RPM & RCM Resources

Remote Patient Monitoring

RPM Guides & Billing References

Guide

Remote Patient Monitoring Services

How a turnkey RPM program works — enrollment, devices, billing, and clinical oversight.

Guide

RPM for Private Practices

What independent practices need to know before launching an RPM program.

Guide

RPM for Skilled Nursing Facilities

How SNFs use remote monitoring to reduce readmissions and extend clinical reach.

Billing

Medicare RPM Billing

CPT codes, documentation requirements, and audit-proofing your RPM claims.

Billing

RPM & CCM CPT Codes

Medicare reimbursement rates for RPM, CCM, PCM, and FQHC/RHC — and how to stack them.

Guide

Chronic Care Management

How CCM generates consistent monthly revenue for practices treating chronic conditions.

Guide

RCM — Nevada

Revenue cycle management for Nevada practices — reducing denials and accelerating collections.

Nevada

RPM Services — Nevada

Turnkey remote patient monitoring for Nevada practices. Up to $145.30/patient/month in Medicare revenue.

Nevada

CCM Services — Nevada

Chronic care management billing for Nevada practices. $66.13–$116.57/patient/month in uncollected revenue.

From the Blog

Latest Articles

Remote Patient Monitoring

Why Remote Patient Monitoring Isn't Just About Lower Costs

Most healthcare leaders approach RPM with a spreadsheet mindset. But at $145.30/month per fully-billed patient in 2026, the real win still isn't the reimbursement — it's catching problems early enough to matter.

· 2 min read
Read More →
Medicare & Billing

Medicare's 2026 RPM Changes: What You Actually Need to Know

CMS added two new RPM codes and increased rates 7–21% across the board. Here's what actually changed, what the OIG is watching, and what it means for your practice.

· 2 min read
Read More →
Medicare & Billing

What the 2026 RPM Changes Mean for Independent Practices

New codes expand your eligible patient population — but the compliance complexity increased too. Here's what independent practices need to know before their next billing cycle.

· 2 min read
Read More →
Skilled Nursing Facilities

RPM in Skilled Nursing Facilities: The Real Case for Remote Monitoring

The financial case for SNF remote monitoring goes beyond the $145.30/month billing rate. A single avoided readmission saves more than most RPM programs cost to run.

· 2 min read
Read More →
Medicare & Billing

How Medicare CCM Reimbursement Works in 2026 (And Why Your Practice Is Probably Leaving Money Behind)

CCM pays $66.13/month for the first 20 minutes of care coordination. Most primary care panels have hundreds of qualifying patients. Most practices aren't billing it.

· 2 min read
Read More →
Medicare & Billing

The 2026 CPT Code Changes Every Practice Billing RPM or CCM Needs to Know

Two new RPM codes, 7–21% rate increases, and the end of G0511 for FQHCs. If your charge capture still reflects 2025 rates, you're losing revenue and creating audit exposure.

· 2 min read
Read More →
Revenue Cycle Management

The 2026 RCM Shift: Why Nevada Practices Need a Billing Partner Who's Already Ahead

Outdated billing workflows aren't just inefficient in 2026 — they're generating audit risk. Here's what the most common errors look like and how Nevada practices are staying ahead.

· 2 min read
Read More →
Compliance

The OIG's RPM Audit Playbook: What Auditors Are Actually Looking For in 2026

The OIG flagged RPM as a high-risk billing area. Here are the five specific triggers auditors are looking for — and what compliant documentation looks like for each.

· 3 min read
Read More →
Medicare & Billing

Why Your RPM Program Is Billing Less Than It Should

Most RPM programs bill less than half of what they're entitled to — not because of fraud, but because of gaps in the billing workflow. Here are the five leaks I find most often.

· 2 min read
Read More →
Medicare & Billing

CPT 99445 vs. 99454: How to Choose the Right Code Every Month

Billing 99454 when your records show fewer than 16 days of readings isn't a minor error — it's a documentation violation. Here's the decision tree every RPM biller needs.

· 2 min read
Read More →
Medicare & Billing

FQHC Billing in 2026: G0511 Is Gone — Here's What Replaces It

The G0511 bundled code expired September 30, 2025. FQHCs still billing it are generating systematic denials. Here's the new code structure and what it means for your revenue.

· 2 min read
Read More →
Compliance

What OIG Compliance Actually Looks Like in an RPM Program

"We're compliant" is vague. OIG compliance is a specific checklist — per patient, per month. Here's what that checklist actually requires.

· 2 min read
Read More →
Medicare & Billing

CCM vs. PCM: Which Program Is Right for Your Patient Panel?

CCM and PCM are both under-billed and often confused. The distinction determines which code applies — and billing both for the same patient in the same month is a violation.

· 2 min read
Read More →
Compliance

The True Cost of a Denied RPM Claim

A denied RPM claim looks like a $51 problem. It's not. Rework costs, pattern risk, and audit exposure make a 10% denial rate far more expensive than it appears.

· 2 min read
Read More →
Clinical Strategy

How to Start an RPM Program Without Burning Out Your Staff

The most common reason RPM programs fail is that practices try to run them with staff who are already at capacity. Here's the role breakdown that makes it sustainable.

· 2 min read
Read More →
Medicare & Billing

RPM + CCM: The $211/Month Revenue Stack Most Practices Aren't Using

Most RPM patients also qualify for CCM. Billing both correctly — with separate documentation — generates $211–$261/patient/month. At 50 patients, that's $10,565+/month.

· 2 min read
Read More →
Compliance

What "Interactive Communication" Actually Means for RPM Billing

Interactive communication is required every month for CPT 99457 and 99470. Voicemail doesn't count. Here's exactly what qualifies — and what documentation auditors expect.

· 2 min read
Read More →
Medicare & Billing

Chronic Disease Management in 2026: The Practice Revenue You're Already Earning But Not Collecting

Most primary care panels have hundreds of CCM-eligible patients. Most practices aren't billing it. The barrier isn't clinical eligibility — it's a missing billing workflow.

· 2 min read
Read More →

Free Practice Analysis

We have a proprietary analysis tool that can generate a detailed report, outlining solutions for virtually every aspect of your practice.

Isn’t it time you took a few minutes to focus on your needs? Let us help you keep your business as healthy as you keep your patients.

Get Your FREE Practice Analysis