Who We Serve Solutions Billing Partners CPT Codes
For Practices & Organizations For Families & Caregivers
The Bridge in Remote Care®

The most important care happens between visits.

MonitoRight quietly connects remote monitoring, clinical oversight, and care teams—so care continues seamlessly at home.

For Practices & Organizations For Families & Caregivers
Care continues at home
BUILT FOR ALIGNMENT WITH
Medicare & Medicaid Organizations · Integrated Care Networks · Home Health & Specialty Providers
Compatible with Leading EHRs
EpicathenahealtheClinicalWorksTebraNextGenModMed

The opportunity inside every patient relationship.

Up to 81%
HEDIS Score Improvement
In blood pressure control metrics among enrolled hypertensive patients under continuous monitoring
30%+
Revenue Increase YoY
Year-over-year revenue growth for practices fully utilizing RPM + CCM billing codes
12+
Billable Code Categories
RPM, RTM, CCM, and chronic care codes activated across your existing patient population
Often $0
Patient Out-of-Pocket
Monitoring device setup may be billed when program requirements are met. Patient cost-sharing varies by coverage — often $0 for dual-eligibles and Medigap enrollees.

Results reflect high-performing RPM deployments. Individual outcomes vary based on patient population, payer mix, enrollment scale, and clinical engagement. Revenue figures based on practices fully utilizing available CPT codes. Billing estimates based on 2026 CMS national averages.

Clinician reviewing patient vitals on tablet in warm home setting
Continuous monitoring.
Proactive care.
The Problem We Solve

Vital data sitting
in devices — unseen.

Your patients have conditions that don’t pause between visits. Your reimbursement shouldn’t either.

MonitoRight bridges the gap between visits — capturing, transmitting, and translating biometric data into clinical actions and billing-supportive documentation workflows, automatically.

Continuous visibility between visits — structured monitoring logs generated from every reading, reducing manual charting and closing the gap in patient oversight
Early intervention, not emergency response — threshold alerts route to clinical staff before a concerning reading becomes a costly admission
Documentation that supports billing — structured records support claims for 99454 and 99457 when coverage, time, and data requirements are met — reviewed by the billing practitioner
Quality that moves without added effort — see exactly which enrolled patients are lifting your quality metrics and star ratings in real time
See the Platform →
The Bridge in Practice
The Bridge in Practice

Every organization we work with is responsible for what happens to patients between visits. We exist to make that responsibility lighter — and the outcomes better.

Where We Work

Every setting where care
extends beyond the visit.

MonitoRight is built for any organization responsible for patient health between encounters — wherever the relationship between provider and patient extends into the home.

01

For Those Providing Care

We equip those on the front lines with the right tools and support, so they can maintain visibility into their patients' health between encounters — without adding burden to their day.

02

For Those Leading Care

We deliver a complete monitoring solution that generates new revenue streams while preserving the focus and time of the people responsible for outcomes.

03

For Those Scaling Care

We provide the missing connection that allows organizations operating under capitated or fully integrated care models to extend quality care beyond their walls — efficiently, compliantly, and profitably.

Behavioral Health Integration
Behavioral Health Integration

We support those responsible for patient outcomes by quietly connecting proven remote monitoring technology and clinical oversight — so behavioral health care can continue seamlessly between visits, without adding complexity or burden to the care team.

Learn How We Bridge the Gap →
Quality Metrics

HEDIS scores that move on their own.

HEDIS performance directly impacts quality ratings and financial outcomes. MonitoRight quietly provides the continuous data infrastructure that helps clinical teams improve measures — without adding manual reporting or workload.

Controlling High Blood Pressure (CBP)+38 pts
Comprehensive Diabetes Care (CDC)+29 pts
Follow-up After Hospitalization (FUH)+22 pts
Medication Management for Asthma (MMA)+18 pts
Star Rating Impact
4–5★
Quality Bonus Range
$200–$500 /member
Available Measures
20+
Reporting Frequency
Real-time
Clinical dashboard
NCQA measures tracked
automatically.
The Platform

Built for the work.
Not around it.

Purpose-built for the clinical and operational realities of care that extends beyond the visit — not retrofitted from a generic telehealth platform.

Quality Metrics That Move Themselves
Continuous monitoring creates the documentation infrastructure that lifts your quality scores — without adding staff or manual reporting. Every reading works toward better outcomes automatically.
Visibility Between Every Visit
Blood pressure, glucose, SpO₂, weight, heart rate — streamed daily from patient devices. Threshold alerts reach your clinical team before a concerning reading becomes a costly intervention.
Documentation That Supports Claims
Timestamped, provider-signed workflows built to support billing review for monitoring codes — no manual charting, no missing records. Reduces documentation gaps and billing friction every month.
More Revenue From Every Enrolled Patient
Chronic care management and remote monitoring programs can be billed for the same enrolled patient when time and requirements are documented distinctly and compliantly — adding meaningful recurring revenue before any office visit.
Connects to the Systems You Already Use
Bi-directional sync with leading EHR platforms. Vitals post directly to the patient chart. Your staff never enters the same data twice — care coordination happens in the background.
Recovery Monitoring Beyond the Visit
Post-visit therapeutic monitoring under 2026 remote monitoring codes turns the period between encounters into a structured, billable recovery pathway — separate from your primary care revenue stream.
How We Work Together

A seamless path from interest to impact.

01
Step One
We Listen First
We begin by understanding your current workflows and the needs of those responsible for patient outcomes.
02
Step Two
We Curate the Right Solution
We connect you with the most appropriate technology and clinical support tailored to your environment.
03
Step Three
We Handle the Heavy Lifting
Technology integration, staff onboarding, and ongoing coordination are managed on your behalf.
04
Step Four
You Maintain Control
Your team uses the dashboard to monitor patients. You bill directly. We remain quietly in the background.
The Business Case

CMS changed the rules in 2026.
Most practices don’t know yet.

New codes, lower thresholds, and broader eligibility requirements mean more of your patients qualify for RPM than ever before. The window to build a competitive advantage is open — but it won’t stay that way.

01
Broader Patient Eligibility
New 2026 Code 99445
CMS introduced a new device supply code for 2–15 days of data transmission — down from the previous 16-day minimum. Post-surgical patients, newly diagnosed conditions, and lower-acuity populations now qualify for billable monitoring. Reimburses at approximately $47 nationally.
New 2026 Code 99470
A new treatment management code for 10–19 minutes of RPM services per month, giving practices a shorter billing increment than the existing 20-minute 99457 threshold. More patients qualify; more documentation aligns with real-world clinical time. Reimburses at approximately $26 nationally.
Multiple Conditions, One Enrollment
Patients with hypertension and diabetes generate monitoring data for both conditions simultaneously — amplifying the clinical and billing value of every enrolled patient.
02
Improved Cash Flow
Faster Break-Even
The one-time setup code (99453) and recurring device supply code (99454) create a revenue stream that typically covers program costs within the first 60–90 days of a patient’s enrollment.
Stacked With CCM Billing
RPM and Chronic Care Management codes are billable in the same month for the same patient. A patient generating 99454 + 99457 + 99490 monthly is worth $140–$180 per month to your practice before any office visit charges.
Favorable Patient Cost-Sharing
Medicare Part B covers RPM at 80%, with supplemental plans often covering the remainder. For dual-eligibles and Medigap enrollees, patient out-of-pocket is commonly $0 — removing a major adoption barrier and supporting stable enrollment month over month. Actual patient cost depends on coverage.
CMS Reference

The codes that pay
for your monitoring program.

2026 CMS Physician Fee Schedule national averages. Actual payments vary by geography, MAC, and payer contract.

CodeDescriptionRequirementsRate
99453RPM — Initial setup and patient education on use of equipmentOne-time per patient.~$19
99445 New 2026RPM — Device supply with data transmission for 2–15 days in a 30-day periodNew lower-threshold code. Not additive with 99454 same month.~$47
99454RPM — Device supply with daily recording or programmed alerts, per 30 days16+ days of data transmission per 30-day period~$54
99470 New 2026RPM — Treatment management, 10–19 minutes per calendar month with at least one interactive communicationNew shorter-increment code. Not additive with 99457 same month.~$26
99457RPM — Treatment management, first 20 minutes of interactive communication monthlyInteractive communication. Min. 20 min.~$50
99458RPM — Each additional 20 minutes of treatment management beyond 99457Add-on to 99457. Per additional 20-minute increment.~$41
99490CCM — Chronic care management, first 20 minutes per calendar month2+ chronic conditions. Structured care plan. Min. 20 min.~$62
99439CCM — Each additional 20 minutes of non-complex CCM (add-on to 99490)Add-on to 99490. Can be billed up to 2x per month.~$47
98975RTM — Initial setup and patient education, musculoskeletal or respiratoryOne-time per RTM episode.~$19
98980RTM — Treatment management services, first 20 minutes monthlyPhysician or QHP. 16-day minimum. 20 min threshold.~$50
98979 New 2026RTM — Therapeutic response monitoring, behavioral and cognitive conditionsNew for 2026. Behavioral health RTM device supply and data review — verify applicability with your billing team before billing.~$42
Reimbursement rates are national averages from the 2026 Medicare Physician Fee Schedule Final Rule and are provided for informational purposes only. New codes 99445 and 99470 are effective January 1, 2026. Actual payments vary by geographic locality, MAC jurisdiction, and payer contract. Always verify with your billing team or MAC before initiating a billing program. MonitoRight does not guarantee specific reimbursement outcomes.
Reimbursement Scenario

Will this pay for itself?

An honest example. No inflated assumptions, no hidden multipliers.

Assumptions
Enrolled patients50 patients
Monthly code — 99454~$54 × 50
Monthly code — 99457~$50 × 50
CCM add-on — 99490~$62 × 30 (eligible)
Monthly billing total~$7,060
Note: Estimates based on 2026 CMS Physician Fee Schedule national averages. CCM assumes 60% of RPM patients qualify. Source: 2026 Medicare Physician Fee Schedule Final Rule.
×
Estimated Monthly Revenue
~$7,060
Per month, 50 patients
RPM + CCM codes only

~$84,720 annually

Before any office visit billing.
Our Leadership
Fifteen years at the intersection of home care, managed long-term care, and the plans that pay for them.
— Since 2009
Partner Inquiry

Open a partner conversation.

For technology and clinical platform partners, integrated and capitated care organizations, home and community-based care providers, and health plans exploring aligned incentives.

Response within one business day.

Already on Another Platform?

A better bridge shouldn't mean
starting from scratch.

Your patient relationships, your enrolled population, your billing history — we handle the transition so your program never skips a cycle.

Talk to Us About Switching →
Patient data migration
Full migration from your existing platform — no patient re-enrollment required
Billing continuity
Claims continue uninterrupted — we align the transition to your billing cycle
EHR reconnection
We reconnect to your existing EHR — Epic, athenahealth, eClinicalWorks — typically within 48 hours
Dedicated onboarding
A MonitoRight implementation specialist stays with you through every step of the transition
Get Started

Every conversation starts
with the right connection.

Tell us where you are in the care equation and we will show you exactly how MonitoRight fits in.

No commitment required. Response within one business day.

Individual outcomes vary based on patient population, enrollment scale, payer mix, and clinical engagement. Billing estimates based on 2026 CMS Physician Fee Schedule national averages.