Discover how remote patient monitoring is revolutionizing practices
Remote Patient Monitoring (RPM) is now more than just a desirable addition — it has become a necessary service for practices prioritizing patient well-being working on improving patient outcomes, creating steady income, and excelling in value-based care.
From small clinics to large healthcare groups, partnering with leading remote patient monitoring companies offers numerous benefits. These include improving chronic care management, decreasing emergency room visits, and receiving reimbursement for existing care provided – while maintaining HIPAA compliance.
How CMS Determines RPM Reimbursement Rates
It is crucial for your practice’s growth strategy to have a thorough understanding of how Medicare covers RPM. The Centers for Medicare & Medicaid Services (CMS) determines the reimbursement rates for physicians providing RPM by using the following calculation:
- CPT billing codes – Each reflects the complexity of care and time spent with the patient.
- Relative Value Unit (RVU) – Measures the resources required for the service.
- Annual Conversion Factor (CF) – Translates RVUs into a national payment rate.
- Geographic Practice Cost Index (GPCI) – Adjusts the rate based on your location.
2025 National Average Medicare RPM Reimbursement Rates:
| CPT Code | Description | Avg. Reimbursement (2025) |
| 99453 | Initial setup and patient training | $19.73 OpenLoop Health |
| 99454 | Device supply & data transmission | $43.02 OpenLoop Health |
| 99457 | 20 minutes of monitoring & engagement | $47.87 OpenLoop HealthThoroughCare |
| 99458 | Additional 20 minutes of service | $38.49 OpenLoop Health |
Source: CMS Physician Fee Schedule, 2025
Key RPM CPT Codes Every Practice Should Know
If you’re new to RPM billing, these codes are your revenue foundation:
- 99453 CPT code description – Covers the initial patient setup, device provisioning, and patient training.
- 99454 CPT code description – Includes device supply, transmission, and daily data collection.
- 99457 CPT code description – Covers the first 20 minutes of clinical staff time managing and interacting with the patient each month.
- 99458 – Adds billing for every extra 20 minutes spent on monitoring in a given month.
Using these remote patient monitoring CPT codes correctly ensures accurate billing and maximized reimbursements.
Use-Case: RPM in Hypertension & Diabetes Management
Consider a primary care clinic in Brooklyn that serves over 1,000 Medicare patients. By implementing RPM for hypertension and diabetes:
- 70% of enrolled patients improved blood pressure within 3 months.
- Monthly recurring revenue exceeded $40,000 from CPT 99454, 99457, and 99458 billing.
- ER visits dropped by 22%, improving patient satisfaction and quality metrics.
Top Remote Patient Monitoring Companies in 2025
artnering with the right vendor makes implementation seamless. Some of the best remote patient monitoring companies include:
- HealthSnap – End-to-end RPM + chronic care management platform.
- Optimize Health – Flexible RPM software with integrated billing.
- Philips – Clinically validated devices and advanced analytics.
- Medtronic – Cardiology-focused RPM solutions.
- Prevounce – Known for strong compliance and workflow integration.
When choosing an RPM partner, look for FDA-cleared remote patient monitoring devices, easy EHR integration, and transparent pricing.
Benefits of Implementing RPM in Your Practice
- Recurring Monthly Revenue – CPT 99454 and 99457 bring steady income per patient.
- Improved Patient Outcomes – Continuous monitoring reduces hospitalizations.
- Increased Patient Engagement – Daily readings encourage better health habits.
- Full HIPAA Compliance – Secure data transmission protects PHI.
Final Thoughts
grade. With CMS reimbursement rates and proven technology, practices can improve health outcomes while boosting their bottom line.
If you’re ready to integrate RPM into your clinic, partnering with an experienced provider and using the right CPT codes will set you up for success.
→ Contact CareNova today to learn how we can set up your RPM program and unlock new revenue streams.
RPM is just one piece of Care Management Solutions
Frequently Asked Questions (FAQs) About Remote Patient Monitoring
Q1: What are the main CPT codes for Remote Patient Monitoring?
The most common RPM CPT codes are 99453, 99454, 99457, and 99458. CPT 99453 covers patient setup and education, CPT 99454 covers device supply and data transmission, CPT 99457 covers the first 20 minutes of monthly monitoring, and CPT 99458 is for each additional 20 minutes of monitoring in a month.
Q2: How much does Medicare reimburse for RPM in 2025?
Medicare’s 2025 national average reimbursement rates for RPM are approximately:
- CPT 99453: $19.73
- CPT 99454: $43.02
- CPT 99457: $47.87
- CPT 99458: $38.49
These rates may vary depending on your Geographic Practice Cost Index (GPCI).
Q3: Which are the top remote patient monitoring companies in 2025?
Some leading RPM vendors include HealthSnap, Optimize Health, Philips, Medtronic, and Prevounce. These companies provide HIPAA-compliant platforms, FDA-cleared devices, and integration with EHR systems.
Q4: What types of devices are used for Remote Patient Monitoring?
Common RPM devices include digital blood pressure monitors, Bluetooth-enabled weight scales, pulse oximeters, and glucometers. These devices securely transmit patient data to healthcare providers for ongoing management.
Q5: How does Remote Patient Monitoring benefit my practice financially?
RPM creates a recurring revenue stream through Medicare and commercial reimbursements, improves patient outcomes, reduces ER visits, and boosts value-based care performance metrics.
→ Pairing RPM with Chronic Care Management enhances outcomes and reimbursement
→ For patients with one serious chronic condition, Principal Care Management may be more appropriate
→ Mental health conditions are best managed with Behavioral Health Integration
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