Remote Patient Monitoring (RPM) Solution for Providers and Health Organizations
Your patients take blood pressure, weight, glucose, and oximetry readings at home with medical devices as defined by the FDA. The DrKumo solution transmits their vital signs to your care team, flags out of range readings, logs your staff’s time, and documents care notes for each 30 day period. Clinical decisions stay with you. This page covers Medicare Part B payment for RPM under the Physician Fee Schedule. Medicaid and commercial payer rules differ.
What is Remote Patient Monitoring? RPM, which CMS calls remote physiologic monitoring, is the collection of readings such as blood pressure, weight, or glucose by a patient at home using a medical device as defined by the FDA, transmitted to the billing practitioner for review and care management (the CPT code descriptors call this treatment management). For the full background, read our Comprehensive Guide to Remote Patient Monitoring.
You stay in charge
You order the medical device and the RPM service, set the vital sign thresholds for each patient, and review the care plan. Medicare pays for RPM only when it addresses an acute or chronic condition and is medically reasonable and necessary. RPM is available to established patients, and the patient must consent before monitoring begins.
Built around the 2026 code structure
Your patients’ days with data and your staff’s minutes are recorded against the requirements CMS uses for CPT 99453, 99445, 99454, 99470, 99457, and 99458.
Security built for federal healthcare
Designed to meet VA Directive 6500 (VA Cybersecurity Program) and FIPS 140-3 cryptographic requirements, with HIPAA Security Rule safeguards, following the NIST Cybersecurity Framework and the NCCoE remote patient monitoring practice guide (NIST SP 1800-30). As a healthcare provider, you enter into a Business Associate Agreement with DrKumo, which HIPAA requires whenever a vendor handles protected health information on your behalf.
How it works
One reading, from your patient’s home to your billing report. The gold tags are the CPT codes that attach at each step. Requirements follow CMS’s Telehealth & Remote Monitoring booklet (MLN901705).
CPT 99453
Setup and education
Your clinical staff set up the device for the patient and educate the patient on how to use it. Reported once per episode of care. Under the 2026 CPT changes CMS adopted, 99453 can be reported after 2 days of monitoring in a 30 day period, not 16.
CPT 99445 or 99454
Device provisioning and automatic data transmission
Your patient takes readings at home. The device transmits them automatically. CPT 99445 covers 2 to 15 days of data in a 30 day period. CPT 99454 covers 16 to 30 days. Only one of the two is billed per 30 days.
CPT 99470, 99457, 99458
Care management
Your clinical staff review the readings, interact with the patient, and log that interaction on the care note. You review the care note. Time is recorded per calendar month and must include a live, interactive communication with the patient or caregiver.
Report
Billing report
A report of days with data, minutes logged, and interactive communication per patient, lined up against each code for your billing staff. Only one practitioner can bill setup (99453) and device supply (99445 or 99454) for a patient in a 30 day period.
What the DrKumo solution handles for your team
Six parts of your program that the technology takes care of.
Connected devices
Blood pressure monitor, weight scale, glucometer, and pulse oximeter, medical devices as defined by the FDA, with automatic data transmission.
Provider dashboard
- Trending data for each patient, so your staff can compare readings week to week or month to month.
- Captures time spent by your clinical staff interacting with the patient.
- Documents the care note for each patient: vital signs transmitted, time stamps, whether the vital signs have been reviewed, interactions between your clinical staff and the patient, and devices provisioned to the patient.
- Shows vital signs that went outside the thresholds you set.
AI and machine learning insights
AI/ML models look across each patient’s readings over time and surface trends, patterns, and readings that may need attention, so your clinical staff can decide whom to review and call first. Insights support your team’s review. They do not diagnose, and every clinical decision stays with you.
Time logging
Your staff’s minutes for review and patient communication, captured on the record, separate from any CCM minutes.
Disease Management Protocols
Provider led protocols that the DrKumo solution supports adherence to. They deliver patient education, collect medication history, collect subjective data such as symptoms, and support self management of the patient’s condition.
Billing report
Days with data, minutes logged, and interactive communication per patient, matched to each CPT code so your billing staff can prepare the claim.
Who it is built for
Providers
- Primary care and specialty practices with established patients
- Clinical staff who review flagged readings under general supervision
Patients
- Take readings at home with a connected device your provider orders
- Your provider’s care team reviews your readings between visits. RPM is not for emergencies; call 911.
Veterans
- Readings between visits for veterans who live far from a clinic
- Works alongside the veteran’s own care team
FQHCs and RHCs
- Individual RPM codes at national non facility rates since G0511 billing ended September 30, 2025
- Can be billed alongside APCM codes G0556 to G0558, subject to the CY 2025 concurrent billing rules
Community providers
- Community clinics and providers serving rural and underserved patients
- Readings between visits for patients far from the clinic
About DrKumo
Certified by URAC
Telehealth Support Services Certification, listed in the URAC directory through December 1, 2028.
Built to federal security standards
Designed to meet VA Directive 6500 and FIPS 140-3 cryptographic requirements, with HIPAA Security Rule safeguards, following the NIST Cybersecurity Framework and NIST SP 1800-30.
Contract with the U.S. Department of Veterans Affairs
DrKumo is one of three companies providing services under the VA’s Remote Patient Monitoring-Home Telehealth (RPM-HT) contract, which has a combined ceiling of $1.032 billion across all awardees. Reference to this contract does not imply VA approval or endorsement of DrKumo products or services.
Getting started
Four steps from the first call to the first full billing period.
Setup call
A DrKumo specialist sets up your program and dashboard with your team.
Staff training
Materials and one on one sessions for your clinicians and staff who will run the program.
Enroll patients
After you order the medical device and the RPM service and document consent, your staff enroll the patient from the dashboard.
Run the period
Readings transmit automatically, out of range readings are flagged to your staff, minutes are logged, and the billing report supports claim preparation.
In short
- RPM is monitoring between visits. It is not a replacement for emergency care.
- 2026 added CPT 99445 and 99470. CPT 99453 stays a one time setup code.
- Device supply codes are reported per 30 days. Care management codes are reported per calendar month.
- The CY 2027 proposed rule is not final. As proposed, it would limit billable RPM to clinical staff employed by the practice and would change payment amounts.
- DrKumo supplies the devices, the dashboard, and the billing report. You make the clinical decisions.
Request a free consultation
A 30 to 45 minute conversation with a DrKumo RPM specialist about device options, dashboard setup for your staff, and the billing report for your billing staff. No commitment.
Questions providers ask
What is Remote Patient Monitoring?
RPM, which CMS calls remote physiologic monitoring, is the collection of readings such as blood pressure, weight, or glucose by a patient at home using a medical device as defined by the FDA, transmitted to the billing practitioner for review and care management (the CPT code descriptors call this treatment management). Medicare pays for it under the Physician Fee Schedule.
What changed for RPM billing in 2026?
Two new CPT codes took effect January 1, 2026: 99445 for device supply with 2 to 15 days of data in a 30 day period, and 99470 for the first 10 minutes of care management in a calendar month. The codes are not additive: a practice bills either 99445 or 99454 per 30 days, and either 99470 or 99457 per calendar month, with 99458 only after 99457. CPT 99453 now needs 2 days of data instead of 16.
Is CPT 99453 billed every month?
No. CPT 99453 covers initial setup and patient education and is reported once per episode of care. Under the 2026 CPT changes CMS adopted, it can be reported after 2 days of monitoring in a 30 day period. Device supply (99445 or 99454) is reported per 30 days. Care management (99470, 99457, 99458) is reported per calendar month.
What is CPT 99091 and how is it different from 99457?
CPT 99091 covers at least 30 minutes of a physician or other qualified health care professional collecting and interpreting physiologic data in a 30 day period. CPT 99457 covers care management time, which clinical staff can perform under general supervision. CPT guidance, which CMS adopted, says do not report 99091 in the same calendar month as 99470, 99457, or 99458.
What does the CY 2027 proposed rule mean for RPM?
CMS proposed on July 14, 2026 that RPM be paid only when performed by clinical staff employed by the practice, after a separately reportable initiating visit, with updated valuation. It is proposed, not final. CMS expects to publish the final rule in late 2026. Check cms.gov for the current status before making staffing or vendor decisions.
Can FQHCs and RHCs bill RPM?
Yes. CMS allowed RHCs and FQHCs to bill G0511 only through September 30, 2025. Since then they report the individual RPM codes, including 99445 and 99470, at national non facility rates, and may bill RPM alongside Advanced Primary Care Management codes G0556 to G0558, subject to the concurrent billing rules in the CY 2025 PFS final rule.
Last reviewed: November 2026.
References
- CMS. CY 2026 PFS final rule (CMS-1832-F), Federal Register, Nov 5, 2025. federalregister.gov
- CMS. CY 2027 PFS proposed rule fact sheet, July 14, 2026. cms.gov
- CMS. Telehealth & Remote Monitoring, MLN901705, Dec 2025. cms.gov
- CMS. Physician Fee Schedule Lookup Tool. cms.gov
- HHS OIG. Additional Oversight of Remote Patient Monitoring in Medicare Is Needed, OEI-02-23-00260, Sept 2024. oig.hhs.gov
Disclaimer: This page is for general informational purposes only and does not constitute medical, legal, billing, or regulatory advice. Coverage, coding, and payment rules are set by the Centers for Medicare & Medicaid Services (CMS) and other payers, change over time, and vary by locality, setting, and plan. Confirm current requirements with CMS, your Medicare Administrative Contractor, and qualified legal or billing counsel. Remote Patient Monitoring is monitoring only and is not a substitute for emergency care; patients experiencing a medical emergency should call 911. DrKumo is a technology provider and is not a clinical entity. DrKumo does not diagnose, treat, or make clinical decisions, and does not promise any level of reimbursement.
DrKumo Inc., 1360 S. Anaheim Blvd., Ste 100, Anaheim, CA 92805 · +1 866-435-6447
