What is Remote Patient Monitoring (RPM)?

Remote Patient Monitoring (RPM) is a technology to enable 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 monitoring and trend analysis of physiological parameters, enable early detection of deterioration; thereby, reducing number of 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 feel comfort knowing that they are being monitored and will be supported if a problem arises.

Why Medical Practice to consider RPM Program?

In addition to patient satisfaction and clinical benefits there is huge financial incentive. Medicare (and some of states Medicaid, 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 staff i.e. RN, MA (based on state regulation).

How does it work?

RPM program is like CCM program in fact same patient can be enrolled into RPM to manage vitals.


Enroll Patient

Identify and Enroll Patient into Program (Require Patient Consent)


Setup goals

Setup Programable Alerts (i.e. BP value within certain range) & educate Patient how to use Device(s).



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



Disenroll/Re-Enroll Patient as Required.

CMS Reimbursement

Please check State Medicaid and Private Payer for similar reimbursement

CPT Code 99453 (Approximate payment $18)

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 $62)

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 $51.63, while each add-on code (up to 2) pays $42.23. Thus, total reimbursement for an hour or more of RPM services is $136.09

If you have further question

Our Solution

InstaMD developed one stop RPM rollout solution for any size Healthcare Providers (Medical Offices, House Call, Home Health, Telemedicine Service Providers, CCM Service Provider etc.). Our solution consists of comprehensive SaaS platform, choice of devices e.g. BP Pulse Ox. Scale, Glucose Monitor, Wearable, logistics, device configuration, training, patient education, and on going review service.

To learn more

InstaMD Differences

  • Free Choice of Medical Device i.e. BP Cuff, Pulse Ox, Scale, Glucose Monitor, and Wearable

  • No long term contracts

  • Free Smartphone* and wireless service for qualified patient through Govt. programes

  • Configurable 15+ Programable Alerts

  • Automated Data Management Time Tracker (tracker for CMS billing codes 99457,99458)

  • Data analysis dashboards (Web and App) for Biller, Administrator, and Program manager

  • Vitals Data Visualization ready Widgets for EHR Integration

  • 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

  • Patient may continue to use App even after un-enrolled from Program

Comprehensive SaaS (Software as Service) Platform

  • Easy to manage program life cycle (Enroll, Programable Alerts, Track, Unenroll etc.)

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

  • Ready to integrate with any leading video conference platform

  • Ready to use App (& white label) OR use Simplified InstaMD Hub – no SmartPhone, WiFi required

  • Highly scalable, HIPAA Compliant (Ready to sign BAA)

  • Enterprise Grade (configurable identity management, MFA, encryption, data access, customizable)

If you have further question

InstaMD Hub


InstaMD Hub is a pocket size device with pre-built features. It seamlessly connects vital devices and enable offline communication with patient such as: reminding to take vitals, medication, and upcoming appointments. Patient can bring InstaMD Hub everywhere and will remain fully engage while in the program. Patient adheres Medicare Program requirements, hence maximizes reimbursement.


  • No Wi-Fi or Smartphone App needed

  • Fully configured and ready to use

  • 24 hours power backup

  • Highly Secured

  • GPS enabled (location tracking and geofencing)

  • Voice Prompts to Auto Connect devices, upload readings

  • Voice Alert & Reminders

  • Remotely Managed and Supported

  • Supports Multi-languages*

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


  • Additional Medical Device Integration (Peak Flow meter, any other BLE vitals devices etc.)

  • Specific data directly populate into EHR

  • Customized Dashboard Views, EHR Integration Widgets, Web Interface for real-time tracking


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

Our clinical services include

Visit Patient home for initial setup and Training

Monthly Review and share report with Practice for Billing

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

Alivecor ECG

USA Only

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 waiting time and personal cost of patient

  • 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 arears)
  • Tamperproof, Trackable, and Theftproof 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)
  • Breathe 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 various packages to test our devices and platform. We provide credit when you rollout solution so no risk.


Video Library



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

Contact Us

Deliveries & Return

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

Get in Touch

Sales: info@instamd.co
Support : support@instamd.co
Career : jobs@instamd.co  (Now Hiring)