Maximize Health Outcomes with RPM Service Providers

Maximize Health Outcomes with RPM Service Providers

Remote Patient Monitoring (RPM) has the potential to transform patient care, but adoption remains low. An American Medical Association survey found only 30% of physicians use technology to monitor patients at home.

Why? A 2024 study highlights key challenges:

  • Substantial role changes needed to review and handle incoming patient data
  • Lack of time to educate patients and raise digital literacy
  • Level of care team changes required to implement and manage a program

Outsourcing core aspects of RPM, however, allows providers to realize measurable benefits with less effort, impact on staff, or upfront investment. Medicare providers can contract third-party service companies to perform tasks, engage patients, and escalate high-risk care needs. 

Achieve Compliance and Create Value for Patients

By outsourcing RPM, providers can focus on delivering high-quality care while ensuring compliance and efficiency. Here’s how third-party companies can help:

  • Patient education
  • Patient data review
  • Follow-up with patients to support device usage
  • Patient triage and escalation

A provider should have a clear view of how to work with the vendor to ensure RPM services meet operational, financial, and patient care objectives. 

How to Find the Right RPM Service Provider

1. Start with a prioritized patient population

Recommendations from RPM research suggest that developing clear criteria is fundamental, particularly when starting a new program. Establish when patients should be enrolled based on Medicare’s requirements. Enrollment should also ensure the initial patient population meets the provider’s overarching goals.

2. Establish clear standards for escalation and clinical intervention

Clinicians must work with the vendor to ensure clear policies and population- or patient-level protocols are in place. These should detail when intervention is required, based on the data being collected. 

By monitoring and identifying trends that indicate potential risks—such as deviations in vitals or medication nonadherence— care teams can intervene before a situation becomes critical.

3. Prioritize alerts from RPM companies

Providers should create operational standards for their practices, in addition to having clear data thresholds by disease, population, or patient. These can help staff understand how to handle alerts from the RPM company and when to engage the physician for timely interventions.

4. Leverage staff for specific data analysis and patient care tasks

While third-party RPM service providers can support many critical aspects of the program, the clinical care team or internal staff should still perform certain duties. These include periodic and consistent review of patient-generated data to identify trends that should be discussed at the next in-person appointment.

5. Build competency around CMS billing and program requirements

Outsourcing RPM services delivers measurable value to patient outcomes and revenue. However, the billing physician is still responsible for meeting CMS billing and program requirements. The billing physician must know how the third-party vendor complies with CMS rules for RPM.


Why RPM Service Providers use ThoroughCare

ThoroughCare simplifies RPM implementation, helping service provider companies maximize efficiency, compliance, and revenue. Our platform supports:

  • Seamless patient enrollment and tracking
  • Automated documentation and compliance workflows
  • Optimized reimbursement with easy claim preparation
  • Improved patient engagement with digital tools and analytics

We also support Clinical Advisory Services to optimize use of our technology platform and help you deliver care to larger patient populations. ThoroughCare has helped providers generate $7.8 million in monthly reimbursements, processing 93,000+ claims per month.

Want to make RPM more effective? Speak to us about optimizing your program.


What is Virtual Care Management? 

Providers and third-party service companies want to deliver accessible and convenient care that has an impact. Virtual care management, relying on telehealth solutions, can help engage patients in remote areas or who have physical, financial, or behavioral barriers to being seen in person. 

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2025 RPM Billing Rules and Reimbursement Rates

In this video, we'll walk through everything you need to know about the 2025 CPT codes, billing requirements, and reimbursements for RPM, so you can properly bill for this program 

See how to effectively provide RPM according to CMS rules.


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