Enhance Patient Outcomes with Advanced Remote Patient Monitoring for Your Practice

Monitor patient health in between visits, optimizing care beyond the office.

Request demo

Enhance Patient Outcomes with Advanced Remote Patient Monitoring for Your Practice

Monitor patient health in between visits, optimizing care beyond the office.

Request Demo

How RPM improves Patient Care

ProWellCare’s Remote Patient Monitoring (RPM) service provides real-time health data, enabling timely interventions and reducing preventable hospitalizations.

0%
HEDIS Goal
0%
Engagement Rate
>1%
Clinic Escalation Rate

Maximize the Benefits of Remote Patient Monitoring

Achieve Superior Outcomes, Delight Patients, and Grow Revenue- All with Ease

ProWellCare’s RPM platform improves patient outcomes and revenue by offering complete visibility into patient health and seamless clinical and billing integration.

1. HEDIS Quality Outcomes

Remote Patient Monitoring (RPM) directly improves HEDIS quality measures by enabling proactive management of chronic conditions like hypertension and diabetes, with clinics reporting up to a 39% improvement in A1c control and 11% in blood pressure control within six months; higher HEDIS scores can strengthen value-based care performance, expand payer contract eligibility, and boost Medicare Advantage bonus payments by 5–20%

2. Patient Satisfaction

RPM consistently delivers high patient satisfaction, with studies showing 90–94% of patients reporting positive experiences and 93% saying they would recommend RPM to others. Patients and their family appreciate the convenience, near real-time support, and the ability to manage their health from home-leading to better engagement, adherence, and outcomes.

3. Recurring Revenue

RPM creates a sustainable, recurring revenue stream for your practice. Medicare reimburses up to $167 per patient per month for RPM services, and enrolling just 100 patients can generate over $100,000 in annual revenue. When combined with chronic care management, this can increase to nearly $210,000 annually, all while improving patient outcomes

4. Minimal Staff Burden

Our turnkey RPM program provides dedicated clinical staff who handle triaging, monitoring oversight, and documentation for your patients. We manage the entire process-including device setup, patient education, and ongoing support-so your team can focus on in-person care. This means you benefit from comprehensive RPM services with minimal staff burden and no added payroll expenses to your organization.

Frequently Asked Questions

With ProWellCare’s RPM solution, patient engagement begins by encouraging consistent use of connected devices to track important health metrics. As patients regularly monitor their health, they become more proactive in their care. Our clinical monitoring team plays a crucial role by providing continuous support, reminding patients to use their devices, take medications, and address any questions they might have. This personalized, ongoing communication fosters trust and strengthens the patient-provider relationship, ensuring that patients stay engaged with their health management.
99453: Initial setup and patient education on device use
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

By remotely monitoring patients’ health data in real-time, ProWellCare allows providers to detect any changes in vital signs before they escalate into serious health issues. When a patient’s vitals reach concerning levels, immediate alerts are sent to the healthcare team, enabling early intervention. Before launching your RPM program, we work with your organization to identify and customize specific clinical protocols to ensure alerts and interventions align with your practice’s standards. This proactive approach reduces the likelihood of emergency room visits or hospitalizations and allows for continuous assessment of treatment effectiveness, ultimately improving long-term patient outcomes.

How It Works

01.

Patient Enrollment:

Easy onboarding for eligible patients.

02.

Device & Data Collection:

Connected health devices transmit real-time data securely.

03.

Clinical Review & Alerts:

Care teams notified of concerning trends.

04.

Actionable Insights:

Providers intervene proactively to optimize outcomes.

Drive better outcomes, eliminate blind spots, and ensure revenue with ProactiveWellness.

Get in touch to get started.

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