RPMplus Solution

RPMplus solution is designed for Healthcare Providers to review seamlessly patient generated health data (PGHD) i.e. BP, Glucose, Pulse Ox, Wearable, BMI, ECG etc. This also enables asynchronous internet visits with patient and streamline clinical communication.


  • Auto tracks Provider review time for PGHD (CMS 99091 Reimbursement requirement)
  • Asynchronous Secure Clinical Communication with Patient and Care Team
  • Proactive patient monitoring (instant out of range alerts)
  • Additional tracker – Patient initial education, virtual check-in
  • No IT overhead. It’s completely managed bundled (device, license) service.

  • Easy to navigate and user-friendly App for patient to record and share personal health data
  • Personal alert notification for vital device “out of range” readings.
  • Send direct message to provider with “read” confirmation.


Highlighted Features

1. Vitals recording & Playback
  • BP BP Cuff
    • Records SYS/DIA/Pulse
    • View Trends
  • OXPulse Ox
    • Records SPo2, PR
    • View Trends
  • WeightWeight
    • Records Weight, Height, BMI
    • View Trends
  • Temp Temp
    • Records body temp
    • View Trends
  • GluecoseGlucose
    • Records Glucose level
    • View Trends
  • StethoscopeStethoscope
    • Record Heart, lung, GI sound (1-min clip)
    • Playback clips
    • Link ECG report from Kardia or any other App
    • Playback reports
  • Wearable Wearable
    • Records daily steps, sleep, Heart Rate, BP, HRV, Fatigue etc.
    • View Trends
  • Camera Camera
    • Record or attach photo
    • Playback image
2. Personalized Vitals parameters
  • Set Alert Configured normal range threshold for SYS, DIA, Pulse, SPO2, PR, Wt, BMI, Temp, Glucose level etc.
3. Out of range Alert notification and log
  • View Alert View Alert
    • Enrolled provider receives push notification
    • Same notification added into log history
4. Messaging
  • ChatMessaging
    • Asynchronous messaging
    • Message read notification
    • Typing indicator
    • Attach live photo or from library
    • New message push notification
    • New message summary for quick review
    • Ad-hoc video conference invite for instant video conference
    • End to end fully encrypted content
5. Do not disturb (DND) status
    • Provider can set DND for specified time
    • User receive DND notification
6. Patient Registration & Enrollment
7. Provider Directory
8. Report
    • Provider review time for patient generated data
    • Patient initial education tracker
    • Patient virtual check-in tracker
    • Internet consultation summary

How does it work?

    • After initial setup
    • Provider Enrolls Patient
    • Provider Setup Patient’s specific vitals thresholds
    • Practice Setup Patient Education/Orientation
    • Patient Download App & record Vitals (as per Provider direction & provided devices)
    • Provider receive alerts for any out of range vitals
    • Provider may communicate with another provider or Patient (and vice versa)
    • Any time provider reviews Patient generated health data, review time logged automatically
    • Reimbursement related reports generated by system

RPMplus solution Security & Scalability

  • Our SaaS (Software as Service) is designed on HIPAA compliant messaging technology. Solution designed to auto scale. All PHI content is fully de-identified and encrypted.

    Integration, Customization, and Branding

    Platform support enterprise identity management (SMAL) as well as social identity (i.e Facebook, Google, Amazon) including MFA. Device generated data is available as real-time Streaming API or daily flat file dump.

    App is fully customized based on requirement also supports white labeling.

    If you need add additional medical device, wearables our integration team is able to take care affordably working with manufacture supported documentation.


HL Adapter

InstaMD’s HL Adapter is designed to amplify and communicate with a remote user low intensity & low/high frequency sound using a standard internet connection.

HL Adapter works with any video conference tool.

How does it work video?



HL++ Monitor (Not available in US)

InstaMD’s HL++ Monitor is designed to record, stream, and archive ECG, SPO2, NIBP, and temp measurements. Bluetooth enabled, the device is easy to carry and easy to connect with a PC or Smart Mobile devices, and with wireless carrier gateways.

How does it work video?


Multi-Scope USB Camera

InstaMD’s Multi-Scope is designed to acquire ENT and Dermatologic images (up to 100X Zoom capability).

How does it work video?



Smart Blood Pressure Monitor



Product description

Bluetooth 4.0

Arm Type Blood Pressure Monitor

Bluetooth 4.0

Wrist Type Blood Pressure Monitor





12 months

12 months

Product Specifications
  • Bluetooth Low Energy (Bluetooth4.0)
  • Blood Pressure Mode and Clock Mode
  • Irregular heartbeat Indicator
  • 4 Alarm clock settings
  • 4 User / 396 Total memory
  • Operated by 4 x 1.5V AA batteries
  • Bluetooth Low Energy (Bluetooth4.0)
  • Display date and time
  • Color WHO blood pressure light indicator
  • Irregular Heartbeat Indicator
  • 4 users with 99 memories each
  • Operated by 2 x 1.5V AAA batteries

Smart Pulse Ox


Product description

Bluetooth 4.0

Pulse Oximeter




12 months

Product Specifications
  • Bluetooth Low Energy (Bluetooth4.0)
  • SpO2 Measuring Range: 35%-100%
  • SpO2 Accuracy: 70%-100% ±2%; 35%~69% no definition
  • Pulse Rate Measuring Range: 25~250bpm
  • Pulse Rate Accuracy: ±2bpm
  • OLED display
  • Automatic Shut-off: After 10s of no indication on the sensor
  • Operated by 2 x 1.5V AAA batteries

Smart Body Fat & Hydration Scale

Product description

Bluetooth 4.0

Body Fat & Hydration Scale





12 months

Product Specifications
  • Bluetooth Low Energy (Bluetooth4.0)
  • Capacity: 6- 150KG / 330LB (unit: Kg Lb St)
  • Graduation: Division=100g / 0.2LB
  • Large LCD Display size: 83 x 43 mm
  • Backlight function
  • Power: 4 x 1.5V AAA Batteries

Smart Thermometer



Product description

Bluetooth 4.0

Infrared Ear / Forehead Thermometer

Bluetooth 4.0

Non-contact Infrared
Forehead and Surface Thermometer





12 months

12 months

Product Specifications
  • Bluetooth Low Energy (Bluetooth4.0)
  • Switch measurement mode between Ear and Forehead
  • Accuracy: ±0.3℃(16~35℃ ambient temperature)
  • Measurement rangeTemp.: 34~42.2℃
  • Automatic power off after about 1 minute non use
  • Backlight function
  • Low battery indicator
  • Power: 2 x 1.5V AAA Batteries
  • Bluetooth Low Energy (Bluetooth4.0)
  • 2 measurement mode: Body and Surface
  • 1 second fast measurement
  • Accuracy: ±0.3℃ (35~42.2℃)
  • Automatic power off after about 1 minute non use
  • Low battery indicator
  • Power: 2 x 1.5V AA Batteries

Smart Glucose Monitor



Product description

Bluetooth 4.0

Blood Glucose & Cholesterol
2 in 1 Meter

Bluetooth 4.0

Blood Glucose Meter





12 months

12 months

Product Specifications
  • Bluetooth Low Energy (Bluetooth4.0)
  • Principle: Electrochemical Bisensor
  • Sample: Capillary whole blood
  • Blood Sample Volume: 1.0uL(glucose), 10uL (cholesterol)
  • Measure Time: 10sec. (glucose), less than 30sec.(cholesterol)
  • System Operation Temp: 10 – 40 degree
  • Relative Humidity: Less than 95%
  • Power: CR2032 3V Lithium Battery
  • Bluetooth Low Energy (Bluetooth4.0)
  • Principle: Electrochemical Bisensor
  • Sample: Capillary whole blood
  • Blood Sample Volume: 1.0uL(glucose)
  • Measure Time: 10sec. (glucose)
  • System Operation Temp: 10-40 degree
  • Relative Humidity: Less than 95%
  • Power: CR2032 3V Lithium Battery

InstaMD Wearable


Other 3rd party supported devices

Alivecor ECG



  • ECG Channels: Single Channel
  • Input Dynamic Range: 10mV
  • Frequency Resp.: 0.5Hz to 40 Hz
  • A/D Sampling Rate: 300 Hz
  • Resolution: 16 bit
  • Heart Rate Range: 30 – 300 bpm
  • Battery Type: 3V Coin Cell
  • Battery life: 12 months typical use



  • Bluetooth Low Energy
    Real Time communication Smartphones

  • Small and lightweight
    Dimensions: mm. 49x109x21 – inch. 1.93×4.3×0.83
    Weight (batteries included): gm. 60.7 – lb. 1.34

  • No Display
    Incentives and results appear in real time on the app

  • No Memory
    Tests are automatically stored in the app

  • No Configuration, no Keyboard
    Automatically connected to the app, just breath in the mouthpiece


ForaMD Glucose Monitor


Basic Features

Blood Test Volume (μL)


Reaction Time (seconds)


Measurement Range

20 ~ 600 mg/dL (1.1~33.3 mmol/L)


No Coding

Enzyme Type


Hematocrit Range

20 to 60%

Advanced Features



Strip Ejection


AC/PC Recording


QC Record


Daily Alarm


Ketone Warning

Yes ≧ 240 mg/dL (13.3 mmol/L)

Day Average

7/14/21/28/60/90 days

LCD Backlight


Strip Indication Light


Data Output


Specification Power Saving (seconds)


Power Source

2 x AAA

Dimension (inch)

3.78 x 1.97 x 0.91

Weight (lb) without Batteries


Fora 6 Connect


Specifications PMeasurement Range

BG 10~600 mg/dL (0.55~33.3 mmol/L)

KB 0.1~8.0 mmol/L

Test Strip

BG FORA6Connect Blood Glucose Strips

KB FORA6Connect Blood β-Ketone Test Strips

Sample Volume

BG 0.5 μl

KB 0.8 μl

Reaction Time

BG 5 seconds

KB 10 seconds

Memory Capacity

1000 results with date & time


54.9(W)x89.8(L)x18(H) mm



Power Source

One 1.5V AAA Alkaline battery

Data Output



RPMplus is designed for Healthcare Providers specializing in chronic, senior care, and wellness management.

Chronic Care: CHF, COPD, Diabetic

Senior Care: SNFs(Skilled nursing facilities), Independent Living, Home Health

Wellness: Concierge medicine, Employee Health Management.

Need further information

Offers & ROI

(Limited time Promotional Package Offer!!)


Free App License for Providers: Free provider license for each 10 enrolled patient (InstaMD price $120/year, market $360/year)

Free Devices for Patient Orientation: Up to 2 sets of devices depends on patient volume ($1000 value)

Free Devices for Patient (BP Cuff, Pulse Ox, Wt. Scale, Thermometer, ECG, Wearable, Stethoscope Adapter etc.): $49-$125 each device

Free Video Conference License for Provider: Up to 5 user license, $1250/yearly value)

ROI (Return on Investment)

Typical enterprise provider communication from leading companies costs $30/month/License (annually payable)

RPMplus solution typical cost: $15-$29 PMPM (annually paid based on enrolled patient and device mix)

Includes: Free provider App + Free Device (and/or wearable) + Patient App

ROI Use case (1 device mix patient monitoring):

Typical CMS RPM reimbursement ($58 PMPM)

100 Enrolled Patient – Yearly reimbursement $69K (Approximate ROI: $45K ~ 2.5 X )

500 Enrolled Patient – Yearly reimbursement $348K (Approximate ROI:$246K ~ 2.8 X )

1000 Enrolled Patient – Yearly reimbursement $696K (Approximate ROI: $516K ~ 3 X )

About Us

InstaMD was founded by a diverse group of individuals with expertise in a variety of areas, including medicine, technology and regulatory affairs. What we share is a passion for innovation and a genuine desire to increase access to quality healthcare. Our goal was to create a product that would not only be convenient and easy to use, but wouldn’t require the user to invest in expensive new equipment. Rather than reinvent the wheel, we devised a way to combine existing technology with simple medical devices to produce an affordable system that anyone can use.


Subbarao Myla, MD, FACC, FSCAI, ISES, MBACofounder, CMO

Subbarao Myla, MD, FACC, FSCAI, ISES, MBA

Cofounder, CMO

My passions include process redesign, lean methodology application, and patient advocacy. I believe in checklist manifesto and value-based innovations to deliver unparalleled service.

Don Duerme

Director Enterprise Sales

Being involved in Research & Development of various companies brought me the passion in bringing this innovation in places where Healthcare is scarce. I believe that the collaboration of human intelligence will continue to create solutions to lift the human spirit.  

Don DuermeDirector Enterprise Sales


App Download Coming Soon


RPM CMS Reimbursement

Effective January 1, 2018, the Medicare program will pay providers for RPM services billed under CPT code 99091. The service is currently defined as the “collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time.”

RPM is Not a Telehealth Service

RPM services are technically not considered a Medicare telehealth service.  Instead, like a physician interpretation of an electrocardiogram or radiological image that has been transmitted electronically, RPM services involve the interpretation of medical information without a direct interaction between the practitioner and beneficiary. As such, Medicare pays for RPM services under the same conditions as in-person physicians’ services with no additional requirements regarding permissible originating sites or use of the telehealth place of service (POS) 02 code.  RPM services do not require the use of interactive audio-video, nor must the patient be located in a rural area. The patient can even receive RPM services in their home.

CPT 99091 is not a newly-created code. Instead, Medicare “unbundled” it and designated it as a separately-payable service. Regardless of how CMS accomplished it, the final result is clear: Medicare will now pay providers a monthly fee for delivering RPM services.

Not All RPM Codes Made the Cut

When assessing whether or not Medicare should pay for RPM services, CMS also evaluated CPT 99090 as a potential covered service. That service is defined as the “analysis of clinical data stored in computers (e.g., ECGs, blood pressures, hematologic data).”  Unlike CPT code 99091, CPT code 99090 does not state that the RPM information must be interpreted by a physician or other qualified health care professional, nor does it specify a 30 minute minimum. After considering the differences, CMS elected to keep CPT 99090 “bundled” and not allow its use for separate payment.

What Does CMS Require for CPT 99091?

It is true that CPT 99091 fails to optimally describe how RPM services are furnished using current technology.  This may be due to the fact that the code description is years old and has never before been a separately payable service. The AMA’s CPT Editorial Panel is currently working on new codes intended to more accurately describe remote monitoring. But providers, patients, and CMS itself did not want to wait until those new codes were developed.  Until new codes are published and approved by CMS, providers should use the current CPT 99091 for billing RPM services. Here are some of the core requirements to bill Medicare for RPM services under CPT 99091:

  • The practitioner must get the patient’s consent for RPM services and document it in the patient’s medical record.

  • For new patients or patients not seen by the practitioner within one year prior to billing RPM, the practitioner must first conduct a face-to-face visit with the patient (e.g., an annual wellness visit or physical). E/M services levels 2 through 5 (CPT codes 99212 through 99215) should qualify for this face-to-face visit. Transitional care management (TCM) services should also qualify. However, services that do not involve a face-to-face visit by the billing practitioner or which are not separately payable under Medicare (e.g., online services, telephone and other E/M services) would not qualify as an initiating visit.

  • CPT 99091 should be reported no more than once in a 30-day period per patient.

  • The service must include the physician or other qualified health care professional time involved with data accession, review and interpretation, modification of care plan as necessary (including communication to patient and/or caregiver), and associated documentation.

  • CPT 99091 can be billed once per patient during the same service period as chronic care management (CCM) services (CPT codes 99487, 99489, and 99490), TCM services (CPT codes 99495 and 99496), and behavioral health integration services (CPT codes 99492, 99493, 99494, and 99484). This is allowed because CMS recognizes the kind of analysis involved in furnishing RPM services is complementary to CCM and other care management services. However, time spent furnishing these services cannot be counted towards the required time for both RPM and CCM codes for a single month (i.e., no double counting).

  • Because RPM services are not considered telehealth services under Medicare, the patient can be at his/her home, and need not be in a rural area or qualifying originating site.

Proposed unbundled codes for 2019 (Unbundle CPT code 99091 and added new code):

The codes created by the AMA panel are:

990X0: Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment;

990X1: device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days; and

994X9: Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month.

Definition Patient generated health data (PGHD)

PGHD (Patient generated health data) are distinct from data generated in clinical settings and through encounters with providers in two important ways:

  • Patients, not providers, are primarily responsible for capturing or recording these data.

  • Patients decide how to share or distribute these data to health care providers and others.

Examples include blood glucose monitoring or blood pressure readings using home health equipment, or exercise and diet tracking using a mobile app or wearable device.

Disclaimer: InstaMD does not provide any reimbursement please verify from legal sources.

Video Library

Down load Brochures


HL Adapter


HL++ Monitor


Pulse Ox


Multi-Scope Camera


Blood Pressure Cuff


Blood Pressure Wrist


Weight Scale


E-Visits Platform


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Suite 126, Valencia, CA 91354

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Newport Beach, CA

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