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Index
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A
Advanced Primary Care Management (APCM)
APCM is a technology-driven, team-based approach that prioritizes prevention, real-time patient engagement, and data-informed care. It improves chronic condition outcomes, reduces unnecessary healthcare use, and supports value-based care.
Advance care planning (ACP)
Advance Care Planning (ACP) is the process of making informed decisions about the kind of medical care you would want to receive during a serious illness or medical emergency—especially when the patient is indecisive about care.
AI-Powered Clinical Pathways
AI-powered clinical pathways are treatment plans that use digital tools and real-time AI analysis to help healthcare providers make decisions and follow treatment steps, all within common tools like electronic health records (EHRs). They aim to streamline patient care by delivering tailor-made tips and context-aware recommendations precisely when clinicians need them.
Analytics Dashboard
An analytics dashboard in RPM is a real-time, visual interface that helps healthcare providers track, interpret, and act on patient health data collected remotely from connected devices (e.g., blood pressure monitors, pulse oximeters, glucose meters).
API (Application Programming Interface) Integration
APIs in remote patient monitoring (RPM) tools can safely connect to other applications like electronic health records (EHRs), billing software, lab systems, or mobile health applications. These integrations use industry-standard protocols like HL7 and FHIR to make sure that clinical processes are the same across all platforms. This feature enables sharing data easily across all the platforms.
At-Home Monitoring Devices
Devices such as blood pressure monitors, glucose meters, or pulse oximeters that are connected to the internet or Bluetooth technology can transmit real-time data about the patient to care teams.
Adherence Tracking
The process involves monitoring how consistently patients follow care plans, medications, or device usage to optimize remote care outcomes.
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Behavioral Health Integration (BHI)
The structured incorporation of behavioral and mental health services, like depression screening, anxiety management, and psychiatric support into routine medical care. In RPM, BHI helps address whole-person care by enabling virtual behavioral interventions.
Billing Automation
Our RPM and CCM software integrates digital tools that streamline claim generation, automate compliance checks, map CPT codes accurately, and support audit readiness—helping providers save time while ensuring precise and compliant billing.
Biometric Monitoring
Home monitoring devices continuously or periodically track key vitals—such as heart rate, SpO₂, blood pressure, temperature, and glucose—providing a critical foundation for real-time clinical insights and early intervention.
Breach Notification Rule (HIPAA)
A federal mandate requires covered entities to notify affected individuals, HHS, and sometimes the media if a breach of protected health information (PHI) occurs. This requirement is crucial for platforms that comply with HIPAA.
BMI Tracking
Remote monitoring of body mass index (BMI) supports the assessment of obesity, cardiovascular risk, and disease progression. This practice is commonly integrated into chronic disease management, especially for diabetic, cardiac, and geriatric patients.
Blood Pressure (BP) monitoring
Blood pressure (BP) monitoring devices involve tracking the blood pressure of a patient remotely and regularly, using connected digital BP monitors that transmit readings to a healthcare provider. The technique is very effective in monitoring and tracking hypertension, medication effectiveness, and overall cardiovascular health without the patient needing to visit a clinic.
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Chronic Care Management (CCM)
Chronic Care Management (CCM) is a Medicare-supported service that offers non-face-to-face care coordination and monitoring for patients with two or more chronic conditions. CCM helps reduce ER visits, manage comorbidities, and ensure continuity of care across multiple care settings.
Care Coordinator
A clinical or non-clinical position is accountable for coordinating patient care among various providers, guaranteeing prompt follow-ups, medication compliance, social assistance, and seamless transitions. Care Coordination connects providers, data, and patients.
Cellular Medical Devices
Health devices, such as blood pressure monitors, glucometers, and weight scales, are embedded with SIM cards that allow them to transmit patient data in real time without relying on Wi-Fi or smartphones. These devices are highly suitable for elderly or rural patients. Provides real-time data with alerts for concerning trends and direct access to reporting.
Customizable Care Plans
Dynamic, condition-specific plans tailored by providers within the RPM or CCM system. These include goals, symptoms, alerts, self-care actions, and escalations. It can be updated based on new patient data.
Clinical Decision Support (CDS)
Technology features that analyze patient data and assist providers with evidence-based alerts, risk flags, and suggestions. CDS is integrated into RPM platforms to help prioritize patients and personalize care.
Chronic Disease Self-Management
Digital tools often support programs and strategies that empower patients to actively manage their conditions through lifestyle changes, symptom tracking, medication adherence, and education.
Chronic Kidney Disease (CKD) Monitoring
A use case in RPM where weight, BP, and creatinine-related markers are monitored to prevent complications in CKD patients. RPM enables timely lifestyle interventions and medication adjustments.
Clinical Workflow Automation
The system automates routine tasks like patient check-ins, data triage, care plan updates, and billing—streamlining workflows and enhancing accuracy for care coordinators.
Condition-Specific Monitoring
RPM configurations are tailored to specific diseases, such as diabetes, CHF, and COPD, and utilize relevant devices, alerts, and care protocols for each condition. This approach enhances precision and reduces the need for generic care.
Connected Device
A connected device is any electronic tool—such as a smartphone, tablet, computer, or medical device—linked to the internet or a secure network, enabling real-time data exchange with other systems or platforms.
Chronic Obstructive Pulmonary Disease (COPD) Monitoring
COPD monitoring means keeping a regular check on the breathing health of someone who has Chronic Obstructive Pulmonary Disease (COPD). It helps doctors and caregivers track symptoms like shortness of breath, low oxygen levels, and coughing—often using devices at home.
Customizable Notification
The smart alert system sends personalized reminders and notifications based on a patient’s health info, device data, or care plan progress. These alerts let care teams, patients, and caregivers quickly spot and address anything unusual, ensuring timely help and better outcomes.
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Data Security (HIPAA-Compliant)
Measures and protocols are in place to ensure the protection of sensitive health data. Includes encryption, access controls, audit trails, and compliance with HIPAA and SOC 2 standards.
Device Management
Provisioning, tracking, and maintaining RPM devices allows practices to monitor patient connectivity, manage replacements, and oversee the full device lifecycle.
Doctor Communication Tools
Secure messaging, audio-video calls, care plan notes, and alerts—features that ensure timely interaction between providers and patients within a virtual care environment.
Digital Therapeutics (DTx)
Evidence-based, software-driven interventions are used to prevent, manage, or treat chronic diseases. These interventions are often integrated into RPM platforms to enhance behavioural therapy, medication adherence, and chronic disease education.
Data Interoperability
The ability of systems to exchange, interpret, and use data from various health sources. This ensures that RPM platforms integrate seamlessly with EHRs and other care coordination systems using HL7 and FHIR standards.
Device Calibration Protocols
Standardized procedures to verify the accuracy of remote monitoring devices such as BP cuffs or glucose meters. These are essential for clinical reliability and regulatory compliance.
Digital Consent Management
Digital Consent Management Tools allow patients to review and sign agreements that authorize RPM, CCM, or BHI services, thus streamlining compliance with CMS rules and reducing manual paperwork.
Device Activation & Logistics
This refers to the provision of on-boarding, setup instructions, and remote troubleshooting support to patients during the device deployment phase, with the aim of ensuring usability and minimizing delays in monitoring.
Diagnostic Integration
Diagnostic Integration refers to the capability to integrate lab reports, diagnostic test results, and clinical assessments into the RPM ecosystem, thereby providing a unified care dashboard for providers.
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EHR Integration
The seamless connection between HealthArc and Electronic Health Records (EHRs), using HL7 and FHIR standards, allows secure, real-time data sharing between care platforms and EMRs like Epic and Cerner.
Engagement Tools
In-platform features such as medication reminders, appointment alerts, calls, and secure messaging are designed to keep patients involved, improving adherence and care continuity—especially for seniors and chronically ill patients.
Eligibility Checker
The Eligibility Checker, a built-in feature, assists providers in determining a patient's eligibility for RPM, CCM, or BHI services based on CMS criteria, thereby ensuring compliance prior to enrollment.
Encrypted Data Storage
All patient data on HealthArc is protected via encryption at rest and in transit, complying with HIPAA and SOC 2 standards. This ensures secure storage, integrity, and confidentiality.
Early Intervention Triggers
Smart alerts react in real-time to patient data anomalies, prompting early action to prevent hospitalizations or severe events. These alerts are particularly beneficial in the context of chronic and elderly care.
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FHIR Protocol
Fast Healthcare Interoperability Resources (FHIR) is a standard developed by HL7 that enables the secure, rapid exchange of electronic health records between systems. HealthArc uses FHIR for seamless data integration with EMRs like Epic, Cerner, and others.
Fall Detection Alerts
Smart wearables, such as pendants or wristbands, generate these alerts by using motion sensors to detect patient falls, particularly in elderly care or post-surgical recovery. Fall alerts enable immediate response and emergency triage.
Formulary Management
The RPM platform features a digital system that assists providers in monitoring, managing, and adjusting prescribed medications, tracking adverse reactions, and ensuring compatibility with insurance formularies.
Follow-Up Tracking
The system employs automated reminders and activity logs to guarantee that patients receive their follow-up care, whether it's after discharge, following an abnormal reading, or during routine care plan check-ins.
Flexible Workflows
Care flows can be tailored to patient profiles, conditions such as diabetes or COPD, or provider preferences. These workflows can include custom vitals, assessments, communication paths, and alerts.
Functional Assessments
Digital tools are used to evaluate a patient’s ability to perform activities of daily living (ADLs), mobility, and independence. These assessments help in tracking disease progression and planning care strategies.
Fee-for-Service vs. Value-Based Care
There are two distinct models for healthcare reimbursement. FFS pays providers per service; value-based care rewards outcomes and efficiency. RPM supports both models but aligns more with value-based strategies for chronic and preventive care.
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Glucometer Monitoring
Glucometer monitors analyze a patient's blood sugar level and store information so the data can be sent to a provider over a wireless network in real time or transmitted by the patient in bulk when convenient. This allows providers to monitor trends, detect risk patterns, and adjust care plans for patients with diabetes or pre-diabetes.
Geolocation Tracking
Mobile-connected RPM tools use geolocation tracking for scheduling, emergency alerts, and verifying in-person home visits by field nurses or care teams. This technology is especially beneficial for transitional care and elder care services provided at home.
General Wellness Monitoring
A non-condition-specific RPM program designed to track basic vitals and habits—like sleep, heart rate, weight, or activity—for proactive health management, even for non-diagnosed individuals.
Graph-Based Reporting
Providers can understand trends over time, compare pre/post metrics, and share progress summaries with patients or stakeholders through visual, interactive reports.
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HIPAA Compliance
Refers to strict adherence to the U.S. Health Insurance Portability and Accountability Act, which governs how personal health information (PHI) is stored, transmitted, and accessed. HealthArc’s platform is fully HIPAA- and SOC 2-compliant, ensuring data privacy and security.
HIPAA Eligibility Transaction System (HETS)
The HIPAA Eligibility Transaction System (HETS) is a secure data exchange system that allows authorized Medicare trading partners, such as healthcare providers and billing agents, to access real-time Medicare beneficiary eligibility information.
Health Risk Assessment (HRA)
A structured questionnaire and screening protocol are used to evaluate a patient’s health risks based on vitals, lifestyle, chronic conditions, and demographics. It helps in designing proactive care plans and stratifying patients into risk tiers.
HL7 Integration
Health Level Seven (HL7) is a global standard for health data exchange. The platform integrates with HL7-based EHR systems to ensure consistent and structured documentation, avoiding data silos.
HIE (Health Information Exchange)
Healthcare providers can access and securely share a patient's medical information across organizations through this system. HealthArc supports HIE participation by enabling data portability and reporting compliance.
Hybrid Care Delivery
The guide provides a best-practice approach that integrates in-person visits with virtual telehealth services, bolstered by remote monitoring and digital interaction. It explains how hybrid care enhances access, flexibility, and personalization—especially useful for patients who struggle with frequent clinic visits.
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IoT Devices (Internet of Things Devices)
These are smart medical devices—like BP monitors, glucometers, and pulse oximeters—that connect to the internet and transmit patient data automatically to the care team via the dedicated platform.
Informed Consent Management
The digital process securely gathers patient consent for care programs such as RPM or CCM. This ensures regulatory compliance and patient transparency, often integrated into on-boarding in the RPM system. Separate consent is required for research purposes.
Informed Consent for Research
Informed consent for research in Remote Patient Monitoring (RPM) means that a patient agrees to take part in a research study after clearly understanding what the study is about, how their health data will be used, and what risks or benefits are involved.
Interoperability Standards
Standards for technical and data exchange, such as HL7, FHIR, and CCDA, facilitate smooth communication between HealthArc and EHRs. Interoperability ensures providers have access to complete and consistent patient data.
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Joint Care Pathways
Joint Care Pathways are structured, condition-specific recovery programs designed for orthopedic or post-surgical patients. These pathways are often embedded within RPM platforms to monitor recovery metrics like mobility, inflammation, or pain levels remotely.
Just-in-Time Alerts
Real-time notifications are triggered the moment a patient’s health data crosses pre-set clinical thresholds—such as a sudden BP spike, low oxygen saturation, or skipped medication. These alerts allow care teams to respond immediately, often preventing ER visits.
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Key Performance Indicators (KPIs)
Quantitative metrics are used to evaluate the effectiveness of care delivery, patient engagement, program outcomes, and operational efficiency. RPM-specific KPIs may include patient adherence rates, alert resolution time, and reduction in readmissions.
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Log Reports
The log reports provide comprehensive audit trails that display device activity, patient interactions, transmission status, and escalations. This feature is crucial for compliance audits, documentation, and reimbursement processes.
Lab Results Integration
The platform has the capability to import lab values, such as HbA1c, lipid panels, and creatinine, from third-party labs for centralized clinical assessment. This feature is especially beneficial for diabetes, heart, and kidney care plans.
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Medication Therapy Management (MTM)
MTM is a structured process that guarantees patients, particularly those with multiple chronic conditions, take the appropriate medications at the prescribed dosage and time. MTM improves outcomes, reduces adverse drug interactions, and supports value-based care.
Monthly Reporting
Automated, structured summaries of patient monitoring data—used for clinical insights, compliance, and billing. Monthly reports also support CMS and payer documentation needs.
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Nurse Dashboard
The Nurse Dashboard is a dedicated interface that allows nursing staff to monitor patient vitals, review alerts, escalate care, and coordinate follow-ups. The interface is specifically designed to facilitate efficient triage, facilitate bulk check-ins, and provide support for documentation.
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Outreach Scheduling
Automated tools that streamline the scheduling of follow-up calls, check-ins, and educational outreach, helping reduce patient attrition and improve care continuity. Care coordinators and nurse teams often utilize these automated tools.
Outcomes-Based Care
A care approach where success is measured not just by processes but by improvements in specific patient health metrics (e.g., reduced A1c, stabilized BP, fewer ER visits). RPM provides the real-time data to power this shift.
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Principal Care Management (PCM)
A Medicare-covered program focused on managing patients with a single high-risk chronic condition such as diabetes or CHF. PCM allows providers to deliver targeted care outside traditional visits.
Predictive Analytics
AI-powered algorithms analyze past and present patient data to predict future risks, like the chances of being hospitalized or not following medication plans, enabling proactive care.
Provider Portal
The Provider Portal is a secure, role-based dashboard that allows physicians, care managers, and nurses to review data, document care, manage escalations, and coordinate with patients.
Patient Portal
The Patient Portal is a mobile-optimized, HIPAA-compliant platform that allows patients to track their vitals, receive messages, update their care logs, and engage with educational content.
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Qualified Healthcare Professional
A qualified healthcare professional is licensed and has the training, experience, and legal authority to provide clinical services within their scope of practice. This professional is also able to independently deliver and report these services for billing and compliance purposes. They may include physicians, nurse practitioners, physician assistants, clinical nurse specialists, or other qualified providers recognized by regulatory bodies.
Qualified Medicare Beneficiary
The Qualified Medicare Beneficiary (QMB) program is for low-income groups of people. It covers your Medicare Part A and Part B costs—like premiums, deductibles, and co-pays—so you won’t have to pay for the services that are covered by Medicare. You must be on Medicare and meet your state's income and resource requirements to join.
QHP (Qualified Health Plan) Alignment
For payer/provider partnerships, QHP-compliant RPM programs can align with state and federal exchange plan requirements for preventive and chronic disease services.
Quick Response Escalation (QRE)
High-acuity patient cohorts often use automated or nurse-triggered protocols to respond to abnormal readings (e.g., hypertensive crisis) within a specific time frame (e.g., 15 mins).
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Remote Patient Monitoring (RPM)
Remote Patient Monitoring (RPM) is a healthcare approach that uses technology to collect and keep track of patients’ health data, like blood pressure, weight, glucose levels, or oxygen saturation, from devices they use at home or other non-clinical settings. These devices, such as connected blood pressure cuffs, glucose monitors, or weight scales, automatically send data to healthcare providers through cellular, Bluetooth, or internet connections. This allows doctors and care teams to monitor patients' health in real time, catch potential issues early, and adjust treatment plans without requiring in-person visits. RPM is very useful for managing chronic conditions like diabetes, hypertension, or heart failure, making care more convenient and personalized while reducing hospital visits. Medicare and many other public and private insurers cover RPM under CPT 99545, 99457, and 99458.
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Self-Management Tools
The mobile app offers digital features that enable patients to manage their health by establishing wellness objectives, monitoring daily vitals, and obtaining feedback.
Secure Messaging
HIPAA-compliant chat features allow private communication between patients and providers within the RPM platform—includes attachments, emojis, and structured responses.
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Transitional Care Management (TCM)
Comprehensive care coordination services are offered to patients post-hospital discharge. Timely check-ins, medication reviews, and monitoring contribute to the reduction of avoidable readmissions.
Telehealth
Telehealth is connecting a patient with a doctor or nurse from home using your phone, tablet, or computer—no need to travel to a clinic. Whether it’s a video call, phone chat, or secure messaging, patients can discuss health, review test results, or manage conditions like diabetes or high blood pressure. The care team can share data about blood pressure and glucose levels. It’s very convenient, especially if individuals live far from a doctor or have trouble getting around. Telehealth is safe and private, following strict HIPAA rules to protect your information.
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Wearable Device Integration
The platform has the capability to collect and transfer patient data from smartwatches, fitness bands, and wearable sensors (such as Fitbit and Apple Watch) to monitor vitals such as heart rate, steps, SpO2, and sleep cycles.
Wireless Medical Devices
A medical device that incorporates a radio frequency (RF) wireless communication technology for data transmission or control purposes.
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