For Clinics & Physician Practices
Remote Monitoring and Care Management for Clinics and Physician Practices
Your chronic patients already qualify for monthly Medicare care management. Most practices never bill it because nobody has the hours to do the calls. We bring the platform, the devices and the nurses, and the work is billed under your NPI.
HIPAA · SOC 2 Type II
No long-term contract
Live in about 30 days
Billable this monthRPM + CCM, one claim run
Practice panel, this monthLive
RPM patients16+ days of readings142
CCM patients20+ minutes logged188
Readings escalatedReviewed same day11
Staff time addedCalls handled by our team0 hrs
2,000+Providers on HealthArc
100,000+Patients monitored
45+States covered
9CMS programs, one platform
What’s in the Way
Why Most Practices Leave Care Management Revenue on the Table
CMS has paid for between-visit care since 2015. The codes aren’t the problem.
The problem is labor. A single CCM patient needs 20 documented minutes every month, and an RPM patient needs 16 days of readings plus a monthly interactive call. Multiply that across a few hundred eligible patients and you’ve described a full-time job nobody on your staff has time for.
So the program gets launched, a medical assistant runs it between other tasks, enrollment stalls at 30 patients, and the billing quietly stops.
We see this pattern constantly. It isn’t a motivation problem, and it isn’t solved by buying better software, because the constraint was always the hours: somebody has to call every enrolled patient every month, write down what happened, and chase the ones who don’t pick up.
That’s the part we take on.
Typical RPM month
$105 per patient (99454 + 99457)
Typical CCM month
$60 per patient (99490)
Who can bill both
The same patient, same month
Staff you hire
None, if we run it
Nobody owns the minutes
Time tracking on paper or in the EHR’s free-text notes doesn’t survive an audit. If the 20 minutes can’t be shown, the month can’t be billed.
Enrollment is a sales job
Patients say yes when someone calls them, explains the program and handles the consent. Front-desk staff rarely have time for that conversation.
Devices become a help desk
Bluetooth cuffs need a phone, an app and a patient who’ll pair them. Every pairing problem becomes a call to your office, and the patients who most need monitoring are usually the least likely to have a smartphone that cooperates with the device you shipped them.
Billing rules keep moving
CMS added two RPM codes for 2026 (99445 and 99470) and made APCM billable in 2025. Someone has to know which code applies to which month.
Programs That Fit
The Programs Practices Start With
Most practices launch one program, get it running cleanly, then add the next. These are the usual first three. All nine run on the same platform and the same patient record.
Remote Patient Monitoring
Cellular blood pressure cuffs, glucometers and scales that send readings without an app. Out-of-range readings reach a nurse the same day.
CPT 99453, 99454, 99457, 99458, plus 99445 and 99470 from 2026
Chronic Care Management
Monthly care-plan work for patients with two or more chronic conditions. Calls, medication reconciliation and coordination with specialists.
CPT 99490, 99439, 99487, 99489
Advanced Primary Care Management
A single monthly bundle for primary care practices that take on the APCM service elements. No minute counting.
HCPCS G0556, G0557, G0558
| Program | Enrolled patients | Approx. rate per month | Monthly revenue |
|---|---|---|---|
| RPM (99454 + 99457) | 120 | $105 | $12,600 |
| CCM (99490) | 150 | $60 | $9,000 |
| Total per month | 270 enrolled | – | $21,600 |
| Annualized | – | – | $259,200 |
Rates are approximate national non-facility Medicare averages from our revenue calculator; they vary by locality and change every January. The example assumes enrolled patients complete the billable month. Plug in your own panel to check the math.
How It Runs
Software, a Care Team, or Both
Some practices have a care manager and only need the tooling. Most don’t, and want us to do the work. You pick the model, and you can change it later.
Software only
- Your staff works in the HealthArc platform
- Time tracking and billing reports built in
- Per-patient alert thresholds you set
- Readings and notes write back to your EHR
Fully managed
- A dedicated pod of RNs, LPNs and enrollment specialists
- They call patients under your practice name
- Escalations go to your provider by your rules
- We ship, activate and support the devices
Co-managed
- Your care manager keeps the complex patients
- Our team covers enrollment and routine months
- One shared queue, one patient record
- Common when a practice is scaling past one site
Every call, reading and minute is logged against the patient and the code it supports. When a payer asks for documentation, you export it from the platform. You don’t rebuild it from memory.
Evaluating Vendors
What Practices Ask Before Choosing a CCM or RPM Vendor
These are the questions we get on almost every first call. Here are the short answers.
| The question | Our answer |
|---|---|
| Do we need to hire nurses? | No. In the managed model our clinical team does enrollment, monthly calls and escalation. You keep oversight and sign off on care plans. |
| Who bills, and under whose NPI? | You do, under your billing provider’s NPI. We supply the documentation and a monthly billing report by patient and code. |
| Will it work for a small practice? | Yes. There’s no minimum panel size, and the managed model exists for practices that don’t have a care manager. |
| Which EHRs do you connect to? | Epic, athenahealth, eClinicalWorks, Tebra, NextGen, Greenway, DrChrono, AdvancedMD and others. Readings and notes land in the chart. |
| How is it priced? | Per enrolled patient per month, with no long-term contract and no upfront hardware purchase. In most programs the CMS reimbursement exceeds the fee. |
| What happens when a patient’s reading is dangerous? | Our nurse calls the patient and follows your escalation protocol, which usually means a same-day message or call to your provider. |
Implementation
From Signed Agreement to Billing in About 30 Days
One program, one panel, then expand once it’s running cleanly.
1
Week 1
Find the eligible patients
We pull your chronic-condition panel from the EHR or a report and size what each program could bill before anything is configured.
2
Week 1–2
Set protocols and connect the EHR
Alert thresholds, escalation rules and care-plan templates are set with your lead provider. EHR integration runs in parallel.
3
Week 2–3
Enroll and ship devices
Our team calls patients, records consent and ships cellular devices that arrive activated.
4
Week 4 onward
Run the month and bill it
Calls, reviews and time are logged daily. At month end you get a billing report by patient and CPT code.
FAQ
Questions Practices Ask About Remote Care Programs
Straight answers on billing, staffing and setup for clinics and physician practices.
Can a small practice run remote patient monitoring without extra staff?
Yes, if someone else does the monthly work. RPM needs 16 days of device readings and 20 minutes of interactive management each month. In our managed model a HealthArc clinical team handles that time under your supervision, so your front desk and MAs don’t take it on.
Can we bill CCM and RPM for the same patient in the same month?
Yes. Medicare allows RPM and CCM in the same month as long as the time counted toward each code is separate and documented. The platform tracks the minutes per program so they don’t overlap.
How much can a physician practice earn from CCM and RPM?
It depends on enrollment. At roughly $105 per RPM patient and $60 per CCM patient per month, a practice with 120 RPM and 150 CCM patients bills about $21,600 a month. Use the revenue calculator with your own panel size and payer mix.
What is the difference between outsourced CCM and CCM software?
Software gives your staff the tools to do the work. Outsourced CCM means a vendor’s clinical team does the calls and documentation for you, billed under your NPI. HealthArc offers both, plus a co-managed mix.
Do patients need a smartphone for remote monitoring?
No. HealthArc ships FDA-cleared cellular devices that send readings over a built-in cellular connection. Patients take a reading and the data arrives.
How long does it take a clinic to launch?
About 30 days from signing to the first billable month for most practices, including EHR connection and the first enrolled patients.
Who We Serve
Built for Other Kinds of Organizations Too
Get Started
See Your Practice’s Numbers Before You Commit
Bring a rough patient count. We’ll show you the eligible panel, the likely revenue and what the first month looks like.
- A 30-minute walkthrough of the platform
- Revenue modeled on your payer mix
- Staffing model options, side by side
- No contract required to get the estimate
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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