OUR DIFFERENCE

Not Just Another Billing Company. Your Specialized RPM & CCM Compliance Partner.

Generic RCM firms treat remote care like standard office visits, leading to missed revenue and audit risks. We are built differently. Our entire operation is engineered exclusively to maximize compliant revenue for physician groups billing RPM, CCM, and RTM.

THE CORE DIFFERENCE

Compliance-first. Expert-guided.

The billing industry has a specialization problem. Most companies apply generic processes to complex RPM/CCM requirements. Initiating visits go undocumented. Time-logging overlaps trigger denials. CMS rule changes catch practices off guard. The result: revenue loss and audit risk.

We built our workflows around compliance, not just speed. Every RPM/CCM claim is validated against current CMS guidelines before submission. Our certified specialists handle what technology cannot: clinical judgment on complex coding, strategic denial appeals, and proactive CY 2027 compliance monitoring.

The result is not just faster processing—it's audit-ready billing. Your practice gets the dual advantage of technology-enabled efficiency and human expertise focused exclusively on protecting your RPM/CCM revenue.

98%

First-pass claim acceptance rate

The industry average is 85 to 90 percent. Our pre-claim compliance auditing, RPM/CCM-specific code validation, and eligibility verification process reaches 98.2 percent. Every percentage point above average is revenue that does not go through the denial cycle.

99%

Eligibility accuracy

94%

Denial appeal wins

30d

Average AR days

SIX PILLARS

What sets us apart, specifically.

Remote Care Specialists Only

We do not bill for primary care visits, surgical procedures, or durable medical equipment. Our entire team is trained on RPM, CCM, RTM, and telehealth billing. When you have a complex RPM coding question at 4 PM, you reach someone who has answered it before.

Hyper-Specialized Expertise

We don’t bill for everything. We specialize exclusively in Remote Patient Monitoring (RPM), Chronic Care Management (CCM), Remote Therapeutic Monitoring (RTM), and Transitional Care Management (TCM). Our coders know the exact nuances of Medicare’s latest guidelines, modifier requirements, and time-logging rules, ensuring a 98%+ first-pass acceptance rate.

Pre-Claim Compliance Auditing

Most RCM companies bill first and fix denials later. We prevent them. Before any claim is submitted, our team verifies critical compliance checkpoints: mandatory face-to-face initiating visits, 16-day device transmission logs, signed consents, and strict separation of RPM/CCM time to prevent costly "double-dipping" denials.

The "Best of Both Worlds" Operational Model

We combine US-level corporate accountability with global operational efficiency. US Foundation: We are a Delaware-registered entity, providing robust Business Associate Agreements (BAAs), strict HIPAA compliance, and US-based executive accountability. Global Efficiency: Our dedicated, certified coding and denial management team in India provides white-glove service at a highly cost-effective rate, without the high overhead of a US-based call center.

100% Provider-Advocate (Vendor Agnostic)

We work exclusively for the billing physician or practice. We do not sell devices, we do not supply clinical staff, and we do not take kickbacks from technology vendors. Our only loyalty is to your practice’s financial health and audit readiness.

Total Transparency & Reporting

No black-box billing. You receive clear, easy-to-understand monthly dashboards detailing exactly how much revenue was collected, which claims were denied (and why), and the actionable steps we are taking to recover your funds. You always know the status of your revenue.

HOW WE COMPARE

RPM CCM vs. general RCM companies.

Capability	General RCM Company	RPM CCM Billing Solutions
RPM and CCM code expertise	Limited	Full specialty
Daily eligibility verification	✕	✓
16-day device threshold tracking	✕	✓
Prior auth with 30-day expiry alerts	Manual only	Proactive
Same-day denial turnaround	✕	✓
RPM and CCM concurrent billing optimization	✕	✓
Percentage-based pricing for physician practices	✕	✓
2025 APCM code support	Varies	Day-one ready
Telehealth modifier expertise (95,93,GT)	Basic	Full coverage
Monthly CPT-level reporting	✕	✓
Secondary billing from ERA data	Manual	Seamless
Setup fee	Common	None

Pricing Models

Built for how you operate.

High-volume companies need predictable unit costs. Practices want aligned incentives. We offer both with no setup fees and no long-term lock-in.

Feature

Volume-Based

Per-Transaction Pricing

For RPM vendors, digital health platforms, and high-volume groups

From $0.25

per eligibility check, tiered by monthly volume

1 to 1,000

$0.50

1,001 to 5,000

$0.35

5,001 to 20,000

$0.25

20,001 and above

Custom

Daily automated eligibility runs

Prior auth submission and tracking

Full EDI 837 and 835 support

Dedicated account manager

Get Volumn Qoute

Percentage-Based

Collections-Based Pricing

For physician practices and independent clinics

4 to 7%

of net collections, rate based on practice size and service mix

End-to-end claim lifecycle management

Daily eligibility checks for all active patients

Prior auth submission, tracking, and appeals

Denial management and same-day appeals

Monthly revenue reports by CPT code

API access (available as add-on)

Start with a Free Audit

COMPLIANCE AND STANDARDS

Built on a foundation of compliance.

CMS Physician Fee Schedule

We update our code library and rate tables immediately when CMS releases the final Physician Fee Schedule each year. 2025 and 2026 updates including new APCM codes and RPM expansions are fully implemented.

OIG RPM and RTM Guidance

The OIG has issued specific fraud alerts for RPM and RTM billing. Our process is designed around current OIG requirements including device-day documentation, bundled service restrictions, and supervision rules.

HIPAA-Compliant Operations

All data transmission, storage, and processing meets HIPAA requirements. Business Associate Agreements are in place with every client. Patient data is never shared across client accounts.

CPT and HCPCS Annual Updates

AMA CPT updates and CMS HCPCS code changes are tracked and applied before January 1 each year. No client has ever received a claim rejection because we were using a deprecated code.

Ready to see if your RPM/CCM billing is CY 2027 compliant?

Request a free 15-claim compliance audit. We'll review your current billing setup and show you exactly where documentation gaps or coding errors are putting your revenue at risk.

Request Free Compliance Audit Download CY 2027 Checklist