Maximize Reimbursement. Minimize Effort.

At HealthArc, we provide the platform and tools needed to deliver reimbursable virtual care to healthcare providers through our digital health platform. Our platform supports all Centers for Medicare and Medicaid Services (CMS)-approved CPT codes for Remote Patient Monitoring (RPM), Remote Therapeutic Monitoring (RTM), Chronic Care Management (CCM), Principal Care Management (PCM), Transitional Care Management (TCM), Behavioral Health Integration (BHI), Medication Therapy Management (MTM), and Advanced Primary Care Management (APCM).

Remote Patient Monitoring (RPM) CPT Codes

HealthArc provides support for all CMS-approved RPM billing codes for device-based physiological monitoring.

99453 – Initial setup and patient education on RPM device use
99454 – Supply of a device, including each 30-day period in which daily recordings or programmed alerts are transmitted
99457– First 20 minutes of clinical staff /physician/other qualified health professional time in a calendar month for remote monitoring management of the patient
99458 – Each additional 20 minutes for remote patient monitoring management during the calendar month
99091 – Collection and interpretation of physiologic data (physician or other qualified healthcare professional) for at least 30 minutes during one calendar month

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Chronic Care Management (CCM) CPT Codes

HealthArc makes CCM billing easy with automated time logs for tracking and documentation templates available for patients with two or more chronic conditions.

99490 – The first 20 minutes of CCM services, non-complex, in a calendar month
99439 – Each additional 20 minutes of CCM services, non-complex, in a calendar month
99487 – The first 60 minutes of CCM services, complex, and moderate or high complexity medical decision making
99489 – Each additional 30 minutes of CCM services, complex medical decision making

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Remote Therapeutic Monitoring (RTM) CPT Codes

For therapy-focused care plans, HealthArc provides an RTM platform for physical therapists, occupational therapists, speech-language pathologists, and other qualified providers.

98975 – Initial setup of and patient education on the use of RTM devices.
98976 – Supply of a device to monitor respiratory system status (per calendar month)
98977 – Supply of a device to monitor musculoskeletal system status (per calendar month)
98980 – The first 20 minutes of RTM management, per calendar month (interactive communication with patient required).
98981 – Each additional 20 minutes of RTM management, per month.

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Principal Care Management (PCM) CPT Codes

HealthArc’s PCM functionality allows providers to bill for care management for patients with one chronic condition both accurately and efficiently.

99424 – First 30 minutes of PCM per month, by a physician or qualified health professional.
99425 – Each additional 30 minutes of PCM, by a physician or qualified health professional for the month.
99426 – First 30 minutes of PCM per month, by clinical staff supervised by a physician or qualified health professional.
99427 – Each additional 30 minutes of PCM per month, by clinical staff supervised by a physician or qualified health professional.

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Principal Care Management (PCM) CPT Codes

Transitional Care Management (TCM) CPT Codes

HealthArc simplifies timely follow-up for post-discharge follow-ups and proper documentation to bill TCM codes.

99495 – Communication and moderate complexity medical decision making within 2 business days post-discharge.
99496 – Communication and high complexity medical decision making within 2 business days of post-discharge.

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Behavioral Health Integration (BHI) CPT Codes

HealthArc allows reimbursement and billing support for collaborative care management models that support behavioral health services with time tracking and audit-ready documentation.

99484 – General BHI services for a minimum of 20 minutes per month.
99492 – Initial psychiatric collaborative care management for the initial 70 minutes in the first calendar month.
99493 – Thereafter, for the initial 60 minutes in the following month.
99494 – Each additional 30 minutes per month.

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Behavioral Health Integration (BHI) CPT Codes

Medication Therapy Management (MTM) CPT Codes

HealthArc’s MTM module is designed to conduct medication reviews, improvements in adherence, and resolve medication-related problems.

99605 – An initial 15-minute assessment in-person (new patient)
99606 – An established patient in-person session, up to 15 min.
99607 – Each additional 15 minutes (to 99605 or 99606)

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Advanced Primary Care Management (APCM) Codes

HealthArc’s APCM model enhances care coordination and closely aligns with RPM, CCM, PCM, and BHI.

99490 / 99439 – chronic care management (non-complex)
99487 / 99489 – complex chronic care management
99424 / 99427 – principal care management (single condition management)
99484 – general behavioral health integration (if behavioral elements are included)

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