Remote Patient Monitoring Services for Continuous, Connected Care
Circle Healthcare delivers end-to-end RPM — FDA-cleared devices, intelligent clinical software, and dedicated care teams so your patients stay monitored between visits and your practice maximizes reimbursement without adding overhead.
What Is Remote Patient Monitoring?
RPM is a care delivery model where FDA-cleared devices collect a patient's physiologic data — including blood pressure, blood glucose, oxygen saturation, weight, and more — from their home and transmit it securely to their clinical care team in real time, enabling timely interventions without requiring an in-office visit.
Circle Healthcare makes the entire RPM lifecycle automatic — from patient enrollment and device activation through daily monitoring, clinical escalation, and CMS-compliant billing submission. No capital investment, no new staff, and no administrative overhead for your practice.
Deployed by:
Primary care practices, cardiology and endocrinology groups, FQHCs, health systems, ACOs, payers, and employer wellness programs.
Who Is RPM For?
How Does It Work?
Clinician orders RPM; patient signs consent and receives device kit.
Cellular-enabled devices transmit readings automatically — no Wi-Fi or smartphone required.
The Circle Healthcare platform ingests readings daily and flags outliers per provider-defined thresholds.
Alerts route to the care team per provider protocols. Platform auto-generates compliant time logs and monthly billing reports.
Benefits of Remote Patient Monitoring
RPM creates value at every level — for patients who get better-connected care, for providers who get actionable data, and for practices that generate recurring revenue without incremental overhead.
For Patients
- Daily monitoring catches deterioration before it becomes an emergency
- Fewer unplanned ER visits and hospital readmissions
- Greater self-awareness drives better medication adherence
- Care access for patients with mobility, transportation, or geographic barriers
- Personalized feedback through the Circle Healthcare patient app
- Improved chronic disease control (A1c, blood pressure, SpO₂)
For Providers
- Objective trend data replaces patient self-reporting at visits
- Automated alerts surface only the patients who need attention today
- Streamlined documentation reduces administrative burden
- Risk-stratified dashboards focus attention on highest-acuity patients
- EHR-integrated summaries drop into the chart automatically
- Supports value-based care and quality metric performance
For Practices
- Average new revenue of $150–$180 per enrolled patient per month
- Automated CPT code documentation (99453, 99454, 99457, 99458, 99091)
- No capital investment — Circle supplies all devices and software
- Reduced no-show rates with ongoing digital touchpoints
- Scalable from 50 to 5,000 patients without hiring
- Full billing support and audit-ready documentation included
The RPM Platform Built for Clinical Teams
Everything your care team needs — risk dashboards, real-time alerts, EHR integration, patient engagement tools, and automated billing documentation — on a single HIPAA-compliant platform.
Comprehensive Care Plans & Provider Dashboards
Condition-specific care plans with automated escalation pathways and risk-stratified queues. Providers see exactly who needs attention — and why — the moment they log in.
Real-Time Alerts & Automated Clinical Workflows
Intelligent threshold alerts with full patient context. Automated SMS outreach reduces manual call volume by up to 60%, keeping care teams focused on highest-acuity patients.
EHR Integration
Native integrations with Epic, Cerner, Athenahealth, and 30+ EHR systems. Zero duplicate documentation — readings post to the chart automatically.
Patient App & Engagement Tools
Trend viewing, educational content, medication reminders, and care team messaging — all in one HIPAA-compliant patient-facing app that boosts compliance and self-management.
FDA-Cleared, Cellular-Enabled Devices
All devices are FDA-cleared, cellular-enabled, and shipped pre-configured directly to patients. No Wi-Fi setup required — readings transmit automatically from the moment the device is turned on.
Blood Pressure Monitors
Hypertension, Heart Failure, CKD, Pre-eclampsia
Glucometers & CGMs
Type 1 & Type 2 Diabetes, Gestational Diabetes
Dexcom · Abbott · Roche
Pulse Oximeters & Spirometers
COPD, Asthma, Sleep Apnea, Post-COVID Respiratory Monitoring
Nonin
Scales, Thermometers & Adherence
CHF Fluid Management, Obesity, Infection Monitoring, Medication Compliance
Condition-Specific RPM Programs
Circle Healthcare delivers pre-built clinical protocols for the conditions that benefit most from continuous monitoring — with outcomes data to match.
Cardiology
Daily BP monitoring, CHF fluid overload detection, wearable cardiac integration, post-MI protocols, medication titration reminders.
Diabetes & Endocrinology
Daily glucose tracking, CGM integration (Dexcom G7, Abbott Libre), hypo/hyperglycemia alerts, insulin titration support, weight/BMI monitoring.
Pulmonary
Daily SpO₂ monitoring, spirometry, dyspnea journals, COPD exacerbation prediction, post-COVID recovery protocols.
Neurology
Stroke risk BP monitoring, Parkinson's activity tracking, sleep/seizure correlation, post-stroke rehab tracking, and medication adherence monitoring.
Oncology & Obesity
Vital sign tracking during chemo, toxicity symptom monitoring, BMI/weight tracking, GLP-1 therapy monitoring, post-bariatric surgery recovery.
RPM CPT Codes & Reimbursement
Circle Healthcare automatically documents the qualifying activity for each RPM billing code — tracking days-with-readings, interactive contact, and clinical staff time per patient per month so no reimbursement is left unclaimed.
Payment amounts are approximate national Medicare averages. Actual reimbursement varies by geography. Refer to cms.gov for the current fee schedule.
| CPT Code | Description | Avg. Medicare Payment | Key Criteria |
|---|---|---|---|
| 99453 | Initial Setup & Patient Education | ~$19–21 | One-time; requires documented patient education and consent |
| 99454Key | Device Supply & Daily Readings | ~$48–55 | ≥16 days of readings per 30-day period |
| 99457Key | First 20 Min. of Monitoring | ~$50–56 | ≥20 min clinical staff time + at least one real-time interactive contact |
| 99458 | Additional 20 Min. (Add-on) | ~$41–47 | Add-on to 99457; max 2 units/month commonly reported |
| 99091 | Physician Data Interpretation | ~$56–62 | ≥30 min physician time/month; cannot be billed alongside 99457 |
Billing Best Practices
CPT 99454 requires ≥16 days of device readings within the calendar month. CPT 99457 requires at least one real-time interactive contact with the patient or caregiver. RPM can be billed concurrently with CCM and PCM provided clinical time is tracked separately per program. Circle Healthcare's billing prep module runs a pre-submission readiness check for every patient — flagging gaps in readings, missing interactions, or documentation deficiencies before any claim goes out.
The RPM Partner Built for Long-Term Results
Circle Healthcare is not a software vendor — it's a full-service RPM partner. We supply the devices, staff the care team, handle enrollment, and manage billing so your practice scales RPM without adding a single FTE.
Full-Service, Not Just Software
Devices, enrollment, clinical monitoring, billing, and account management all included. No piecemeal vendors.
Dedicated Clinical Care Teams
Circle Healthcare RNs, LPNs, and MAs handle day-to-day monitoring so your staff focuses on in-office care.
Cellular-First Device Network
No Wi-Fi, no smartphone — compliance rates run 15+ points above industry average because it just works.
Seamless EHR Integration
Bidirectional, auto-posts to chart, audit-ready billing documentation. Works with 30+ major EHR systems.
Proven Revenue Performance
$150–$180 per enrolled patient per month in new RPM revenue with zero incremental staff cost.
Compliance-First Architecture
HIPAA-compliant, BAA executed day one, automatic CPT documentation and pre-submission billing checks.
What Practices Say About Circle Healthcare
“We went from zero RPM revenue to over $85,000 per month in six months. Circle Healthcare handled every piece of the implementation — our staff barely noticed the change.”
“The cellular devices changed everything. Our elderly CHF patients had tried other RPM programs and given up. With Circle Healthcare, we're at 94% compliance because it just works.”
“Their EHR integration is genuinely seamless. Readings post to Epic automatically. Our care coordinators save two hours a day that used to go to manual data entry.”
Pair RPM with Other Value-Based Care Programs
RPM is one of six CMS care programs on Circle Healthcare. Combine it with CCM, PCM, or BHI to build a complete, revenue-generating care ecosystem — all on one platform, one team.
Chronic Care Management
Continuous, coordinated support for patients with 2+ chronic conditions. Improve outcomes between visits.
Learn MorePrincipal Care Management
Intensive, condition-focused care for patients with one serious, complex chronic condition.
Learn MoreTransitional Care Management
Coordinated post-discharge support to reduce readmissions during the critical 30-day transition window.
Learn MoreBehavioral Health Integration
Integrate behavioral health into everyday primary care to address the whole patient, not just the condition.
Learn MoreAdvanced Primary Care Management
Population-based care management for practices delivering advanced, comprehensive primary care.
Learn MoreCare Management Services
Our team of licensed RNs and medical assistants works as an extension of your practice. No new hires needed.
Learn MoreRemote Patient Monitoring — Questions Answered
Medicare allows RPM billing for patients with one or more chronic conditions requiring ongoing monitoring — hypertension, diabetes, COPD, heart failure, obesity, and more. The patient must have a documented care plan and provide written consent. Commercial payer coverage has expanded significantly and most major plans now cover RPM services.
Yes. Medicare Part B covers RPM under CPT codes 99453, 99454, 99457, 99458, and 99091. Coverage requires ≥16 days of readings per 30-day period and qualified clinical supervision. Medicaid coverage varies by state. Most commercial plans now cover RPM as well, with reimbursement continuing to expand under value-based care arrangements.
Telehealth is synchronous — a scheduled video or phone visit. RPM is continuous and asynchronous: devices collect data daily and the care team reviews and intervenes without a scheduled appointment. They complement each other and are billed under separate CPT code sets. Circle Healthcare supports both programs on a single platform.
Most practices are fully operational within 30–45 days. Circle Healthcare handles EHR integration, device procurement, patient enrollment, staff training, and billing setup in parallel. Enterprise health systems may require 60–90 days depending on EHR complexity and patient panel size.
Only the condition-specific device supplied by Circle Healthcare. Most devices are cellular-enabled and transmit automatically — no Wi-Fi setup, no smartphone, no app required for data transmission. Devices ship pre-configured with a simple one-page instruction sheet. The Circle Healthcare patient app is optional and enhances engagement but is never required.
Yes. RPM can be billed concurrently with CCM or PCM for the same patient in the same month, provided the clinical time for each service is tracked and documented separately. Circle Healthcare automates this tracking — no double-counting, full compliance. TCM and RPM may also be billed concurrently subject to the same documentation requirement.
CMS requires at least 16 separate days of readings within a 30-day calendar period to bill CPT 99454. Circle Healthcare tracks days-with-readings per patient in real time and alerts care coordinators before a patient falls below threshold — preventing missed reimbursement from avoidable gaps.
A practice with 100 enrolled patients can typically generate $15,000–$18,000 per month in new RPM revenue (CPT 99454 + 99457), with zero incremental staff cost when Circle Healthcare provides the care team. At 500 patients, that grows to $75,000–$90,000/month. Circle Healthcare provides a free, practice-specific revenue analysis before any engagement begins.
Latest Insights on Remote Patient Monitoring
Launching RPM Without Adding Staff
How practices can stand up a fully compliant RPM program using existing workflows — covering patient identification, device onboarding, and billing setup from day one.
CPT Code 99457: Billing the First 20 Minutes of RPM
A practical breakdown of CPT 99457 — who qualifies, what documentation is required, how it interacts with 99458 and 99091, and how to avoid the most common RPM billing errors.
What Is Remote Patient Monitoring & How It Works
A complete guide to RPM — CMS requirements, eligible conditions, FDA-cleared devices, CPT codes, and how Circle Healthcare makes compliance effortless.
Ready to Start Your Remote Patient Monitoring Program?
Let's design an RPM program that keeps your patients connected between visits and generates $150–$180 per enrolled patient per month in new revenue — with zero upfront cost and no new staff needed.
Revenue snapshot: 100 RPM patients at CPT 99454 + 99457 = ~$9,800–$11,100/month.