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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

$20
approx

Initial setup and patient education for remote monitoring of physiological parameters (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), including instruction on equipment usage.

CPT 99454

$43
monthly

Supply of device(s) with daily recordings or programmed alert transmissions, billed in 30-day increments. Includes monitoring for a minimum of 16 days within the 30-day period.

CPT 99457

$48
monthly

First 20 minutes of clinical staff time in a calendar month requiring interactive communication with the patient/caregiver during the month.

CPT 99458

$38
monthly

Additional 20 minutes of clinical staff time in a calendar month requiring interactive communication with the patient/caregiver during the month.

CCM Codes

HCPCS G0506

$61
approx

Comprehensive assessment and care planning for patients requiring chronic care management services; billed once in conjunction with an office visit (E/M service).

CPT 99490 | 20 mins

CPT 99490

20 mins

$60
approx. monthly

First 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month.

CPT 99439 | 20 mins

CPT 99439 +

CPT 99490

40 mins

$46
approx. monthly

Each additional 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month (report separately in addition to code 99490; code 99439 may be reported up to twice per calendar month).

CPT 99487

60 mins

CPT 99487 | 60 mins

$132
approx. monthly

First 60 minutes of clinical staff time, under the direction of a physician or other qualified health care professional, per calendar month, involving substantial revision of a care plan and moderate to high complexity medical decision-making.

CPT 99489

30 mins

CPT 99489 | 30 mins

$71
approx. monthly

Each additional 30 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month (to be listed separately in addition to code 99487).

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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