Insights & Resources

DiaSante monitors thousands of blood pressure patients across physician practices — using Smart Meter's cellular BP monitors and CCN Health's platform to deliver readings directly into the doctor's EHR.

Florida's 4.9 million Medicare beneficiaries and booming senior living market make it one of the most promising states for RPM. This guide covers the FL Telehealth Act, Medicaid coverage, major health systems, and strategies for capturing Florida's RPM opportunity.

New York's 3.4 million seniors, SHIELD Act data security requirements, and sophisticated value-based care infrastructure create a distinctive RPM market. This guide covers Medicaid coverage, compliance requirements, and implementation strategies for New York practices.

Texas has approximately 3.9 million residents aged 65+, telehealth parity laws, and interstate licensure compact membership — making it one of the most significant RPM markets in the U.S. This guide covers Medicaid coverage, STAR+PLUS managed care, and implementation strategies for Texas practices.

California's 6.7 million Medicare beneficiaries and telehealth parity law create one of the largest RPM markets in the country. This guide covers Medi-Cal coverage, state-specific billing considerations, and implementation pathways for California practices.

CGMs like the Dexcom G7 and FreeStyle Libre 3 generate ~288 glucose readings per day, making them the most data-rich devices in any RPM program. This guide covers device selection, platform integration, clinical metrics, alert configuration, and CPT billing for CGM-based remote monitoring.

Contactless RPM uses radar-based bedside devices to continuously monitor heart rate, respiratory rate, and sleep patterns — without any wearables, cuffs, or patient interaction. This guide explains how the technology works, when it is clinically appropriate, and how it meets Medicare billing requirements.

BHI — Behavioral Health Integration — is Medicare's framework for reimbursing behavioral health care delivered in primary care settings. This guide covers the two BHI models, CPT codes, qualifying conditions, screening tools, and how BHI complements RPM and CCM for patients with co-occurring physical and behavioral health conditions.

Chronic kidney disease affects approximately 35 million Americans — more than 1 in 7 adults — and up to 90% have comorbid hypertension, depending on CKD stage. This guide covers RPM monitoring parameters for CKD — blood pressure, weight/fluid status, and heart rate — along with clinical alert thresholds, ICD-10 coding, CKD staging, device selection, and CPT billing workflows.

Atrial fibrillation is one of the fastest-growing RPM use cases, with more than 10 million Americans affected and a 5x increased stroke risk. This guide covers heart rate and rhythm monitoring via blood pressure monitors with irregular heartbeat detection, pulse oximeters, clinical alert thresholds, anticoagulation management considerations, and Medicare billing for AFib RPM.

COPD is the third leading cause of death in the US, and exacerbations drive the majority of hospitalizations and costs. This guide covers SpO2 monitoring, respiratory rate tracking, exacerbation early warning through RPM, device options, and the dual RPM+RTM billing opportunity for COPD management.

Heart failure requires daily weight monitoring to detect fluid retention early. This guide covers multi-vital RPM approaches (weight + BP + SpO2), clinical alert thresholds, medication adjustment workflows, readmission reduction evidence, and Medicare billing for heart failure RPM.

Diabetes is the second most common RPM use case. This guide covers both fingerstick glucose meters and CGM integration for RPM, including Time in Range as a primary metric, device selection, patient engagement strategies, and Medicare billing for glucose-based remote monitoring.

Hypertension is the most common RPM use case, affecting nearly half of US adults. This guide covers blood pressure monitoring devices, clinical alert thresholds, medication titration workflows, CPT billing codes, and outcome evidence for RPM-managed hypertension.

A practical guide to staffing a Remote Patient Monitoring program — covering core roles, clinical workflows, staffing ratios by patient volume, and when outsourcing makes sense.

Small and independent practices can launch successful RPM programs without dedicated teams — starting with as few as 10-20 pilot patients and scaling at their own pace using turnkey vendor support and existing clinical staff.

Patient engagement is the single biggest factor in RPM program success. The 16-day reading threshold determines whether you can bill CPT 99454 each month — making sustained engagement a clinical and financial imperative. This guide covers the strategies that drive high compliance rates.

Choosing the right RPM devices affects clinical accuracy, patient compliance, billing success, and program scalability. This guide covers device categories, connectivity options, FDA requirements, and selection criteria for building a reliable remote monitoring program.

RPM compliance requires meeting specific CMS requirements for patient consent, device standards, data transmission, time documentation, and clinical oversight. This comprehensive checklist covers every compliance element practices need to address — from initial enrollment through audit preparation.

A step-by-step implementation guide for launching a Remote Patient Monitoring program — covering vendor selection, EHR integration, patient enrollment, staff training, billing setup, and a 30-day launch timeline.

A detailed comparison of Medicare, Medicaid, and commercial payer coverage for Remote Patient Monitoring — including CPT codes, state-by-state Medicaid variation, billing differences, and documentation requirements by payer type.

A detailed breakdown of estimated RPM revenue per patient per month — including CPT code reimbursement, volume-based projections, program stacking with CCM and BHI, and strategies to maximize billing capture.

A detailed guide to Behavioral Health Integration billing — covering CPT codes 99484, 99492, and 99493, the Collaborative Care Model (CoCM), PHQ-9 and GAD-7 screening requirements, qualifying behavioral health conditions, and strategies for integrating BHI into primary care practice.

A detailed breakdown of all RTM CPT codes — 98975, 98976, 98977, 98980, and 98981 — covering the key difference from RPM, qualifying conditions like COPD rehabilitation and post-surgical recovery, self-reported data rules, and revenue projections for remote therapeutic monitoring programs.

A comprehensive breakdown of all CCM CPT codes — 99490, 99491, and 99439 — covering patient eligibility, consent requirements, documentation standards, complex CCM criteria, common denials, and revenue projections for chronic care management programs.

A side-by-side comparison of PCM and CCM — two Medicare care management programs that cannot be billed together. Learn the differences in CPT codes, eligibility (1 complex condition vs 2+ conditions), billing requirements, and how to determine which program maximizes revenue for each patient.

A side-by-side comparison of RPM and RTM — Medicare's two remote monitoring programs. Learn the differences in data types, CPT codes, eligibility, and how to stack both for maximum per-patient reimbursement.

A side-by-side comparison of CCM and RPM — two of Medicare's most valuable chronic care programs. Learn the differences in CPT codes, eligibility, billing requirements, and how to stack both for maximum reimbursement.

A clear comparison of telehealth and Remote Patient Monitoring — two distinct healthcare delivery models that are often confused. Learn the differences in how they work, how they are billed, and how practices use both together.

A complete guide to Principal Care Management (PCM) — what it is, who qualifies, how CPT codes 99424/99425 work, and how providers bill Medicare for managing patients with a single high-complexity chronic condition.

A complete guide to Remote Therapeutic Monitoring — what it is, how it differs from RPM, which conditions qualify, the five CPT codes (98975-98981), and how providers bill Medicare for RTM services.