Partner with the leading remote patient monitoring services billing specialists trusted by practices nationwide. We deliver complete revenue cycle management, from eligibility verification to payment posting, with 98.5% clean claims, AI-powered compliance, and seamless EHR integration.
The process is simple and repeatable.
Identify
Identify eligible patients under the program guidelines.
Enroll
Patients provide consent; we handle forms
Equip
Devices shipped and set up with patient education.
Monitor
Nurses track data, update records, and
contact patients.
Bill & Earn
Monthly claims submitted; you receive
reimbursement.
RPM billing has strict requirements that most practices struggle to track manually. CPT 99454 needs at least 12 days of data transmission in a 30-day period. CPT 99457 requires exactly 20 minutes of documented clinical staff time. Miss these thresholds, and you’re looking at either lost revenue or compliance problems with CMS.
We monitor compliance tracking across your entire RPM billing processes. Every data transmission gets counted, every staff interaction gets logged, and every billing requirement gets validated before claims go out. Our remote patient monitoring services billing team catches problems early, like a patient sitting at 9 days with only three left in the billing cycle, or time documentation that’s five minutes short of the 20-minute threshold for 99457.
Getting RPM claims paid takes more than filling out forms. You need complete documentation, the right CPT codes, proper modifiers, and diagnosis codes that back up why the service was necessary. Miss one thing and you’re waiting 30-60 days for payment. About 15-25% of RPM claims get denied initially, usually because something’s missing or coded wrong.
We handle claim scrubbing through denial recovery. Our team catches problems before claims go out, time logs, incomplete transmission records, and wrong code combinations. Got denials? We’ll figure out what happened, write appeals with the documentation needed, and follow up until payment comes through. Most denials can be fixed if you appeal them properly.
Getting claims paid is just the beginning. The real challenge is managing accounts receivable, posting payments accurately, and collecting what patients owe. Most practices have 20-30% of revenue stuck in unpaid claims over 60 days old. Patient balances often never get collected because nobody has time for systematic follow-up. We run your complete revenue cycle from submission to final payment. Insurance payments get posted within the same day.
We compare EOBs against your contracted rates to catch underpayments. Unpaid claims get flagged in our remote patient monitoring billing software, and we follow up with calls at 14, 30, and 45 days. For patient balances, we send statements, arrange payment plans, and handle billing questions. This keeps 95% of your receivables under 30 days old.
RPM claims need more than clinical notes. You need physician orders that specify monitoring frequency, documentation of patient consent, and time records for every billable minute. Missing documentation means immediate claim denial. Worse yet, incomplete records during a Medicare audit can trigger recoupment of payments going back years.
We audit every claim before it goes out. Our remote patient monitoring services billing team verifies that physician orders are documented, consent forms are filed, and time logs support the CPT codes you’re billing. Everything gets organized for the required retention period. If you get audited, we pull together complete response packages with all required documentation. This dramatically reduces your risk of having to pay money back.
Most practices don’t see their RPM billing numbers until month-end, which means problems go unnoticed for weeks. Without real-time metrics on denial rates, revenue per patient, or compliance percentages, you can’t spot issues as they happen. You won’t know which patients aren’t meeting requirements, which insurance companies are rejecting claims, or if your program is hitting revenue targets.
Our software for remote patient monitoring has dashboards that show everything in real-time. You’ll see billable patient counts, revenue by CPT code, denial breakdowns by payer and reason, plus compliance metrics like 16-day transmission rates. Monthly reports reveal patterns, maybe patient compliance is dropping, or one insurer keeps denying claims. These insights help you fix problems and grow revenue.
Primary Care & Internal Medicine
Cardiology & Cardiovascular Practices
Nephrology & Kidney Care Centers
Multi-Specialty Medical Groups
FQHCs & Rural Health Centers
MedCare MSO delivers comprehensive denial management services for healthcare practices of all sizes. Our denial management in medical billing solutions includes:
We expertly manage patient data collection through RPM devices to meet required thresholds for accurate billing under CPT 99454.
With 24/7 monitoring, our nurses track patient data and provide consistent follow-ups to ensure RPM success and improve patient engagement.
Our billing team seamlessly integrates RPM data from EHR/EMR systems, ensuring accurate coding and patient monitoring for correct reimbursement.
We ensure accurate coding for CPT 99454, 99457, and other RPM services, with correct modifier application for compliant billing.
We handle patient consent and documentation management for RPM services, ensuring audit-ready records for Medicare and commercial payers.
We ensure seamless device logistics and provide technical support for efficient health tracking and data transmission in RPM.
We monitor RPM claims, prevent denials, and resolve underpayments through proactive follow-ups and accurate coding.
We verify patient eligibility and handle payer-specific authorizations, ensuring smooth RPM billing without delays.
We leverage patient portals to ensure accurate data tracking and support billing for remote care services through secure communication.
Analytics platforms help us analyze RPM trends, ensuring timely payments and billing accuracy for all remote care activities.
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Owner, R.D.
MedCare MSO did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated.
Co-Owner, PCP
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Chief Executive Officer, CARE NOW CLINIC
Chief Operations Officer, ION DIAGNOSTICS
Co-Founder, AW Care
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
Practice Owner, F&A Clinic
We have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage.
President/CEO, RLT
I am impressed with MedCare MSO’s promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases.
Practice Owner/FBH
Remote patient monitoring services billing includes four CPT codes: 99453 (device setup), 99454 (device supply and data collection), 99457 (first 20 minutes of monitoring), and 99458 (additional 20-minute increments, billable twice monthly).
CPT 99454 requires physiologic data transmission on at least 16 separate days within a 30-day period. Data must be transmitted automatically from FDA-cleared devices. Without meeting this threshold, you cannot bill 99454 for that month.
Coverage varies significantly by insurer and plan. Major carriers like Aetna, United Healthcare, and Blue Cross increasingly cover RPM, but some require prior authorization. Always verify coverage through remote patient monitoring software before enrollment.
We verify insurance eligibility and RPM coverage before patient enrollment. Our team checks benefit details, identifies prior authorization requirements, calculates patient financial responsibility, and sets up billing profiles in your practice management system to prevent eligibility-related denials.
Our billing software tracks exact start/stop times for all clinical staff interactions. Billable time includes data review, patient communication, and care coordination. Time logs must show 20-minute minimums for CPT 99457/99458.
RPM involves continuous data collection from monitoring devices, billed monthly using CPT 99453-99458. Telehealth consists of real-time video visits with providers, billed per encounter using E/M codes with telehealth modifiers like 95 or GT.
Yes, remote patient monitoring (RPM) services and Chronic Care Management can be billed together monthly. However, time spent on RPM cannot count toward CCM requirements. Activities must be separately documented with distinct time logs.
Medicare typically pays within 14-21 days for clean claims. Commercial payers range from 30-45 days. Best remote patient monitoring services in USA achieve faster payments through accurate documentation and electronic submission protocols.
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Or call us as 800-640-6409
R.D.
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Most helpful is the open/responsive communication of their team with my office and each other, along with the specialty levels of expertise amongst my team for each aspect of RCM.
Kelly Ballou
Owner
R.D.
F&A Clinic
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
I would like to take time to recognize two members of MedCare MSO specifically. Moses for his exceptional support and dedication. He is always responsive, and knowledgeable, and goes above and beyond to ensure smooth operations. His professionalism and commitment make a huge difference in our day-to-day workflow. George also for his quick feedback and recognition of what is needed most. He is extremely efficient and always available for clarification and to share his knowledge and expertise.
I highly recommend MedCare MSO to any healthcare provider looking for a reliable and efficient billing partner.
RLT
Hello,
I am writing this email to express our appreciation of the MedCare MSO’s team and all they have done for our business at RLT. In the past year, we have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage. We went from having over $100k in uncollected/billed claims to now reaching near $100k in collection some months.
We are also happy to express our thankfulness that MedCare MSO is now helping us acquire new contracts with different insurance companies. This will in effect benefit everyone involved, allowing us to expand our services and provide more resources for our staff/business partners.
Please note special appreciation for the following:
David Lucas
Mario Ortega
Ambrose William
FBH
I have been a customer of MedCare MSO for one year. They have provided billing and credentialing services for my private behavioral health practice, and I am impressed with their promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases, and with their willingness to educate me and my staff about the ever-changing rules of medical billing and the best use of coding. This is a company I Trust with my billing needs.
Dr. Neufeld
Practice Owner
FBH
