With the fast-changing rules and tech for remote patient monitoring (RPM) in cardiology, especially with the 2025 CPT code updates, having solid billing and coding software is a must for your practice. This guide helps cardiology and electrophysiology leaders understand how integrated solutions can boost revenue, improve operations, and keep you compliant in a tricky environment. Let’s dive into the trends, key strategies, and common challenges, showing why the right software can give your practice an edge.
The 2025 CPT updates open up valuable chances for cardiology practices to increase revenue with updated billing options. CMS now permits billing for both RTM and RPM alongside behavioral health, care management, and social risk assessment codes, letting your practice tap into multiple income sources at once.
Looking ahead, the 2026 CPT codes add even more options. Five new codes cover short-term monitoring from 2 to 15 days and reduce treatment reporting time to just 10 minutes per month. These updates show how digital health is changing and offer new billing paths if you have the right tools.
Also noteworthy, new CPT codes support AI-driven tools for cardiac risk analysis, like perivascular fat and coronary plaque detection. This shift to AI in diagnostics means your billing software needs to keep up with these advanced services.
Old-school billing methods create daily headaches for practices. Managing separate portals from device makers like Medtronic, Boston Scientific, Abbott, and Biotronik wastes staff time. Logging into different systems leads to isolated data, errors from manual entry, and frustrated teams.
The cost hits hard. Without integrated software, practices often miss billing for complex RPM codes like 93298, 93299, and 99454. Manual errors mean denied claims, losing your practice significant revenue each year, especially for mid-sized groups.
Staff efficiency takes a hit too. Device technicians can spend up to 40% of their day on admin tasks instead of patient care, limiting how many patients your practice can serve.
Keeping up with regulations is tough without automated tools. CMS requires at least 16 days of data in a 30-day period for RPM and RTM billing, so reliable data collection is critical.
Compliance goes further. Your practice must use FDA-approved devices, get patient consent, and complete proper evaluations for new patients. Tracking these across many patients without software is nearly impossible.
The risks are real. CMS audits are zeroing in on RPM billing, and poor documentation can lead to costly penalties. Advanced software provides the records and proof needed to pass regulatory checks.
Rhythm360, created by RhythmScience, is a cloud-based platform built for the unique needs of cardiology and electrophysiology practices. Unlike basic or single-vendor tools, Rhythm360 tackles cardiac care challenges by pulling data together, simplifying workflows, and improving revenue tracking.
Our platform connects scattered device systems, clinical tasks, and billing rules. With a vendor-neutral setup, Rhythm360 breaks down data barriers and helps capture revenue that might otherwise slip away.
Ready to see how Rhythm360 can improve your operations and revenue? Set up a demo now to explore how our platform supports your RPM efforts.
The 2025 rules offer new ways to increase income through overlapping billing. CMS allows billing RPM and RTM with behavioral health and care management codes, so your practice can earn more from the same patient visits.
This setup demands software that can track all billing options and document them correctly. Manual methods struggle to manage the detailed rules and timing for multiple billing scenarios.
Beyond immediate gains, this approach positions your practice as a full-care provider, strengthening patient ties while maximizing payments for all services.
The 2026 CPT updates add flexibility for shorter care periods. Five new codes cover monitoring from 2 to 15 days and require just 10 minutes of monthly reporting. These fit scenarios like post-procedure checks or acute care.
For cardiology practices, these codes support new offerings for short-term needs. Software must distinguish between short and standard monitoring to apply the right billing rules.
Lower reporting time requirements reflect how tech speeds up care. With the right platform, your practice can meet these needs without sacrificing care quality.
AI-specific CPT codes mark a big change in healthcare payments. New codes cover AI tools for cardiac risk via fat analysis and plaque detection, recognizing AI as a billable diagnostic method.
This shift highlights the value of AI in cardiology. Your billing software needs to handle both standard monitoring and these tech-based services to support clinical decisions.
CMS’s support for AI billing shows the growing role of tech in care. Adopting AI tools now prepares your practice for future payment options as tech advances.
Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) gained ground in 2025. CMS rules now let these clinics bill separately for RPM and care management codes, bringing tech-driven care to more communities.
These unique payment systems require software that adapts billing based on clinic type. Manual methods can’t easily handle these specific needs across varied settings.
This change also shows CMS’s focus on broadening tech access, hinting at ongoing support for RPM billing in different practice types.
Choosing a vendor-neutral platform offers long-term benefits for your practice. Single-vendor tools lock you in, creating hassles as your device mix grows or changes.
Platforms like Rhythm360 adapt to new devices or partnerships without needing costly overhauls. This flexibility saves time and protects your investment.
Plus, a unified view of patient data, no matter the device brand, supports better clinical choices and ensures no critical details get lost across systems.
Building custom billing tools often sounds appealing but underestimates the effort. RPM billing needs deep knowledge of rules, codes, and data integration, which goes beyond typical IT skills.
Custom projects frequently run over budget or timeline, delaying benefits while revenue slips through cracks with outdated methods.
Ready-made solutions like SaaS platforms launch quickly, offer built-in compliance, and handle updates without taxing your team. They usually cost less overall when factoring in missed opportunities.
Connecting your billing software with EHRs is vital. Two-way data flow with systems like Epic or Cerner cuts manual work and keeps records complete within daily workflows.
Modern standards like HL7 FHIR and APIs sync data in real time between RPM tools and practice systems, ensuring billing and clinical info stay aligned.
Strong integration also future-proofs your setup. As tech evolves, adaptable platforms connect to new tools without expensive custom fixes.
Your software should handle growth without needing a replacement. Scalable systems manage more patients and new services like heart failure monitoring while keeping performance steady.
Flexible designs adjust to new billing codes or rules without disrupting your work, which is key as regulations shift often.
The best tools plan ahead, supporting expansion into new specialties or chronic care programs over years, not just solving today’s issues.
Clear metrics help justify software costs for your practice. Focus on revenue gains, efficiency improvements, and reduced compliance risks over set periods.
Track income from billed codes, claim success rates, and new services. Practices using Rhythm360 have seen revenue jump up to 300% with better billing.
Monitor staff time savings and faster alert handling. An 80% quicker response to urgent alerts with Rhythm360 means safer care and happier teams.
Rhythm360 brings all cardiac device and RPM data into one place, ending the chaos of juggling systems. This simplifies tasks and gives a full picture of patient health across monitoring types.
Our vendor-neutral design pulls data from all major brands using APIs, HL7, XML, and PDF analysis, offering a complete view no single-vendor tool can match.
Clinical staff save time by avoiding multiple logins, ensuring urgent data is always accessible, which can make a big difference in emergencies.
Rhythm360 uses AI to ensure near-perfect data delivery with backup feeds and smart gap-filling, meeting RPM billing data rules consistently.
Built-in compliance checks automate eligibility rules, lowering audit risks while helping capture every billable event.
AI also filters alerts, focusing on urgent issues to cut noise and ensure critical cases get quick attention, balancing efficiency with thorough care.
Our automated reporting creates detailed records for billing and audits, capturing all needed data for CPT claims.
Smart routing sends alerts to the right staff with escalation for urgent cases, ensuring consistent responses without overloading teams.
Built-in messaging automates patient follow-ups and logs interactions, supporting engagement key to RPM success.
Feature/Benefit | Rhythm360 | Traditional/Legacy Software |
Data Aggregation | Combines all device and RPM data into one platform, vendor-neutral setup. | Relies on multiple portals, manual entry, data gets siloed. |
CPT Code Capture | Automates spotting and recording billable events, boosts revenue. | Manual tracking misses codes, claims often fail. |
Compliance | Supports consent, device rules, and CMS guidelines automatically. | Manual audits struggle with changing rules across systems. |
Efficiency | Cuts workload with automation, speeds critical alerts by up to 80%. | Heavy admin load, slow to handle urgent issues. |
Many practices don’t realize how complex it is to blend new software into current systems. Connecting with EHRs involves mapping data, setting permissions, and adjusting workflows beyond basic setup.
Success requires teamwork across clinical, IT, and billing staff to keep data flowing without disrupting care. Skimping on planning delays rollout and slows staff buy-in.
A phased approach works best, letting staff adjust while maintaining normal operations during the switch, ensuring training and tweaks before full use.
Adopting new tech hinges on staff acceptance, not just features. Teams used to old ways need thorough training and support to see the value.
Appointing clinical advocates helps. They champion the software, offer peer help, and show real benefits to ease pushback.
Leadership backing is crucial to push past early hurdles and keep usage high. Treating this as just a tech update, not a full change, often limits long-term gains.
RPM billing rules keep changing, with new codes and requirements popping up. Sticking to fixed methods risks falling out of compliance when updates hit.
Advanced software like Rhythm360 adapts with ongoing updates, staying current on billing options and AI service codes.
Without forward-thinking tools, your practice may struggle with compliance, facing claim rejections or audit penalties when rules shift.
Choosing software based only on cost misses the bigger picture. Cheap options often lead to lost revenue, inefficiencies, and risks that outweigh upfront savings.
A full value analysis should cover revenue gains, staff time saved, compliance safety, and growth potential over years. Advanced tools often pay off more despite higher initial costs.
Delaying a good solution means losing money monthly. Quick rollout of effective tools often makes more financial sense.
Handling tasks by hand that could be automated burdens staff, raises error rates, and limits growth. Modern software uses AI to manage routine work, freeing teams for patient-focused tasks.
AI alert sorting, auto-documentation, and smart routing set advanced tools apart. Missing these means losing out on major time savings and better care.
Automation also ensures steady compliance and audit records, something manual methods can’t reliably do for many patients.
Start by analyzing your workflows to spot inefficiencies new software can fix. Look at data collection, billing records, compliance checks, and staff output.
This review highlights areas for automation or integration, guiding what to look for in a tool. Knowing your weak spots helps evaluate options clearly.
Mapping current processes also sets a benchmark to measure gains after rollout, proving the investment’s worth over time.
Implementing software needs input from clinical, admin, and billing staff affected by changes. Early involvement ensures the solution fits everyone’s needs.
Key players include doctors, nurses, technicians, managers, and IT staff. Each brings different priorities that shape the tool and rollout plan.
Getting everyone on board reduces pushback and boosts long-term use. Regular updates and involvement in choices build support and address issues early.
Successful rollout needs enough resources for integration, training, and process updates. Skimping here leads to delays and limited benefits.
Budget for IT help, clinical time for training, and admin support for billing shifts. These aren’t just costs but investments in smoother operations.
A dedicated project lead keeps things on track, managing timelines and communication, especially for complex rollouts across teams.
Build a timeline that accounts for integration, training, and workflow tweaks needed for new software. Rushing risks poor adoption and weaker results.
A step-by-step rollout lets you test features and refine processes gradually, cutting risks compared to a full immediate switch.
Define clear goals for each stage to track progress and ensure quality, keeping momentum while meeting standards throughout.
Ready to upgrade your RPM billing approach? Schedule a demo with Rhythm360 to see how we can streamline your operations and boost revenue.
The 2025 CPT updates bring new ways to increase revenue with overlapping billing for RPM, RTM, and care management codes. Short-term monitoring codes for 2 to 15 days fit post-procedure or acute care scenarios. Lower reporting time of 10 minutes monthly aligns with tech-driven efficiency. Rhythm360 automates code capture and documentation to help maximize income while staying compliant.
For RPM billing, CMS requires 16 days of data in a 30-day period, making device reliability key. Rhythm360 ensures near-perfect data capture with backup feeds and AI gap-filling, tracking compliance to support every claim with solid records.
Yes, Rhythm360 is built to pull and standardize data from brands like Medtronic and Abbott using APIs, HL7, and PDF parsing. This creates one central hub for all patient data, cutting the hassle of multiple logins.
Rhythm360 spots and documents billable events automatically, ensuring accurate claims with minimal errors. AI workflows support overlapping billing and compliance, with practices seeing up to 300% revenue growth from optimized processes.
AI tools cut errors and handle large data sets, spotting billing chances and prioritizing urgent alerts. Manual methods take more staff time and struggle to scale. Rhythm360 adapts to rule changes, offering steady compliance that manual tracking can’t match.
Remote patient monitoring in cardiology calls for a shift from scattered, manual billing to integrated, AI-driven tools that maximize revenue and improve care. The 2025 rules offer fresh opportunities for practices with software that handles complex codes, overlapping billing, and compliance needs.
Rhythm360 is built for cardiology practices aiming to enhance RPM. Our vendor-neutral setup cuts data silos and automates billing capture, improving efficiency, patient safety, and scalability as tech advances.
Today’s healthcare rewards practices that adopt tech while meeting strict standards. Manual methods can’t keep up with the accuracy and speed of platforms like Rhythm360. As rules grow complex and revenue options expand, advanced tools become essential.
Practices that succeed will leverage integrated tech for growth, better outcomes, and steady income from monitoring services. Rhythm360 provides the foundation for this shift.
Want to strengthen your RPM billing and operations? Schedule a demo with Rhythm360 today to see how our platform can secure your practice’s future in a changing healthcare world.
