Our Difference

Not just another billing company. A purpose-built RCM engine.

Most RCM companies handle general medical billing. We built our entire operation around the specific complexity of remote care billing, and then automated the parts that other companies still do by hand.

The Core Difference

Automation-driven. Expert-guided.

The billing industry has a staffing problem. Most companies hire people to do tasks that computers should do. Eligibility checks run manually. ERA files are posted by hand. Claim scrubbing is done by a person checking a list.

We built our workflows the other way around. Everything routine is automated. Our team handles only the work that genuinely requires human judgment: denial appeals, peer-to-peer reviews, complex coding decisions, and client relationships.

The result is faster processing, fewer errors, and a team that is never too busy with routine tasks to focus on your most important issues.

98%

First-pass claim acceptance rate

The industry average is 85 to 90 percent. Our automated scrubbing, eligibility verification, and code validation 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.

01
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.
02
Daily Automated Eligibility
Every enrolled patient is verified every morning through our automated 270/271 pipeline. Coverage changes are flagged before your team starts work. You never receive a denial because a patient's plan terminated and nobody checked. This is genuinely rare in the industry.
03
Two Pricing Models, No Surprises
Volume-based pricing for vendors and high-volume groups. Percentage-based for practices. Both are transparent, with no setup fees, no per-call charges, and no hidden costs. You always know exactly what billing costs you each month.
04
Same-Day Denial Turnaround
Most billing companies work denials weekly or biweekly. We work every denial the day it arrives. A 24-hour denial cycle means your revenue moves faster, your AR ages less, and payer deadlines for appeals are never missed.
05
Proactive Prior Auth Management
We do not wait for an auth to expire before acting. Our system flags every PA 30 days before expiration and initiates renewal automatically. Your RPM program never gets interrupted because a prior authorization lapsed while your team was focused on patients.
06
Transparent Reporting, Monthly
Every client receives a monthly report showing revenue by CPT code, denial rates by payer, average AR days, and eligibility verification results. You always know what is happening with your revenue, not just at the end of the year.

How We Compare

RPM CCM vs. general RCM companies.

CapabilityGeneral RCM CompanyRPM CCM Billing Solutions
RPM and CCM code expertiseLimitedFull specialty
Daily eligibility verification✕✓
16-day device threshold tracking✕✓
Prior auth with 30-day expiry alertsManual onlyAutomated
Same-day denial turnaround✕✓
RPM and CCM concurrent billing optimization✕✓
Volume-based pricing for vendors✕✓
2025 APCM code supportVariesDay-one ready
Telehealth modifier expertise (95, 93, GT)BasicFull coverage
Monthly CPT-level reporting✕✓
Secondary billing from ERA dataManualAutomated
Setup feeCommonNone

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.

Most Popular
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 a Volume Quote
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

No collections, no fee. Cancel any time.

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 the difference firsthand?

Request a free revenue audit. We will review your current billing setup and show you specifically where revenue is being left on the table.

Request Free AuditLearn About Our Team