Remote Patient Monitoring
Billing & Compliance

Connected devices that automatically record and transmit physiologic data — blood pressure cuffs, glucose monitors, pulse oximeters and weight scales are the most common. The device must meet the FDA definition of a medical device and transmit data rather than rely on the patient self-reporting numbers.

Most often because the patient transmitted readings on fewer than 16 days within the 30-day period. The code covers device supply with daily recordings or programmed alert transmissions, and the day count has to be met. We track those counts during the period so outreach can happen before the window closes.

CPT 99457 covers the first 20 minutes of treatment management services in a calendar month and requires interactive communication with the patient or caregiver. Each additional complete 20-minute increment is reported with 99458. The time must be documented; unlogged minutes cannot be billed.

In many cases yes, because they cover different services — RPM is physiologic data monitoring and management, CCM is chronic care coordination. However, the same minutes cannot be counted toward both, and payer rules vary. We keep the time logs separate so each code stands on its own documentation.

No. We are a billing and revenue cycle partner, not a device vendor. We work with the device platform you have already selected and handle the enrollment reconciliation, transmission tracking, documentation review and claim submission around it.

Typically two to three weeks. That covers payer and code configuration, access to your EHR and device platform, mapping how transmission and review-time data will reach our team, and a test claim cycle before we move to full monthly submission.

CPT 99457 is used to bill the first 20 minutes of remote patient monitoring treatment management in a calendar month. It requires interactive communication with the patient or their caregiver during that time. Staff time spent reviewing data without any patient contact does not qualify for this code.

Yes. Medicare Part B covers remote patient monitoring for eligible patients when the setup, device supply, and monthly review requirements under CPT 99453, 99454, 99457, and 99458 are met. Coverage details and reimbursement amounts can vary by region and by your local Medicare Administrative Contractor.

RPM (Remote Patient Monitoring) covers physiologic data such as blood pressure, glucose levels, and oxygen saturation, collected through connected devices. RTM (Remote Therapeutic Monitoring) covers therapy-related data such as medication response or musculoskeletal status, and often relies on patient-reported information rather than automatic device transmission. The two use separate CPT codes and cannot be billed for the same data in the same month.

Reimbursement amounts vary by payer, region, and which codes are billed each month. Because RPM is billed monthly per enrolled patient across the setup, device supply, and review-time codes, it functions as a recurring revenue stream rather than a one-time payment. We can review your actual payer mix to model expected revenue before you scale enrollment.

In many cases yes, since they are separate services covering different parts of patient care. Payer rules and documentation requirements can differ, so we check the specific payer guidance before submitting both in the same billing cycle.