For Hospitals & Health Systems
Remote Patient Monitoring for Hospitals and Health Systems
Most avoidable readmissions start at home, in the first two weeks after discharge, with nobody watching. We put cellular devices and a nurse on those patients and report back to the service lines that answer for the numbers.
HIPAA · SOC 2 Type II
Epic & Oracle Health integration
Live in about 30 days
HRRP conditionsHeart failure, COPD, AMI, pneumonia
Post-discharge cohort, day 1–30Live
Heart failure patients monitoredDaily weight and BP64
COPD patients monitoredSpO2 and symptoms41
TCM contacts within 2 daysLogged for 99495/9949697%
Weight-gain alerts this weekRouted to HF clinic9
2,000+Providers on HealthArc
100,000+Patients monitored
45+States covered
9CMS programs, one platform
What’s at Stake
Readmission Penalties Are Decided After the Patient Leaves
The Hospital Readmissions Reduction Program cuts base Medicare inpatient payments by up to 3% for hospitals with excess 30-day readmissions.
For FY 2027, CMS reduced payments at 2,334 hospitals, about 80% of those assessed, and Medicare Advantage patients now count toward the measure.
Inside the walls, a hospital controls a lot. After discharge it controls very little. That’s where the penalty is decided.
A heart failure patient who goes home on a new diuretic, gains four pounds over a long weekend and doesn’t call anyone is the readmission your quality team will be explaining three years from now, when the penalty finally shows up in your base rate.
Somebody has to be watching.
HRRP maximum penalty
3% of base inpatient payments
Hospitals penalized, FY 2027
2,334 (about 80%)
Conditions measured
AMI, HF, COPD, pneumonia, CABG, hip/knee
TCM payment
~$220–$298 per discharge (2026)
The handoff breaks at discharge
Follow-up calls get made when someone has time. Patients who don’t answer are the ones who come back.
Service lines want different things
Cardiology wants heart failure weights. Pulmonology wants SpO2. Population health wants one view of all of it.
Another login won’t get used
If readings and notes don’t land in the EHR, clinicians won’t look at them. Integration decides adoption.
Security review takes months
Enterprise IT will want SOC 2 reports, a BAA and an architecture review before anything touches patient data.
Programs That Fit
Programs Built Around the 30 Days After Discharge
Hospitals usually start with a post-discharge cohort in one service line, often heart failure or COPD, and expand to system-wide chronic care once the workflow is proven.
Transitional Care Management
Interactive contact within two business days of discharge, medication reconciliation and a face-to-face visit inside 7 or 14 days.
CPT 99495, 99496
Remote Patient Monitoring
Daily weight, blood pressure and SpO2 from cellular devices, with thresholds set per patient by your clinicians.
CPT 99453, 99454, 99457, 99458
Chronic Care Management
Ongoing monthly care for discharged patients with multiple chronic conditions after the TCM window closes.
CPT 99490, 99439, 99487, 99489
| HRRP condition | What we monitor at home | Program |
|---|---|---|
| Heart failure | Daily weight, blood pressure, symptoms | RPM + TCM |
| COPD | SpO2, symptom check-ins, inhaler adherence | RPM + TCM |
| Acute myocardial infarction | Blood pressure, heart rate, medication adherence | RPM + TCM |
| Pneumonia | SpO2, temperature, follow-up visit completion | TCM |
| CABG | Blood pressure, weight, wound and pain check-ins | TCM + RPM |
| Elective hip or knee replacement | Pain and function check-ins, follow-up visits | TCM (RTM where appropriate) |
HRRP figures: CMS FY 2027 IPPS data as reported by Becker’s Hospital Review and Healthcare Dive. TCM rates are approximate 2026 national non-facility averages: about $220 for 99495 and $298 for 99496 (see our 99495 and 99496 guide).
How It Runs
Built for Enterprise IT and Clinical Leadership
A pilot in one service line should look like the system-wide rollout, with the same integration, the same security posture and the same reporting.
Integration
- Bi-directional HL7 FHIR with Epic and Oracle Health
- Inbound ADT feeds open the TCM episode at discharge
- Readings and notes filed to the chart
- REST API for your data warehouse
Security and compliance
- SOC 2 Type II report on request
- BAA, security questionnaires, architecture docs
- AES-256 at rest, TLS 1.2+ in transit
- Role-based access and MFA
Reporting by service line
- 30-day readmissions for monitored cohorts
- TCM contact timeliness and visit completion
- Enrollment, adherence and alert volumes
- Billable months by department and provider
You can staff the program with your own care managers, use our clinical team, or split it by service line. Hospital-owned practices often run CCM themselves and hand post-discharge outreach to us.
Evaluating Vendors
What Health Systems Ask Before Choosing an RPM Platform
The questions IT, finance and clinical leaders raise in enterprise evaluations.
| The question | Our answer |
|---|---|
| Does it integrate with Epic? | Yes, through bi-directional HL7 FHIR. Readings, care-manager notes and billing data file to the patient chart. |
| Can it scale across multiple hospitals and clinics? | Yes. HealthArc runs for 2,000+ providers in 45+ states. New sites and programs reuse the same configuration and integration. |
| Can you show a security posture we can approve? | Yes. SOC 2 Type II, a BAA and completed security questionnaires are available before contracting. |
| How do we prove it reduced readmissions? | We report 30-day readmissions for the monitored cohort monthly, alongside enrollment and contact timeliness, so your quality team can compare against baseline. |
| Does the program pay for itself? | In most cases the RPM, TCM and CCM reimbursement covers the program fee before you count any avoided readmission penalty. |
| How long does a pilot take to start? | About 30 days for one service line, including integration testing and the first enrolled patients. |
Implementation
Pilot One Service Line in About 30 Days
Start where readmissions hurt most, prove it, then roll it out.
1
Week 1
Pick the cohort and the baseline
Usually heart failure or COPD discharges. We agree the baseline readmission rate and the metrics you’ll judge us on.
2
Week 1–3
Security review and integration
SOC 2 and BAA review, then FHIR and ADT integration in a test environment before go-live.
3
Week 3–4
Enroll at discharge
Patients are enrolled before they leave, or within two business days after. Devices arrive activated at home.
4
Month 2 onward
Monitor, report, expand
Monthly cohort reporting to the service line and quality team, then expansion to the next condition or site.
FAQ
Hospital and Health System RPM Questions
What hospital leaders ask about remote monitoring, readmissions and enterprise rollout.
How does remote patient monitoring reduce hospital readmissions?
It catches deterioration early. A heart failure patient who gains three pounds in two days, or a COPD patient whose SpO2 drops, gets a call and a clinical decision before the ED visit. Paired with TCM outreach in the first two business days, it covers the period when most avoidable readmissions start.
Which conditions does the Hospital Readmissions Reduction Program measure?
Six: acute myocardial infarction, heart failure, pneumonia, COPD, coronary artery bypass graft surgery and elective hip or knee replacement. The maximum penalty is 3% of base Medicare inpatient payments.
What is enterprise remote patient monitoring?
RPM run across many sites and service lines on one platform, with EHR integration, centralized security review and reporting by department. It differs from a single-practice program mainly in integration and governance.
Can hospital-owned practices bill RPM and CCM?
Yes. Hospital-employed physicians bill these codes like any practice. The rate depends on whether the service is billed as facility or non-facility, so check how your practices are enrolled.
Do you support hospital at home programs?
HealthArc supports remote monitoring and care management for patients at home after discharge. Acute hospital-at-home programs under the CMS waiver need inpatient-level services we don’t provide.
Who We Serve
Built for Other Kinds of Organizations Too
Get Started
Plan a Post-Discharge Pilot With Your Team
Bring your readmission data for one condition. We’ll show what monitoring and TCM would cover and what it would bill.
- Cohort and baseline agreed up front
- Security documentation before contracting
- Epic or Oracle Health integration plan
- Monthly reporting to quality and finance
Schedule a Demo
Estimate Your Revenue
HIPAA Compliant • SOC 2 Certified • No long-term contracts
sales@healtharc.io • +1-201-885-5571
sales@healtharc.io • +1-201-885-5571
Talk to a Remote Care Specialist
How Can HealthArc Help You?
Want a demo, or just have a question about remote care in your practice? Send us a few details and a remote care specialist will get back to you shortly.
- RPM, CCM & 7 more CMS programs
- Automated time tracking & CPT billing
- Two-way EHR integration
- Managed care team, or your own
- Pre-configured cellular devices shipped
- Live in about 30 days
HIPAA compliant SOC 2 Type II No long-term contracts
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Resources
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