Coordinate ongoing care, manage chronic conditions, and reduce hospitalizations.
Coordinate ongoing care, manage chronic conditions, and reduce hospitalizations.
Coordinate ongoing care, manage chronic conditions, and reduce hospitalizations.
Reading corrected, no NP visit needed.
Collected (75%)
Allowed:-$103.88
Confirmed
abnormal + NP L3
Collected (75%)
Allowed:-$103.88
Reading corrected, no NP visit needed.
Collected (75%)
Allowed:-$103.88
Collected at 75%
Collected at 75%
Both programs run in parallel with strictly separated time documentation.
Initial AWV
Collected at 75%
Subsequent AWV
Collected at 75%
| Workflow | Core Codes | Approx Allowed | Collected @ 75% | Notes |
|---|---|---|---|---|
| RPM only — corrected reading | 99454, 99457 | ~$103.88 | ~$77.91 | No NP needed |
| RPM + Level 3 NP telehealth | 99454, 99457, 99458, 99213 | ~$240.97 | ~$180.73 | Baseline rescue model |
| First-month setup + Level 3 NP + 99453 | 99454, 99457, 99458, 99213, 99453 | ~$282.68 | ~$212.00 | Includes $15 shipping saving |
| RPM + CCM | RPM codes + 99490 | ~$307.10 | ~$230.33 | Separate time required |
| RPM + CCM + CCM add-on + 99439 | RPM codes + 99490 + 99439 | ~$357.54 | ~$268.15 | Additional CCM time only |
| Optional subsequent Au V | G0439 | ~$138.00 | ~$103.50 | If due and appropriate |
| Optional initial Au V | G0438 | ~$174.00 | ~$130.50 | If due and appropriate |
Every step creates a billable opportunity.
Abnormal reading or care gap identified.
Validate reading, improve compliance, and capture setup value.
Clinical decision, treatment, and proper documentation.
Higher Compliance
More engaged patients = more monthly billable activity.
More Interventions
More engaged patients = more monthly billable activity.
Better Documentation
More engaged patients = more monthly billable activity.
Partner with us to deliver better care, improve outcomes, and create a sustainable practice.
