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What is Remote Patient Monitoring (RPM)?

Remote Patient Monitoring (RPM) is a technology that enables monitoring of patients outside of conventional clinical settings, which may increase access to care and decrease healthcare delivery costs. Key features of RPM, like remote alerts and trend analysis of physiological parameters, enable early detection of deterioration, reducing emergency department visits, hospitalizations, and duration of hospital stays.

Incorporating RPM in chronic disease management can significantly improve an individual’s quality of life. It allows patients to maintain independence, prevent complications, and minimize personal costs. RPM facilitates these goals by delivering care right to the home. In addition, patients and their family members are comforted to know they are being monitored and will be supported if a problem arises.

Why Should a Medical Practice Consider an RPM Program?

In addition to patient satisfaction and clinical benefits there is huge financial incentive. Medicare (and in some states Medicaid and Private Payers) started reimbursing for RPM (approximately $200 per patient per month). Each Physician (or Qualified Healthcare professional) may earn an extra $400K with minimum supervision and training to clinical staffs (i.e. Registered Nurse or even Medical Asssistant).

How does it work?

An RPM program is like a Chronic Care Management(CCM) program, in fact, the same patient can be enrolled into RPM to manage their vitals.


Enroll Patient

Identify , get patient consent, place order to enroll into RPM program


Educate Patient

Setup goals e.g. programmable alerts (i.e. BP value within certain range) & educate patient how to use device(s) and its importance etc.



Review device data and communicate with patient as per program guidelines.


Submit Claims

Submit claims to Medicare (and supported secondary payer) monthly bais

CMS Reimbursement

Please check State Medicaid and Private Payer for similar reimbursements

CPT Code 99453 (Approximate payment $20)

Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, Wt. Scale etc.), initial; set-up and patient education on use of equipment

CPT Code 99454 (Approximate payment $69)

Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days

CPT Code 99457 & 99458

Effective January 1, 2020, a practitioner can bill CPT 99457 for the first 20 minutes of clinical staff time spent performing RPM activities and CPT 99458 for the second and third 20-minute increments. Payment for CPT 99457 is $51, while each add-on code (up to 2) pays $42. Thus, total reimbursement for an hour or more of RPM services is $136

If you have further questions

Our Solution

InstaMD developed a one-stop RPM rollout solution for Healthcare Providers of any size (Medical Offices, House Call, Home Health, Telemedicine Service Providers, CCM Service Provider etc.). Our solution consists of a comprehensive SaaS platform; choice of devices such as BP Monitor, Pulse Oximeter, Weight Scale, Glucometer, Thermometer, and Wearable. All the devices are fully configured and no further setup required e.g. pairing etc. We also provide on site rollout planning, support, patient eudcation, retaintion, review services to support practice.

To learn more

InstaMD Differences

  • Multiple Choice of FDA Approved Medical Device i.e. BP Cuff, Pulse Ox, Scale, Gluccometer, Thermometer etc.

  • Contract options i.e. No contract and limited contract

  • Free On site support* and training for first rollout

  • Simple to setup multiple devices alerts paramters

  • Automated Review Time tracker (auto call tracking for 99457,99458)

  • Data analysis Platform for Administrator and Program manager

  • Ready Widgets for EHR Integration and Patient RPM Reports for EHR import

  • HIPAA Compliant (ready to sign BAA)

  • Enterprise Ready (identity integration, app branding, real-time data integration)

  • Highly scalable SaaS Solution, no additional internal IT infrastructure & support required

  • Mutiple options for Patient using Smartphone & App or InstaMD Hub or even IoT Devices

  • Patient may add additional devices and wearable for personal use after completing program

Comprehensive SaaS (Software as Service) Platform

  • Easy to manage program life cycle (Enrollment management, Programmable Alerts, Tracking )

  • Included module: Secure Messaging (secure chat, video conference) And Provider Directory

  • Ready to integrate with any leading video conference platform

  • Multiple options using InstaMD Hub or IoT Device or even Smartphone App

  • Scalable and HIPAA Compliant (Ready to sign BAA)

  • Enterprise Ready (supports most standard dentity management, MFA, encryption, APIs)

If you have further questions

InstaMD Hub


The InstaMD Hub is a pocket-sized device with many useful features. It seamlessly connects to devices and enables offline communication with patients, reminding them to take their vitals reading and medications, or even to remember upcoming appointments. Patient can carry InstaMD Hub while traveling and will remain fully engaged in the program. Patient adheres to all Medicare Program requirements, maximizing reimbursement.


  • No Wi-Fi or Smartphone App needed

  • Fully configured and ready to use

  • 8 hours power backup

  • Highly Secured

  • GPS enabled

  • Voice Prompts to Auto Connect devices, upload readings

  • Voice Alert & Reminders

  • Remotely Managed and Supported

  • Supports Multi-languages*

  • Easy programmable features e.g. audio interaction, video capable, external device connectivity


  • Additional Medical Device Integration

  • Specific data directly populates into EHR

  • Customized Dashboard Views, EHR Integration etc.


If your clinical staff does not have enough bandwidth, InstaMD can provide you with resources to manage RPM program for you.

Our clinical services include

Patient Education and initial setup

Monthly Billing reports for Practice

Monitor and manage Alerts and coordinate with Care Team

Supported Devices

Wireless Blood Pressure Cuff


Pulse Oximeter


Non-contact Infrared


Stethoscope adapter

InstaMD’s HL Adapter

Foracare BLE Glucose Monitor

Blood Glucose Monitoring System

Body Fat & Hydration Scale


PeakFlow Meter


InstaMD BLE Patient Health Wearable


To learn more


Please play video to learn about International solution

Mobile Kit



  • Empower local medical assistant
  • Easy to connect remote clinical resources or pools
  • Easy to scale and decentralize Care Delivery without any infrastructure investment
  • Provides actionable outcome
  • Drastically reduces patients’ waiting time and personal cost

  • Doctorless Health Screening (Camps or Home visit)
  • e-Visits with Remote Doctor
  • Mobile Outpatient Clinic
  • Mobile Urgent Care
  • Medical Transportation
  • Continuous Patient Monitoring at Home or Nursing Home

Use Cases


  • AI based Rapid Mass Health screening
  • Works with and without Internet connectivity (great for remote areas)
  • Tamper-proof, Trackable, and Theft-proof connected devices
  • Loaded Telemedicine and e-visits toolsets
  • Lightweight and Waterproof
  • Integrated Dashboard to Analyze Outcome, Review Trends, Oversee and Monitor

  • Non-Invasive Blood Glucose
  • Resting Heart Rate
  • ECG early warning (Atrial Fibrillation/Tachycardia/Stopping/Leakage Ventricular Premature Beats/Myocardial Infections

AI-powered Wearable Screening Parameters

Wearable Screening Parameters

  • ECG
  • Blood Pressure
  • Vascular Elasticity
  • Heart rate variability
  • Stress
  • Heart Rate
  • Sleep Quality
  • Activity HR (Cardiac Rehab)
  • Breath Control etc.

  • 3-Leads ECG
  • NIBP
  • Heart Rate
  • Respiratory Rate
  • Body TEMP
  • SPO2

Standard Screening and Continuous monitoring

Stethoscope Digital Audio

  • Heart
  • lungs
  • GI

  • Weight
  • BMI
  • Impedance (BIA)
  • Fat Rate
  • Subcutaneous fat
  • Visceral fat
  • Muscle
  • Basal metabolism
  • Weight of bone
  • Water Rate
  • Body Age
  • Protein rate

Body Weight and related parameters

Strip Tests

  • Blood Glucose
  • Cholesterol

Fully Managed & Integrated System: Smartphone, Devices, Wireless Connectivity, App, Dashboard

  • Multi-Parameter Patient Monitor (BP, ECG, SPO2, TEMP, RR, HR)
  • BP Cuff
  • Pulse Ox
  • Wt. Scale with Fat analysis
  • Digital Stethoscope Adapter
  • Non-Invasive Glucose Wearable
  • ECG Wearable
  • Smart Sleep Belt
  • Peak Flow Meter
  • Glucose Monitor
  • Glucose + Cholesterol Monitor
  • Rapid Diagnostic Kits (400+ types)

Choice of Standard Devices

Test Drive

We provide Free Test Drive


Video Library



We welcome Chronic Care Management Platform & Service Providers, House call, Homecare, Physicians, NPs, and PAs to leverage InstaMD solutions and provide RPM services.

Contact Us

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23890 Copper Hills Dr,
Suite 126, Valencia, CA 91354

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