01
CCM Billing
Accurate coding and time-tier billing for 99490, 99439, 99487, and 99489 for patients with two or more chronic conditions, with monthly care plan documentation reviewed before submission.
RPM & CCM Billing Services
RPM and CCM Billing Services by Revex Square is where you turn when you become a provider to keep chronically ill patients stable between visits, not to work out why a device's 16th day of readings landed one day past the billing period. Your day often ends with time logs that need to stay separated by service, an initiating visit that has to happen before either program starts, and CMS rules that deny CCM and RPM together if the clock is double-counted. That's where RPM and CCM billing services from Revex Square come in.
Working with a billing partner that truly understands the CPT code sets, time thresholds and device-transmission rules underpinning RPM and CCM, rather than a generalist team applying office-visit billing logic to time-based, month-long service codes, enables practices to get paid faster, cleanly and consistently. No long meetings. No jargon-heavy reporting. Just a partner who knows remote patient monitoring and chronic care management billing completely, whether you're operating one program or layering both together.
Imagine ending your month knowing every minute of care time is collected and accounted for, every device is meeting its transmission requirement and every claim is already in the payment stream, not stuck in a rejection backlog. That's the peace we bring into practice every day.
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RPM & CCM Billing Service Specifications
Complete billing & RCM overview for RPM, CCM, PCM, and RTM programs
RPM & CCM Billing Service Specifications
Service Type
Remote Patient Monitoring (RPM), Chronic Care Management (CCM), Principal Care Management (PCM), and Remote Therapeutic Monitoring (RTM) Billing
Provider
Revex Square, Full-Service Medical Billing Company
Practices Served
Programs Covered
Coding Systems
CPT 99490, 99439, 99487, 99489 (CCM); 99453, 99454, 99457, 99458 (RPM); 99424–99427 (PCM); 98975–98981 (RTM); G0511 (FQHC/RHC bundled)
Service Price
As low as 2.75% of your monthly collections
— no hidden fees
EMR/Platform Compatibility
Availability
Nationwide in the United States, with CMS billing rule expertise across Medicare and Medicare Advantage
Compliance
HIPAA-Compliant, encrypted, auditable, and secure
Key Metrics
99%
Clean Claim Rate
<25
Days in A/R
<6%
Denial Rate
48hr
Claim Turnaround
Contact Number
+1 737-227-1587
Business Hours
Mon – Fri: 6 AM – 9 PM (CST)
Want to increase your RPM & CCM collections? Get a free demonstration.
Schedule a Free DemoBilling Support Built Around RPM & CCM
We handle the billing so you can focus on your patients.
05+ Years in Medical Billing
Half a decade of specialized medical billing experience helping healthcare practices improve collections and revenue.
99% Clean Claim Rate
Our experienced billing team handles claims with precision, helping reduce errors, rejections, and payment delays.
Faster Payments
We follow every claim from submission through payment, helping your practice receive revenue faster and maintain a healthier cash flow.
Work With an RPM & CCM Billing Specialist
Our team understands time-based CPT thresholds, device transmission rules, concurrent-billing restrictions, and the unique challenges of care management and revenue cycle management.
Our RPM & CCM Billing Process
We simplify every step of your revenue cycle so your practice can focus on patient care.
01
Patient Enrollment & Consent
We confirm the initiating visit, obtain and document patient consent, and verify eligibility based on the requirements for CCM, RPM, or PCM services.
02
Time & Data Capture
Our team logs clinical staff time for CCM and PCM while confirming device data transmission days for RPM and RTM, keeping each program's activity tracked separately.
03
Threshold & Compliance Review
Before billing, we confirm that each program meets its specific requirements, including required transmission days for RPM and the correct cumulative minutes for CCM or PCM code tiers.
04
Claim Submission
Clean claims are submitted electronically to Medicare, Medicare Advantage, and commercial payers using the appropriate CCM, PCM, RPM, or RTM code set and bundled G0511 logic where applicable.
05
Payment & A/R Follow-Up
We monitor payments, follow up on unpaid claims, and actively manage denials, including issues related to concurrent billing, missing documentation, and missed program thresholds.
Accurate Program Billing
Every CPT code, time log, and transmission record is carefully reviewed to reduce coding errors, claim rejections, compliance issues, and lost revenue.
Faster Reimbursement
Our streamlined billing workflow helps move claims through the revenue cycle efficiently, supporting faster reimbursement and improved practice cash flow.
RPM & CCM Billing Services We Provide
Comprehensive revenue cycle solutions designed specifically for care management programs — including the gaps most billing companies skip.
02
RPM Billing
Coding across device setup (99453), device supply (99454), and treatment management time (99457, 99458), with the 16-day minimum transmission requirement confirmed for every billing period before submission.
03
Principal Care Management (PCM) Billing
PCM supports patients with a single serious chronic condition who do not meet CCM's two-condition threshold. We determine the appropriate program and bill 99424–99427 accurately.
04
Remote Therapeutic Monitoring (RTM) Billing
RTM billing for musculoskeletal and respiratory therapy adherence data using 98975–98981, with separate tracking to help prevent conflicts with existing RPM or CCM enrollment.
05
Concurrent Program Time Segregation
We maintain separate, auditable time logs for CCM, RPM, PCM, and RTM programs so time counted toward one program is not incorrectly counted toward another program or submitted twice.
06
FQHC & RHC Bundled Billing (G0511)
Specialized care management billing support for Federally Qualified Health Centers and Rural Health Clinics using the appropriate G0511 bundled billing logic.
07
Denial Management
Our team identifies denial root causes, corrects billing issues, and follows up with payers to recover lost revenue, including denials related to program conflicts and missed transmission requirements.
08
Accounts Receivable Management
We monitor outstanding accounts, prioritize aging balances, and actively follow up with payers to help accelerate reimbursement and maintain healthy cash flow.
09
Program RCM Reporting
Detailed reports and performance insights help you understand collections, enrollment trends, billing performance, and the overall financial health of your CCM, RPM, PCM, and RTM programs.
Need a Complete RPM & CCM RCM Solution?
Let Revex Square handle your care management billing while you focus on patient care.
CARE MANAGEMENT-SPECIFIC EXPERTISE
RPM & CCM Billing Solutions Tailored to Your Practice
Every practice's care management mix is different. A primary care practice running CCM alongside RPM for hypertension and diabetes patients has different billing needs than a specialty group using RTM for post-surgical rehab adherence, or an FQHC billing everything under a single bundled code.
Revex Square provides specialized RPM and CCM billing services designed around a category of billing that runs on rules general medical billing companies often overlook: monthly time thresholds instead of per-visit charges, device transmission-day minimums, and concurrent-billing restrictions between programs that most other specialties never deal with.
✓
Specialty-Specific Coding
Accurate CCM, PCM, RPM, and RTM coding, with time and transmission data matched precisely to each program's distinct requirements.
✓
Payer Expertise
Experienced handling of Medicare, Medicare Advantage, and commercial payers, each with its own coverage nuances for care management services.
✓
Complete Revenue Cycle
From patient enrollment and consent to time/data tracking, coding, claims, denials, and A/R follow-up, covering the full path from enrollment to final reimbursement.
Performance Snapshot
RPM & CCM Revenue
Clean Claims
98%
Denial Rate
<8%
Days in A/R
<25
99%
Clean Claims
Faster
Payments
<25
Days in A/R
WHY REVEX SQUARE
Talk to an RPM & CCM Billing Specialist
→
Why Choose Revex Square for RPM & CCM Billing?
Your practice deserves more than a general medical billing company. You need a revenue cycle partner that understands the complexities of care management billing.
✓
Care Management-Specific Expertise
Our billing professionals understand time-tier thresholds, device transmission rules, concurrent-billing restrictions, and the documentation requirements that make RPM and CCM billing fundamentally different from standard visit-based billing.
✓
Transparent Pricing
Simple, transparent pricing with no unnecessary hidden fees, allowing you to understand exactly what you are paying for.
✓
Dedicated Billing Team
Work with experienced billing specialists who become an extension of your practice and remain focused on your financial performance.
✓
Complete Revenue Cycle Management
From patient enrollment and eligibility verification to coding, claims, denials, and A/R follow-up, we manage the complete cycle.
Turn Your RPM & CCM Billing Challenges Into Results
From claim denials to concurrent-billing conflicts, Revex Square helps identify the problems affecting your revenue and provides practical solutions.
High Claim Denials
Denial rates rise quickly when time logs, device data, or concurrent-program rules are not managed carefully. We identify denial patterns, correct billing errors, and follow up with payers to recover revenue.
Solution
Denial Management
Slow Insurance Payments
Our team actively tracks outstanding claims and follows up with insurance companies to accelerate reimbursement.
Solution
A/R Follow-Up
Missed 16-Day Transmission Threshold
RPM device supply billing requires at least 16 days of transmitted data in 30 days, and falling short, even by a day, means that code is not billable for the period.
Solution
Transmission Threshold Monitoring
Double-Counted Time
Counting the same minutes toward both CCM and RPM, or billing RPM and RTM concurrently, creates real audit exposure even when it is an honest mistake.
Solution
Concurrent Program Time Segregation
Missed PCM Revenue
Patients with a single serious chronic condition often get left out of care management because they do not meet CCM's two-condition threshold.
Solution
Principal Care Management (PCM) Billing
FQHC/RHC Billing Errors
Applying standard CCM/RPM CPT logic instead of the bundled G0511 code is a common and avoidable error for FQHCs and RHCs.
Solution
FQHC & RHC Bundled Billing
Stop Leaving Revenue on the Table
Let our RPM and CCM billing experts identify opportunities to improve your revenue cycle.
GOT QUESTIONS?
Frequently Asked Questions About RPM & CCM Billing
Answers to the questions most frequently asked about RPM, CCM, billing requirements, reimbursement, and revenue cycle management.
Chronic Care Management (CCM) helps practices receive reimbursement for coordinating care for patients with multiple chronic conditions.
CCM focuses on chronic care coordination, while RPM involves monitoring and reviewing patient health data remotely through connected devices.
Yes, both services may be billed for the same patient when each program's requirements are met and time is tracked separately.
For RPM device supply billing, the patient's device generally must transmit data on at least 16 days within a 30-day period.
Our RPM and CCM billing services start as low as 2.75% of monthly collections, depending on enrolled patient volume and program requirements.