing Requirements

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  • Patients with ONE chronic or acute condition that requires physiologic monitoring are eligible for RPM.
  • Health data is generated by a patient remotely, digitally stored, and transmitted to the provider.
  • These can be billed in ADDITION to CCM codes.

Chronic Care Management(CCM)

CCM helps patients to control their chronic conditions through various health interventions, including monitoring, coaching, and education.

Billing Requirements

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  • Patients with MULTIPLE (two or more) chronic conditions expected to last at least 12 months are eligible for CCM.
  • Comprehensive care plan established, implemented, revised, or monitored.
  • Non-face to face interaction

How Does It Work?

All-In-One Solution

Step 1

Receive Billing Reports

We provide your practice the billing reports and summaries, including RPM/CCM CPT codes based on patient’s vitals data and clinical service time.

Step 2

Submit Claims

Clinic submits claims to insurance based on monthly billing reports.

Step 3

Get Reimbursed

Clinic receives optimal reimbursement based on codes submitted.

Estimated Revenue

Earn annual RPM/CCM revenue based on your clinic
Number of Active Patients Estimated Annual Revenue
Patients Estimated Revenue
100 $78,000 - $132,000
200 $156,000 - $264,000
500 $390,000 - $660,000
800 $624,000 - $1,056,000
1000 $780,000 - $1,320,000

What are the billing codes?

RPM Codes

CPT 99453

$21
approx

Initial set-up and education on the use of the equipment.

CPT 99454

$69
monthly

Monitoring the daily vital recording(s) or programmed alert(s) transmission.

CPT 99457

$43
monthly

20 mins (or more) of clinical staff time in a calendar month requiring interactive communication with the patient/ caregiver during the month. Includes monthly review of treatment plan and 1 monthly phone or video call of at least 1-2 minutes

CPT 99458

$42
monthly

New 20 mins (or more) of clinical staff time in a calendar month requiring interactive communication with the patient/ caregiver during the month.

CCM Codes

HCPCS G0506

$42
approx

Initial assessment and care planning in-clinic, bill one-time per patient.

CPT 99490 | 20 mins

CPT 99490

20 mins

$43
approx. monthly

The original CCM code, allows eligible providers to bill for non-face-to-face clinical staff time per month.

CPT 99439 +  99490 | 40 mins

CPT 99439 +

CPT 99490

40 mins

$72
approx. monthly

The new CCM code, allows eligible providers to bill for non-face-to-face clinical staff time per month.

CPT 99487

60 mins

CPT 99487 | 60 mins

$93
approx. monthly

The original CCM code, allows eligible providers to bill for non-face-to-face clinical staff time per month.

CPT 99489

30 mins

CPT 99489 | 30 mins

$48
approx. monthly

The original CCM code, allows eligible providers to bill for non-face-to-face clinical staff time per month.

Ready to set up your clinic?

Request a consultation with us today to discuss the service plans available for your practice.

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