CMS CY 2027 Update: New proposed rules are changing RPM/CCM billing.

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END-TO-END REVENUE CYCLE MANAGEMENT

Protect Your RPM & CCM Revenue Under the New CMS CY 2027 Rules.

CMS is cracking down on third-party RPM vendors. As a specialized, Delaware-registered RCM partner, we help physician groups transition to 100% compliant, audit-ready billing—so you keep your revenue without the compliance risk.

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// Revenue Cycle Pipeline
Provider Credentialing ✓
Insurance Eligibility Verification ✓
Prior Authorization ✓
Claim Submission ✓
AR and Denial Management ✓
Payment Posting ✓
98.2%
Clean claim rate
<24hrs
Claim turnaround
30day
Average AR days
4.2x
Average ROI
55+
CPT codes managed
98%
First-pass claim acceptance
900+
Payers connected
30d
Average AR days
24h
Claim turnaround

OUR SERVICES

Specialized RCM Services for Remote Care Programs

General billing companies miss the nuanced compliance rules of remote care. Our team is trained exclusively on Medicare's latest guidelines for RPM, CCM, RTM, and TCM.

Provider Credentialing
Complete enrollment and re-credentialing with Medicare, Medicaid, and all major commercial payers.
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Insurance Eligibility Verification
Proactive daily eligibility checks across 900+ payers, before any claim is submitted.
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Prior Authorization
End-to-end PA lifecycle management so care is never delayed and revenue is never lost waiting on approvals.
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Claim Submission
Clean claims submitted within 24 hours, with automated scrubbing and payer-specific rule validation before every submission.
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AR and Denial Management
Proactive accounts receivable follow-up and same-day denial appeals to recover every dollar your practice has earned.
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Payment Posting
Accurate, same-day posting of insurance payments, adjustments, and patient balances.
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We Are Not a Device Vendor. We Are Your Compliance Shield.

Many "turnkey" RPM vendors are stepping back from billing support due to new CMS employment and documentation requirements. This leaves practices stranded. We fill that gap.

RPM & RTM Compliance
Ensuring device supply (99454) and monitoring codes (99457/99458) meet new direct-employment and initiating visit requirements under CY 2027.
️ CCM Denial Prevention
Strict separation between RPM, CCM, and RTM time to prevent costly Medicare "double-dipping" denials and retroactive takebacks.
Pre-Claim EHR Audits
We verify initiating visit documentation, patient consent, and medical necessity before submission—ensuring 98% first-pass acceptance.

WHY SPECIALIZATION MATTERS

RPM/CCM expertise, compliance-first precision.

Generic RCM processes miss the nuances of remote care billing. A missed initiating visit leads to denied RPM claims. Improper time-logging triggers CCM takebacks. Unverified patient consent erodes revenue over months.

Our specialized RPM/CCM model eliminates those gaps. Compliance checks run automatically before every submission. Our certified coders focus only where clinical judgment matters—maximizing your revenue while keeping you audit-ready.

  • Initiating visit verification runs automatically before RPM claims are submitted
  • CCM time-logging audits prevent double-dipping with RPM in the same month
  • Device transmission validation ensures 16-day requirement is met before billing
  • CMS CY 2027 rule updates flagged 30 days before they take effect
99%
Eligibility accuracy rate
<3s
Real-time eligibility response
95%
First-pass PA approval rate
94%
Denial appeal success rate
24hr
Claim submission turnaround
$0
Setup fees

WHO WE WORK WITH

Built for the practices driving remote care.

We specialize in the client types that operate RPM, CCM, RTM, and Telehealth programs at scale.

Physician Practices
Independent and group practices running CCM and RPM programs for chronic patients.
Transitioning from Vendors
Helping practices transition from third-party vendors to compliant, audit-ready billing.
ACOs and Health System
Large organizations with complex payer mixes and high-volume claim submissions.
Home Health Agencies
Agencies managing post-acute care, transitional care management, and chronic care coordination.
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Is Your Practice Leaving RPM/CCM Revenue on the Table?

Stay ahead of the CY 2027 Final Rule. Get a free 15-claim compliance review to uncover coding and documentation risks.

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