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REMOTE PATIENT MONITORING BILLING SERVICES

Remote patient monitoring billing services built around the two new 2026 billing codes

A patient who transmits data nine days a month instead of 16 still generates real clinical value. Until this year, that didn't generate a dollar of RPM revenue. A five-minute call that resolved a real concern got written off too, since it fell under the old 20-minute rule.

MedSole bills both of those patients now. Every month, we check transmission days and clinical time against the old thresholds and the two new ones CMS added, then bill whichever path applies. Nothing sits unbilled because it fell a few days short.

Get Your Free RPM Billing Review

Practice Name

Specialty

Number of Providers

Name

Phone

No cost to look. We sign a BAA before we touch a single remittance.

99%

Clean Claim Rate

4,000+

Providers Served

50+

EHR/EMR Systems Supported

2.99%

of Collections

NOTHING GETS MISSED

Every patient's monitoring status, checked before the month closes

You don't need to track which of your RPM patients hit which threshold this month. You need to know your RPM revenue is complete before the billing cycle closes, and it is.

We check three things on every patient, every month: how many days their device actually transmitted, how much clinical time your team actually spent reviewing it, and whether they still qualify for the program at all. Whatever the answer, it bills correctly, including the two billing paths CMS added this year for patients who engage less than the old rules required.

A patient who used to go unbilled because they transmitted 9 days instead of 16 gets billed now. A patient whose care plan changed mid-cycle stops getting billed the moment they stop qualifying, before that turns into a clawback. Nothing sits in a gray zone waiting for someone to notice it.

The wrong code, billed alongside the right one

99445 and 99454 can't both bill for the same patient in the same period. Neither can 99470 and 99457. We flag the conflict before submission, so the claim never goes out wrong in the first place.

A voicemail counted as a real conversation

99457, 99458, and 99470 all require live, real-time communication, not a text, a voicemail, or a manually uploaded note. We log the date and method of every call we bill, so it survives a payer's audit request.

A device reading that never made it to your records

Device data, EHR notes, and your care team's own documentation don't always sync on their own. When they don't, a real transmission day gets missed, or a real minute of clinical time gets undercounted. We reconcile all three before a claim goes out.

A denied claim costs more to fix than it would have to bill correctly the first time.

WHERE IS YOUR RPM REVENUE LEAKING

Which of these sounds like your RPM program right now

Most RPM revenue gaps stay invisible until someone actually pulls transmission logs and time records for every patient. Check what's happening in yours below.

Patients who transmit fewer than 16 days a month go unbilled entirely Short calls under 20 minutes get written off instead of billed Nobody's checked whether every enrolled patient still qualifies this month A claim came back denied and nobody's sure exactly why Device data, EHR notes, and clinical documentation don't always match

Get a real look at what your RPM billing is missing

A free review checks a sample of your RPM patients against both the old and new billing thresholds and shows you where the gaps are. No cost, no obligation.

Full-Service RCM

2.99 ^%

of collections

RPM billing included

RPM billing doesn't carry a separate charge

It's built into MedSole's standard rate, 2.99% of collections, the same rate that covers every other stage of your revenue cycle.

RPM claims get checked against both CMS thresholds

The same team billing your RPM claims verifies both thresholds, old and new, before anything goes out.

No separate RPM billing fee

You pay one rate, and this is already part of it.

WHAT PRACTICES ASK

Questions practices ask about RPM billing

These are common questions practices ask about remote patient monitoring billing, documentation, coding, denials, and reimbursement.

Still have a question this didn't cover?

Tell us where your RPM billing workflow is getting stuck, and we'll help you identify the next step.

Q1 What are remote patient monitoring billing services?

Remote patient monitoring billing services manage the coding, documentation review, claim submission, payment posting, denial follow-up, and revenue reporting associated with eligible RPM services.

Q2 How do the 2026 RPM billing codes affect providers?

The 2026 RPM billing updates give providers additional ways to report qualifying monitoring and treatment-management services. Accurate billing depends on matching the correct code with the documented number of monitoring days, time requirements, and service conditions.

Q3 Can RPM services be billed when a patient falls short of a full monitoring period?

Eligibility depends on the applicable RPM code, the number of documented monitoring days, the services performed, and current payer requirements. MedSole reviews the documentation and applies the appropriate billing pathway when the requirements are met.

Q4 What does MedSole review before submitting an RPM claim?

MedSole reviews patient eligibility, consent, device and data requirements, monitoring days, treatment-management time, interactive communication, provider documentation, code selection, modifiers, and payer-specific billing rules.

Q5 Does MedSole handle denied RPM claims?

Yes. MedSole identifies the denial reason, checks the supporting documentation and payer requirements, corrects eligible claim issues, submits appeals when appropriate, and follows the account through resolution.

Q6 Can I request a free RPM billing review?

Yes. Healthcare providers can request a free RPM billing review to identify missed billing opportunities, documentation gaps, coding issues, payer-related denials, and revenue cycle weaknesses.