Healtharc

Choosing the right RPM pricing model can distinguish between a significant increase in profitability and a detrimental impact on the business. The two main types of pricing that health practitioners can employ today are revenue-based partnerships and fixed subscription pricing, which have their own advantages based on the size of a practice, the number of patients, and the risk profile of a practice. Revenue-Based Models: Sharing and the Sharing of Success and Risk Revenue-based RPM pricing can account for up to 50 percent of all RPM-related reimbursements in any given fiscal year because it makes your costs directly dependent on your collections. In this model, should your practice collect $150 per patient a month via Medicare billing, you would owe your RPM vendor $45-75, leaving $75-105 in net revenue. This pricing model offers significant advantages, especially for smaller practices or those that are new to RPMs. You avoid upfront technology costs and investments and reduce financi...

Remote Patient Monitoring (RPM) has become one of the fastest-growing care models in the U.S., supported by dedicated Medicare billing codes. In 2025, providers can maximize reimbursement by accurately using five CPT codes. This guide breaks down the latest RPM CPT codes 2025 , billing requirements, documentation essentials, and potential revenue opportunities—helping practices unlock growth while improving patient outcomes. 2025 CPT Code Breakdown Remote Patient Monitoring in 2025 uses five key CPT codes. These cover device setup, monthly data transmission, and provider time spent reviewing and managing patient data. CPT Code Description Medicare Rate (2025 est.) Frequency/Notes 99453 RPM device setup & patient education $19 (one-time) Billed once per patient 99454 Device supply & data transmission $54/month Requires ≥16 days of readings 99457 First 20 minutes of RPM care mgmt $50/month Requires interactive communication 99458 Additional 20 minutes $40/month Can bill multiple...

Chronic Care Management Services are leading the way in changing how healthcare systems treat patients with long-term illnesses. As healthcare models change from episodic, acute care to ongoing, proactive management, the need for good Chronic Care Management Solutions has never been higher. The Rise of Software for Chronic Care Management The market for Chronic Care Management Software around the world is growing very quickly. Different sources give different estimates, but one says the industry will grow from about $5.6 billion in 2024 to about $15.2 billion by 2033, with a compound annual growth rate (CAGR) of 11.7%. Some estimates say the market will grow at a rate of 12.5% per year, starting at USD 2.5 billion in 2024 and reaching USD 6.8 billion by 2033. According to another source, the value will be $5.2 billion in 2023 and $14.1 billion in 2033, with a CAGR of 10.4% (DataHorizzon Research). These different numbers all point to one clear fact: the demand for CCM software is grow...

In today's healthcare system, which is becoming more and more fragmented, it is more important than ever to make sure that patients get care that is seamless, timely, and tailored to their needs. Care Coordination Services is an important way to connect different parts of the healthcare system so that outcomes are better, costs are lower, and patients have a better experience. Strong Care Coordination Solutions are changing the way healthcare works by making transitions easier and interventions more effective. The Business of Better Coordination: Market Momentum The demand for Care Coordination Software is growing quickly. There are different estimates, but everyone agrees on this: One estimate puts the global market at USD 7.50 billion in 2023, and it is expected to grow at a rate of 24.5% per year to reach USD 17.19 billion by 2030, according to Verified Market Research. Another source says that the market will be worth $2.3 billion in 2023 and $6.5 billion by 2032, with a CAGR o...

A Strategic Benefit of Principal Care Management PCM ( Principal Care Management) is designed specifically for patients with single high-risk chronic conditions—offering reimbursement for PCM is healthcare's latest opportunity. Principal Care Management is much more focused compared to mid-level chronic care management programs because it directly allocates clinical and administrative resources to patients’ core health issues. As a result, PCM builds stronger therapeutic alliances, improves reimbursement for focused and precise interventions, and yields more clinical and financial value. PCM CPT Codes with Payment Boundaries PCM reimbursement is based on traditional chronic care management codes, along with more recent billing features centered on principal care, including: G0511 – Principal Care Management. It is reimbursed about $85-95 for every single patient each month, and it requires at least 30 minutes of care management service related to singular, high-risk chronic issue...