Population Identification
Roster ingestion, diagnosis and risk filtering, payer segmentation, exclusion logic and provider attribution.
Best for:Groups that need a reliable, prioritized enrollment pool.
Managed services and coding support
Operational services that turn connected-care strategy into a repeatable clinical program.
Select individual modules or deploy an end-to-end service spanning patient identification, enrollment, devices, monitoring, documentation and revenue-cycle support.
Service modules
Build the operating model your organization needs
InstaMD can support technology-only, shared-services or fully managed delivery. Clinical and billing responsibilities are assigned in the implementation plan.
Eligibility and Consent
Coverage verification, patient outreach, program education, consent capture and ordering workflow.
Best for:Practices seeking consistent patient qualification and conversion.
Device Logistics
Device selection, cellular activation, shipping, setup, replacement, troubleshooting and inventory management.
Best for:RPM programs requiring scalable national logistics.
Clinical Monitoring
Reading review, threshold queues, adherence outreach, interactive communication, escalation and closure documentation.
Best for:Organizations needing clinical capacity and standardized response workflows.
Documentation Readiness
Device-day counts, cumulative time, communication records, care-plan linkage and exception reporting.
Best for:Billing teams that need auditable, code-specific evidence.
Claims and RCM
Charge preparation, claim submission support, denial workflow, reconciliation and performance reporting.
Best for:Programs seeking visibility from service delivery through payment.
2026 RPM services
Remote Physiologic Monitoring code support
Effective January 1, 2026, the RPM family includes lower data-day and lower treatment-management time pathways. Code selection must reflect the actual service furnished during the billing period.
CPTOperational thresholdService supportImportant distinction
99453Initial episodeDevice setup and patient education on useGenerally reported once per episode of care, subject to code and payer rules
994452–15 days in a 30-day periodDevice supply and programmed transmission of physiologic dataDo not report with 99454 for the same patient and 30-day period
9945416–30 days in a 30-day periodDevice supply and programmed transmission of physiologic dataUse the code matching the actual number of qualifying data days
99470First 10 minutes; 10–19 minutes total in a calendar monthRPM treatment management with required interactive communicationDo not report with 99457 for the same patient and calendar month
99457First 20 minutes in a calendar monthRPM treatment management with required interactive communicationBase code for the 20-minute pathway
99458Each additional 20 minutesAdditional treatment-management timeReported only after the applicable 99457 threshold is met
9909130 minutes in a 30-day periodCollection and interpretation by a physician or other qualified health care professionalSeparate practitioner-work pathway; verify current bundling and payer rules
RPM documentation checklist: medical necessity; order; patient consent; device meeting applicable requirements; qualifying data days; readings available for review; date, duration and participants for interactive communication; cumulative treatment-management time; clinical decisions; escalation and follow-up; and identity of billing and rendering practitioners.
Care-management services
Longitudinal and transitional program support
Chronic Care Management
99490 · 99439 · 99487 · 99489
Patient eligibility
Generally two or more chronic conditions expected to last at least 12 months or until death that place the patient at significant risk of death, acute exacerbation, functional decline or decompensation.
Provider eligibility
Eligible billing practitioner with a comprehensive care plan, consent, continuity, access and care-coordination processes.
InstaMD’s supported CCM workflow emphasizes clinical-staff and complex-care pathways shown above; final code selection remains the billing practitioner’s responsibility.
Principal Care Management
99424 · 99425 · 99426 · 99427
Patient eligibility
One serious, high-risk chronic condition expected to last at least three months and requiring development, monitoring or revision of a disease-specific care plan.
Provider eligibility
Practitioner responsible for the condition, supported where permitted by clinical staff and a condition-focused care process.
Remote Therapeutic Monitoring
98975 · 98976–98978 · 98980 · 98981
Patient eligibility
Patient needs monitoring of therapeutic response, adherence or function using the applicable device and data category.
Provider eligibility
Qualified practitioner whose scope and treatment relationship support the monitored therapy and required management services.
Transitional Care Management
99495 · 99496
Patient eligibility
Eligible discharge from a qualifying setting to a community setting with need for timely communication, medication reconciliation and medical decision-making.
Provider eligibility
Practitioner assuming transition responsibility and able to complete required contact, face-to-face visit and complexity elements.
Concurrent services
Operational controls for multi-program enrollment
Concurrent billing may be possible, but it is never automatic. Each service must independently satisfy medical necessity, code instructions and payer policy.
RPM + CCM or PCM
Maintain separate objectives, activities and time records. Device data review and RPM interactive management cannot be reused as CCM or PCM time.
RPM and RTM
Do not operate or bill RPM and RTM concurrently for the same patient during the same monitoring period. Select the single pathway that matches the data being monitored and the clinical purpose, document the transition when changing programs, and verify current payer rules.
RPM + TCM
Evaluate bundling and same-period restrictions. Do not duplicate transition work, communication or medical decision-making.
Multiple practitioners
Define ordering, treatment, supervision and billing ownership. Prevent duplicate claims for overlapping services and periods.
Delivery options
Choose the level of service
Platform
- Connected-device ingestion
- Clinical dashboards and alerts
- Documentation and reporting
- APIs and EHR integration
Co-Managed
- Platform plus enrollment support
- Device logistics and patient support
- Shared clinical work queues
- Billing-readiness reports
Comprehensive
- Population identification
- Enrollment and logistics
- Clinical monitoring operations
- Claims and reconciliation support
Important: CPT descriptions are abbreviated for website readability. Coding, coverage, supervision, consent, data-day, time, concurrent-billing and payment requirements may change. The billing practitioner and organization remain responsible for verifying current CPT, CMS, NCCI and payer guidance and for ensuring that documentation supports every submitted claim.