Remote Patient Monitoring (RPM) Development

Reference architecture

1. Connected Devices
2. Ingestion + Normalization
3. Validation + Trend Engine
4. Alerting (threshold / trend)
5. Care Escalation + Outreach
6. EHR Write-back + Billing Log

A typical RPM data flow: connected devices push readings into an ingestion layer that normalizes across vendors, a validation and trend engine filters artifacts and detects drift, alerts fire on thresholds or trends, abnormal readings escalate to the care team with acknowledgement tracking, and reviewed data writes back to the EHR alongside a billing-ready activity log.

Frequently asked questions

• Do you integrate directly with devices or through an aggregator?+

  Both, and the right answer depends on your device mix. Aggregators like Validic and Terra get you broad coverage fast; direct integrations with Withings, iHealth, Omron, Dexcom, or a cellular gateway give you tighter control and lower per-reading cost at scale. We’ll tell you which mix fits your program instead of forcing one path.

• How do you keep clinicians from drowning in alerts?+

  Alarm fatigue is the top reason RPM programs fail. We combine per-patient baselines, artifact and outlier filtering, and trend-based alerting instead of single-reading alerts, with severity tiers so a genuine red-flag never sits in the same queue as noise. Thresholds are clinician-set and reviewed by your clinical advisor. We build the alerting logic; they set the thresholds.

• What happens when a critical reading comes in after hours?+

  Escalation is designed explicitly, not left to whoever happens to be watching. Critical readings route to the on-call or after-hours path with acknowledgement and time-to-response tracking, and escalate again if no one responds. Never-miss-alert routing is a design requirement on every build, and the exact paths are signed off by your clinical team.

• Can you handle the data tracking for CMS RPM billing?+

  Yes. We build the device-day counting, the 16-day data-capture requirement, and clinical review-time tracking that RPM codes (99453–99458) depend on, with clinician attestation built in. We make the underlying data defensible and auditable; final code selection and claim submission stay with your billing and compliance team.

• How do you handle devices that go offline or patients who stop syncing?+

  We treat missing data as a signal, not silence. The pipeline tracks last-seen timestamps per device, flags patients who fall below the data-capture threshold, and can trigger adherence outreach before a gap breaks both the clinical picture and the billing window. Connectivity and non-adherence are surfaced to the care team rather than discovered at month-end.