RPM Billing Services

RPM is one of the latest medical trends that allows doctors to monitor patients’ health data remotely. Our RPM Medical billing services help doctors manage the paperwork and payments for Remote Patient Monitoring (RPM). We make sure that everything is billed correctly and on time.

How Does RPM Work?

RPM, or Remote Patient Monitoring, is a healthcare service that uses special technology to check your health from a distance. It sends real-time health information to doctors so they can make better decisions and help you stay healthy, while also saving money on healthcare.

How Does RPM Work?

  • Devices

    RPM uses different gadgets to track things like your heart rate or blood sugar levels.

  • Care Models

    It can be used in different ways, such as for patients who are at home, those transitioning from hospital to home, or people with long-term health conditions.

To make sure RPM services get paid correctly, it's important to:

RPM can be helpful for many types of doctors, like those who specialize in heart issues, lung problems, diabetes, digestive problems, and weight management.

How does RPM billing work?

To bill for RPM services, a physician or qualified healthcare professional must first order an FDA-approved remote medical device that collects and transmits patient data to the care team. This includes devices for monitoring vital signs like weight, blood pressure, and oxygen levels. The provider must then spend at least 20 minutes each month reviewing the patient data and addressing any urgent issues.

For billing purposes, providers should use CPT codes:

  • 99453 and 99454 for the RPM device and software setup.

  • 99091 for the time spent each month managing the RPM program.

Outsourcing RPM Billing Services helps avoid managing a separate billing department and ensures accurate and timely processing.
RPM services can be billed together with Chronic Care Management (CCM) services. It’s important to clearly document when CCM services are provided in addition to RPM, as CMS differentiates between the two.