Remote Patient Monitoring — Built for Outcomes

Care That Doesn't
Stop at the
Clinic Door.

MonitoRight gives your practice continuous insight into patient health — converting daily biometrics into HEDIS scores, reimbursement, and outcomes that distinguish your practice.

EHR Integrations
EpicathenahealtheClinicalWorksTebraNextGenModMed

What high-performing RPM programs actually achieve

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
$0
Device Cost to Patient
Monitoring devices are billable under 99453 at setup — your patients pay nothing out of pocket
Patient monitoring
Continuous monitoring. Proactive care.
The Problem We Solve

Vital data sitting
in devices — unseen.

MonitoRight bridges the gap between patient discharge and the next office visit — capturing, transmitting, and translating biometric data into clinical actions and clean billing documentation, automatically.

Automated monitoring logs — compliant documentation generated from every reading, no manual charting
Alert-based escalation — threshold breaches trigger clinical review before they become admissions
Billing-ready reports — every 99454 and 99457 claim supported by timestamped, provider-signed documentation
HEDIS-linked dashboards — see exactly which enrolled patients are moving your quality metrics
See the Platform →
Who We Serve

Every practice that manages chronic conditions.

MonitoRight is built for any provider billing Medicare or Medicaid who wants to convert existing patient populations into a structured, revenue-generating monitoring program.

Cardiology
01
Cardiology &
Hypertension
Endocrinology
02
Endocrinology
& Diabetes
Home Health
03
Home Health
Agencies
Primary Care
04
Primary Care
& NPs
Managed Care
05
Managed Care
& Health Plans
Behavioral Health
06
Behavioral Health
& Complex Care
Quality Metrics

HEDIS scores that move on their own.

HEDIS performance directly impacts capitation rates, quality bonuses, and Medicare Advantage star ratings. MonitoRight's continuous monitoring creates the documentation infrastructure that lifts your measures.

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

Everything you need.
Nothing you don't.

Purpose-built for the clinical and administrative realities of a monitoring program — not retrofitted from a generic telehealth platform.

HEDIS Optimization Suite
Real-time performance dashboards mapped to NCQA measure specifications. Know exactly which patients are moving your scores.
Vital Sign Monitoring
Blood pressure, glucose, SpO₂, weight, and heart rate streamed from patient devices with configurable alert thresholds.
QI Analytics Dashboard
Aggregate quality improvement data with benchmarking, trend analysis, and exportable reports for payer submissions.
Chronic Care Management
Structured CCM workflows with care plan documentation, monthly time tracking, and billing support for 99490 and 99439.
Seamless EHR Integration
Bi-directional data flow with Epic, athenahealth, eClinicalWorks, and 12+ other systems. Vitals post to the chart automatically.
Remote Therapeutic Monitoring
RTM capability for musculoskeletal, respiratory, and behavioral conditions — including new CMS 2026 codes 98979.
Implementation

From signed agreement to first claim — in 30 days.

Step 01
Patient Eligibility & Enrollment
We run your patient panel against RPM/CCM eligibility criteria and help you prioritize highest-value enrollees.
Step 02
Device Setup & Onboarding
Devices ship directly to patients. Activation, walkthroughs, and consent handled — covered under 99453.
Step 03
Continuous Monitoring & Alerts
Vitals stream to your dashboard. Threshold alerts route to clinical staff. Every reading timestamped and billing-ready.
Step 04
Monthly Billing & Reporting
Complete claim documentation generated automatically. Export to your billing team or submit via clearinghouse integration.
The Business Case

Why add RPM to your practice now?

CMS has quietly removed many of the barriers that made RPM billing difficult. The window to build a competitive advantage is open.

01
Broader Patient Eligibility
Reduced Monitoring Requirements
CMS reduced the minimum monitoring days per month from 16 to as few as 2–15 days for certain codes, making it feasible to enroll patients with lower acuity or those managing short-term conditions.
Lower-Risk Enrollment
You no longer need to limit RPM to your sickest patients. Post-surgical patients, newly diagnosed conditions, and pre-chronic populations all qualify — expanding your potential enrolled base significantly.
Multiple Conditions, One Enrollment
Patients with hypertension and diabetes can generate monitoring data for both conditions simultaneously — amplifying the clinical and billing value of a single enrolled patient.
02
Improved Cash Flow
Faster Break-Even
The one-time setup fee (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.
No Patient Out-of-Pocket
Medicare covers RPM at 80% with supplemental plans covering the remainder. Patient cost is typically $0 — removing adoption barriers and keeping your enrolled population stable month over month.
CMS Reference

The codes that pay
for your monitoring program.

Reference rates based on 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
99454RPM — Device supply with daily recording or programmed alerts, per 30 days2–15 days of data transmission per 30-day period~$54
99457RPM — Treatment management, first 20 minutes of interactive communication monthlyInteractive communication with patient/caregiver. Min. 20 min.~$50
99458RPM — Each additional 20 minutes of treatment management beyond 99457Add-on to 99457. Per additional 20-min 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.~$42
Reimbursement rates are national averages from the 2026 Medicare Physician Fee Schedule and are provided for informational purposes only. 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 national averages. CCM assumes 60% of RPM patients qualify. Cite: CMS Physician Fee Schedule 2026.
×
Estimated Monthly Revenue
~$7,060
Per month, 50 patients
RPM + CCM codes only

~$84,720 annually

Before any office visit billing.
Quentin Tucker
“I spent fifteen years inside these systems — SNFs, home health agencies, managed care, Medicaid waivers — watching families struggle to find care that was already paid for. MonitoRight is built on the conviction that the same infrastructure that pays for monitoring can pay for better outcomes.”
Quentin Tucker
Founder, MonitoRight.io
15+ Years: Home Health, SNF, MLTC, NHTD/TBI Waivers, Managed Care
Get Started

Book your demo. Today.

See a live walkthrough of the platform, a customized eligibility analysis for your patient panel, and a reimbursement projection for your practice.

No commitment required. Response within one business day.

Results reflect high-performing RPM deployments. Individual outcomes vary based on patient population, enrollment scale, payer mix, and clinical engagement. Billing estimates based on 2026 CMS national averages.