Digi-Health manages every aspect of remote patient monitoring — from patient enrollment through billing — so your practice generates new recurring revenue without adding staff or complexity.
CMS has built an interconnected ecosystem of remote care programs. Each serves a different clinical purpose. Together, they create comprehensive care infrastructure.
FDA-cleared devices transmit blood pressure, weight, pulse oximetry, and blood glucose from the patient’s home. Daily vitals become actionable intelligence for clinical teams to intervene before acute episodes.
Tracks non-physiological data: therapy adherence, treatment response, musculoskeletal function, respiratory status, and cognitive behavioral patterns. Data can be patient self-reported. Critical for PT/OT, orthopedics, and rehab.
Monthly reimbursement for coordinating care for patients with 2+ chronic conditions. Covers 24/7 care access, comprehensive care planning, medication reconciliation, and ongoing communication between visits.
Integrates depression screening, substance use disorder management, and psychiatric care coordination into primary care workflows. New 2026 add-on codes pair BHI directly with APCM — no separate time documentation required.
CMS’s newest model for team-based primary care. Monthly per-patient reimbursement stratified by condition complexity. No time-based documentation. Can stack with RPM, RTM, and BHI for comprehensive per-patient revenue.
Revenue stacking: Many of these programs can be billed concurrently for the same patient. RPM + CCM + BHI for a single chronic patient can generate $228–$338 per patient per month. View the full reimbursement guide →
We manage the entire lifecycle. Your involvement is limited to clinical oversight and reviewing patient alerts — which is where your physicians’ time should be spent.
We analyze your patient panel to identify Medicare and Medicare Advantage patients with qualifying chronic conditions — hypertension, diabetes, CHF, COPD, and other conditions where remote monitoring improves outcomes. You receive a detailed report showing exactly how many patients qualify and what the projected revenue looks like.
Our care coordinators work with your staff to enroll eligible patients. We handle consent, education, and device provisioning — blood pressure cuffs, glucometers, pulse oximeters, and weight scales depending on the patient’s conditions. Devices are shipped directly to patients with setup instructions and our clinical support line.
Patient vitals transmit automatically to our monitoring platform. Our care coordinators — supported by the AI Care Coordinator — review readings daily, identify trends, contact patients with out-of-range readings, and escalate clinical concerns to your providers through your existing EHR workflow. Your providers see alerts that require their attention, not raw data.
We document every patient interaction, maintain time logs for 99457/99458 billing, and ensure compliance documentation meets Medicare requirements. Monthly reports show enrolled patients, compliance rates, billable events, submitted claims, and collected revenue. No black box.
RPM is reimbursable for any patient with a chronic condition that benefits from remote physiologic monitoring. The highest-volume conditions in primary care practices include:
Blood pressure cuff
Most common RPM indication. Daily BP readings enable medication titration between visits, reducing stroke and cardiac event risk.
Glucometer + weight scale
Continuous glucose trend data supports insulin adjustment and identifies A1C-impacting patterns invisible in quarterly lab work.
Weight scale + BP cuff + pulse ox
Daily weight monitoring catches fluid retention early. 2–3 lb gains over 24–48 hours trigger intervention before decompensation requires hospitalization.
Pulse oximeter + BP cuff
SpO2 trend monitoring identifies exacerbation patterns. Early intervention reduces ER utilization and hospital readmissions.
BP cuff + weight scale
Blood pressure control is the primary modifiable factor in CKD progression. Daily monitoring enables tighter management than office visits alone.
Weight scale + BP cuff
GLP-1 medication monitoring, post-bariatric tracking, and chronic weight management benefit from daily weight and vitals data transmission.
Cardiologists, pulmonologists, endocrinologists, orthopedic surgeons, nephrologists, and more — all have eligible patient populations and billable pathways.
Any physician or qualified healthcare professional can order RPM and RTM services. View the full reimbursement guide →
Which remote care programs each specialty can bill
| Specialty | RPM | RTM | CCM | BHI | APCM |
|---|---|---|---|---|---|
| Primary Care / IM | ✓ | ✓ | ✓ | ✓ | ✓ |
| Cardiology | ✓ | — | ✓ | ✓ | — |
| Pulmonology | ✓ | ✓ | ✓ | ✓ | — |
| Endocrinology | ✓ | — | ✓ | ✓ | — |
| Nephrology | ✓ | — | ✓ | ✓ | — |
| Orthopedics / Rehab | — | ✓ | — | — | — |
| Behavioral / Psych | — | ✓ | — | ✓ | — |
| OB/GYN | ✓ | — | ✓ | — | — |
| Oncology | ✓ | ✓ | ✓ | — | — |
| Pain Management | ✓ | ✓ | ✓ | — | — |
| Neurology | ✓ | ✓ | ✓ | ✓ | — |
| Gastroenterology | ✓ | — | ✓ | — | — |
APCM limited to primary care. RPM/RTM orderable by any physician or qualified healthcare professional. CCM requires the billing practitioner to be responsible for the patient’s overall care.
Common questions about launching remote care programs
We’ll analyze your patient panel, identify eligible patients, and project your RPM revenue opportunity. The assessment is free, the data is yours, and there’s no obligation to proceed.