How RPM improves Patient Care
ProWellCare’s Remote Patient Monitoring (RPM) service provides real-time health data, enabling timely interventions and reducing preventable hospitalizations.
Maximize the Benefits of Remote Patient Monitoring
ProWellCare’s RPM platform improves patient outcomes and revenue by offering complete visibility into patient health and seamless clinical and billing integration.
Frequently Asked Questions
Average CMS reimbursement: $19.73 (one-time per patient)
99454: Supply of devices and data transmission, each 30 days
Average CMS reimbursement: $43.02 per month
99457: First 20 minutes of clinical staff/physician time for monitoring and interactive communication, per calendar month
Average CMS reimbursement: $47.87 per month
99458: Each additional 20 minutes of clinical staff/physician time per calendar month
Average CMS reimbursement: $38.49 per month
Services must be ordered and supervised by a qualified healthcare professional (MD, NP, PA), and documentation must support medical necessity and time spent
Medicare covers all four RPM CPT codes for eligible patients under Part B, including for FQHCs and RHCs as of 2025. Medicaid coverage varies by state, with most but not all states reimbursing for RPM services and differing on specific requirements. Many commercial insurers, such as Cigna, Aetna, and Blue Cross Blue Shield, also cover RPM, though coverage criteria and eligible conditions can differ by payer and region