RPM Billing
RPM Billing
EHR Integration
Denial Management
Billing Compliance
Patient Onboarding
Enhance patient care and grow practice revenue with Emerger RCM’s RPM billing services. We facilitate clinical remote monitoring, ensure compliant billing, and optimize reimbursement so you can focus on delivering proactive patient care.
Remote Patient Monitoring Setup
We initiate your RPM program by helping you select and deploy FDA-cleared monitoring devices. Our team assists in onboarding patients, training on device usage, and configuring secure data transmission. We integrate seamlessly with your EHR to ensure vital signs data flows automatically into clinical workflows.
RPM setup includes establishing thresholds and alerts, enabling your team to intervene early reducing hospitalizations and fostering preventative care, while ensuring compliance with billing requirements.
RPM Billing & Claims Management
Our RPM billing service handles coding, claim submission, and payment tracking for CPT codes like 99453, 99454, 99457, and 99458. We ensure accurate documentation of monitoring days, patient consent, device delivery, and clinical time. Claims are scrubbed against payer policies before submission, reducing rejections. We monitor payment status, follow up on denials, and resubmit as needed. By managing the entire RPM billing process, we help maximize reimbursement and boost your program’s return on investment.
Contact us today to learn more about our team
We would be happy to answer any questions you may have or provide you with additional information about our services.
Device Procurement & Setup
Assistance selecting FDA-cleared RPM devices and ensuring HIPAA-compliant patient setup.
Patient Onboarding & Training
Smooth device delivery and real-time patient education on usage and data collection.
EHR Integration
Seamless data flow from monitoring devices into your EHR with flagging tools for abnormal readings.
Claim Scrubbing & Submission
Automated and manual checks for RPM-specific codes and documentation before claim filing.
Denial Management & Follow-Up
Tracks rejected or underpaid claims, performs corrections, and handles appeals efficiently.
Coverage & Billing Compliance
Ensures all RPM services meet payer guidelines, from patient consent to clinical monitoring hours.
RPM requires explicit patient consent before billing. Our process includes obtaining and documenting consent via digital or paper forms, explaining program expectations, and confirming patient understanding. We guide providers in discussing service goals, monitoring frequency, and addressing patient questions. Proper consent minimizes compliance risk and establishes transparency.
Additionally, we educate patients on device handling, data transmission, and when to alert clinical staff. This informed approach improves engagement, data quality, and ensures RPM services meet regulatory and payer requirements safeguarding reimbursement eligibility.
Emerger’s RPM service includes 24/7 clinical data oversight. We set personalized thresholds in partnership with your healthcare team. When a patient’s vital signs breach defined parameters, our clinical coordinators are notified. We execute preapproved intervention protocols such as patient outreach, care-plan adjustments, or provider alerts.
Each action is documented precisely for billing validation and clinical measurement. This proactive monitoring reduces adverse events, improves patient outcomes, and strengthens justifications for RPM billing demonstrating the clinical value of your remote care program.
RPM billing regulations and payer policies are constantly changing. We maintain a robust policy-tracking system covering Medicare, Medicaid, and commercial payers. Our team reviews and implements updates immediately ensuring consent duration, device eligibility, and billing intervals remain compliant. This vigilance prevents claim denials associated with policy lapses.
Practices receive monthly bulletins detailing policy changes and their impact on RPM workflows. By staying current, you maintain high reimbursement rates and future-proof your RPM program keeping pace with evolving healthcare payment models.
Beyond billing, Emerger supports your RPM program with performance insights. We track key metrics like enrolled patients, completed monitoring days, claim success rates, and average reimbursement per patient. Through regular reports, we identify gaps such as patients falling below minimum monitoring thresholds or high denial reasons.
Our team suggests process improvements like enhanced patient follow-up, workflow tweaks, or staff training to optimize performance. This data-driven approach empowers you to refine care models, maximize revenue, and expand remote monitoring capabilities sustainably.
Whether you’re piloting RPM or scaling across multiple providers, Emerger offers flexible support. We manage rolling device onboarding, patient consent cycles, and billing volume increases seamlessly. Our services adjust based on program size and complexity from boutique cardiovascular monitoring to large multi-condition RPM programs.
We can also support value-based care models, bundling RPM billing with chronic care management (CCM). With robust processes, compliance oversight, and technical integration, we enable scalable RPM growth helping your organization transition to a proactive, remote care-driven healthcare delivery model.
