Remote Patient Monitoring
How Health Systems and Physician Groups Add Over $1,000,000 of Monthly Revenue and Improve Patient Outcomes in 3 Months Without Adding Staff or Chasing New Patients
Monitoring 100,000+ Patients for These Organizations and More...
Case Study 2
The Hernried Center, a center of excellence multi-speciality practice, grew its remote patient monitoring program from zero to over $17,000 in monthly revenue with nearly 100 patients.
Who Is the CoachCare Platform For?
- You are a health system or physician group leader that needs to add substantial revenue.
- You are trying to build a best-in-class patient care program.
- You have tried to launch new services and gotten frustrated by all the bureaucracy.
- You look ahead and are concerned about the financial prospects for your organization.
- You feel like you and your team work hard every day but you just can’t seem to help patients enough.
- You think your patients deserve better care than just an annual visit.
- You are concerned with the continuing reductions in insurance payouts for your life-saving services.
- You are frustrated by ancillary services and products that don’t pay off.
Who Is the CoachCare Platform Not For?
- You don’t accept insurance in the US.
- You don’t have a few hours to invest upfront.
- You are not comfortable with new technologies.
ARE YOU ELIGIBLE FOR RPM?
Are you unsure if you qualify for Remote Patient Monitoring reimbursements? Take our quick quiz to find out, and to start getting reimbursed as soon as possible!
The Core Concept
There are game-changing ways to double your organization’s revenue without adding a single new patient!
Physicians and their staff are constrained by time and resources so they must use those well. They are challenged to really move the needle on revenue growth because the traditional approach of adding new patients isn’t scalable.
We all know you can add revenue to your organization by attracting new patients. However, adding patients is expensive and puts pressure on an already overwhelmed staff. It’s not scalable because the maximum number of patients you can see is limited by the number of hours you work in a day. And, you have to add a lot of new patients to have any meaningful impact on your revenue.
For more than seven years, all CoachCare has done is help physicians generate more revenue with existing patients and existing staff. Fast.
Our BackGround & Experience
R. Wesley Haydon
Co-Founder
Andrew Zengilowski
Co-Founder
We founded CoachCare in 2013 following careers as private equity investors in New York. We saw the challenges faced by healthcare providers working to grow revenue and improve patient care in the face of increasing costs, and decided to start our own company.
We started our business as a virtual care solution for patients with chronic conditions and originally built our technology platform to serve the needs of our clinical staff. We knew this type of proactive monitoring was beneficial to patients, even though these services were not reimbursed at the time.
We take great pride in the positive impact we have had on the individuals we treated, however; we recognized at the time that we were not exceptional "clinical administrators." We also recognized our core competency was providing the technology to support other providers and their patients, so we transitioned to focus solely on the technology.
Since then, we have refined and proven our technology with thousands of independent clinics, physician groups, and health systems, and hundreds of thousands of providers and patients throughout the US and internationally. We also raised venture capital funding to further develop our technology from top healthcare-focused funds including Kli Capital and Stonehenge Growth Equity.
Today, we are driving consistently strong claims success rates and many of our clients are achieving substantial revenue and ROI using this combination of technology and expert support.
New Activities Drive Better Results
Get Paid More for Each Patient While Improving Care for all
Patients through Remote Patient Monitoring (RPM)
The old way
Increase revenue by trying to bring in new patients with marketing, directory listings or referrals from other physicians. Marketing to new patients is expensive and time consuming and even in the best case can’t add much more than 10% to your top line due to staff capacity. Spend a lot of money and time to get a few new patients. Unless you have a world class in-house marketing team and three top-tier agencies, most marketing spend is unfortunately wasted. So after spending tens of thousands of dollars, you may add a few patients and then realize that you can’t scale further due to staff capacity.
The Better Way
Prescribe reimbursable RPM treatments for your existing (and new) chronic, at-risk and post-acute patients, which is likely the majority of your patients. Generate substantial new revenue from your existing patient population while avoiding the wasted spend inherent in marketing. Drastically improve the efficacy of your treatments. Watch as patients get - and stay - excited about their care. Get your staff focused on value-added activities and reinvigorated by doing good while also doing well. Fill under-utilized or under-reimbursed junior staff time with periodic monitoring of your patients’ progress.
Pushing your Practice to Patient Capacity May Constrain Your
Business, not Accelerate It.
For each new patient you bring on you incur direct and indirect costs. As staff feel more and more overwhelmed, the quality of care necessarily declines for every patient as time per patient declines and staff morale crumbles.
Earning more revenue per patient has the opposite effect - you can make more money without chasing new patients allowing you to provide better care and maintain satisfied, high-functioning staff.
See how in the chart below, even with fewer patients, a practice can dramatically increase revenues through RPM.
| Getting Paid More For Each Patient | ||
|---|---|---|
| Practice Over Capacity | RPM & Practice Within Capacity | |
| Total Patients | 100,000 | 50,000 |
| E&M Rev/Patient | $200 | $200 |
| RPM Rev/Patient | - | $600 |
| Total Rev/Patient | $200 | $800 |
| Total Annual Revenue | $20,000,000 | $40,000,000 |
Monitor Patients and Proactively Target Those That Need Care
Most
The old way
Let’s look at an example of the old way of treating patients: After an appointment, you wish your patient well and they schedule a follow up months into the future. When they come back, you rush to review their chart before sitting down with them for 5 minutes and maybe making a minor adjustment to medication. Then, you repeat the process. You interact with patients infrequently so you only learn about new or worsening medical issues when patients come into your practice, or in some cases, when they are taken to the emergency room.
The Better Way
Patients transmit key vitals to you in real time, from home. You are reimbursed for having junior staff periodically review the data, and you are alerted if data falls outside of predefined healthy ranges. In addition to billing for this data collection, your staff is able to quickly identify and respond to patient needs and prevent urgent medical situations. This allows you to proactively engage with patients that need your help right away, not months from now.
The Greatest impact You Make on Patient Care is Between
Visits.
You need to know when patients need help and what they need as efficiently as possible. 99.9% of the time, patients are not in your office. For example, getting a BP measurement once per year isn’t enough and can lead to a missed diagnosis. Getting the right data at the right time allows you to better care for patients. Payers have finally woken up to this fact and will reimburse you well for monitoring patients.
In the example below, BP at the doctors’ office was in the healthy range (142/79); however, multiple readings at home on different days and at different times over the next 2 months showed consistently elevated BP, as high as 185/99.
This patient would have been misdiagnosed for almost 1 year. Monitoring patients from home allows physicians to respond early to changes in patient health while getting paid for the service.
Make Sure You Get Paid
The old way
Rely on your staff to figure out how to deliver and bill new RPM services on their own. Get paid less than you should because of denied claims. Wait forever for payment because of delayed claims.
The Better Way
Rely on an expert to train and shepherd your staff from delivery to cash collection. Get paid without the frustration of denied and delayed claims.
Getting Reimbursed for RPM is Easy When You Know What to Do
RPM is a new service with specific requirements, but an RPM expert can easily explain the right steps to deliver and bill it.
Here is an example of the type of expert approach you want to assist your billing staff.
| Alternatives to Getting Paid | ||
|---|---|---|
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claims denied → re-submit → get paid or denied |
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RPM Calculator
Patient Volume
* Medicare universally covers RPM. Many commercial and other government payers cover it as well
Per Patient Economics
Program length will vary based on medical necessity but is typically 3-12 months. Adjust program length variable below as needed.
Annual Practice Revenue
RPM Overview - Insurance Codes
$18.84
one-time
RPM Initial Setup & Patient Education
Reimbursement for the initial one-time cost of setting up and educating a patient on the use of RPM device and tools
$48.93
every 30 days
RPM Device Supply
Reimbursement for supply of the RPM device. The device must be able to transmit patient data and/or alert on a daily basis and must be supplied to the patient by the billing provider
$47.61
monthly
RPM Periodic Monitoring
Reimbursement for first 20 minutes spent by clinical staff monitoring patient remotely in a calendar month. Staff must also have at least one live interaction with the patient during the month, such as a phone or video call. There is no specific amount of time required for this interaction.
$38.68
Monthly (x2)
RPM Periodic Monitoring
Reimbursement for additional 20 or 40 minutes spent by clinical staff monitoring patient remotely. No additional live interaction required.
NOTE: those are average Medicare rates 2022. Actual reimbursement varies by MAC locality . Private payers set their own rates and are not required to reimburse at the rates set by Medicare.
ARE YOU ELIGIBLE FOR RPM?
Are you unsure if you qualify for Remote Patient Monitoring reimbursements? Take our quick quiz to find out, and to start getting reimbursed as soon as possible!
Benefits and Outcomes
Here’s what is going to happen when you work with us:
You can expect to add $1,000,000 or more of monthly revenue in 3 months.
You will be able to achieve the better patient outcomes that you’ve been seeking your entire career.
You can finally get rid of wasted marketing spend and processes designed to push patients through as fast as possible at the expense of quality care.
You can forget about overwhelmed staff and morale issues.
You will feel fulfilled because you will be doing good for your patients while doing well for your business.
You will finally stop thinking about financial pressure on your organization because you will have your solution.
How Does the Platform Work?
Before, when you wanted to add revenue to your organization, you would have to spend a significant amount of time and money upfront to market to new patients, and this did not always result in more revenue.
Now, you can use CoachCare’s award-winning RPM platform, including a custom branded patient mobile app and provider web dashboard paired with our proprietary connected scale, blood pressure cuff, glucometer and pulse oximeter, which work together to meet the requirements for RPM billing. This enables you to generate significant revenue without the big upfront investment in time and money.
You have never had the data to identify and intervene with patients between consultations, when vitals or other biometrics dictate they need help. You have had to wait until they come into the office for their next appointment, which may be months later. This frequently leads to a condition progressively worsening and, in the worst cases, emergency room visits.
Now, you can use our real-time health tracking and automated alerts to remotely monitor and proactively target patients for intervention without needing to add staff. These features make you immediately aware of problems and, using our additional telehealth suite of tools, allow you to address them before they become worse.
If you wanted to get paid for RPM on your own, you would have to rely solely on your staff to figure out how to deliver and bill these new services. They may not have experience with this new service, which could result in a slower ramp up, lower reimbursements and frustration for all.
Now, you can use our automated time tracking, detailed billing reports and on-call AHIMA and AAPC certified RPM billing experts to quickly train your staff, significantly increase the amount of money you collect, and minimize audit risk. Our RPM billing experts specialize in delivering and billing these specific services, and also have the experience and perspective of advocating for our clients across hundreds of payers, which further increases our success rate. Our RPM billing experts work directly with CMS and payers and have even convinced payers to start covering RPM for the first time!
Our detailed billing report ensures both that your clinical staff is delivering all of the services required to submit claims (so that you don’t miss out on revenue) and that the claims submission process is incredibly fast and completely accurate. These features and services combine to make sure you collect what you are owed.
ARE YOU ELIGIBLE FOR RPM?
Are you unsure if you qualify for Remote Patient Monitoring reimbursements? Take our quick quiz to find out, and to start getting reimbursed as soon as possible!
Don’t Miss Out On $676,000 In Monthly Profit
Implementing RPM with another company would cost $676,000/month in lost profit.
Don’t Wait. Our Resources Are Limited.
We take a hands-on approach with all our clients. We know how to successfully onboard patients and maximize your claims reimbursements. We will train your staff as much as needed and literally submit and reconcile claims with your biller.
This commitment requires significant time from our team. Therefore, we only accept the most qualified and committed new clients. In fact, we will ask you to sign a statement of commitment during implementation.
Because of this time we invest, we only engage in 5 implementations per month. It’s important to make a decision quickly so we are able to work with you. Remember, you are losing money every day you delay!
Reimbursement Guarantee
Of course, our RPM fees are contingent on your success and backed up with a guarantee: if you don’t receive any RPM reimbursement, you get your RPM fees back. We only get paid if you get paid.
So To Summarize This Offer.
You will receive the following: full featured remote monitoring platform, including a custom branded mobile app, provider dashboard and connected devices, our automated alerting, escalation, telehealth and time tracking tools, and on-demand expert support.
Given our commitment to each of our clients and the time we invest to maximize reimbursements, we only work on 5 implementations per month.
Of course, if you don’t receive any RPM reimbursement, our RPM fees are credited back to you. We only get paid if you get paid.
To get started, all you need to do is schedule a Q&A and tour of our technology. We’ll answer all your questions about RPM and together we’ll calculate how much you can make by implementing RPM.
Questions and Answers Regarding This Offer.
RPM is useful to monitor any condition outside the office, which ultimately prevents adverse outcomes. It can be used to support both acute and chronic conditions across specialties, but it is important to use connected devices that provide data relevant to those conditions (e.g., a BP cuff for hypertension).
CMS is highly supportive of RPM as it is proven to reduce overall healthcare costs. Most commercial payers have taken CMS’ lead by instituting RPM, and more add it each year. Reimbursement rates are strong and eligibility has actually expanded so a broader range of providers are now able to deliver the services.
Payers want providers to deliver these services because they are less costly than hospital admissions or other complications that can occur otherwise.
You don’t need more revenue? You are a lucky person!
The upfront costs are minimal and all the RPM fees are contingent on your success, meaning you have to generate revenue in order to pay any of those fees. We would be happy to provide a profitability calculator to whomever has budget authority or schedule a brief call to discuss the benefits with that person.
RPM is not an entirely novel medical procedure or a new drug and it does not require any new medical equipment or space within your facilities. In fact, you and your staff are likely providing some of these services already - without getting paid. Monitoring a patient while they follow your treatment plan to ensure they are improving is common sense for patients and providers so RPM is easy to explain. In addition, much of the effort is handled automatically by software. Implementation requires training your billing and clinical staff which requires only 2-4 hours of total time.
It takes very little time! The training only takes a few hours and the entire program can be run by your office manager or another staff lead. All you need to do each month is sign-off on the services before they are billed.
You have seen some of our testimonials and case studies so far, but I would be happy to provide a direct reference to prove our value and credibility to you.
We have an annual agreement for our base license, but for many clients this cost is covered by one of our partner companies. Also, we believe it is important to have some small upfront investment to ensure you and your department are serious about successfully implementing our solution.
The most expensive vendor is the one that doesn’t get you paid. They are far more costly in the long term.
Doing so necessarily impairs the quality of care because you are forced to spend less time with each patient to move on to the next. In addition, this leads to long, stressful days and overworked, dissatisfied staff.
Yes. Your current staff can use underutilized time to deliver these services. In addition, since you are not overwhelming your organization, your existing staff will have the capacity to focus on patient care including RPM.
Yes, we have providers who can deliver RPM based on your referrals.
RPM is specific to US insurers and will not work outside the US, but we do offer a virtual health product that enables you to utilize our solution for other purposes. You can find more information here.
Medicare covers these services nationally and we have directly pre-verified coverage by over 100 commercial payers in over 30 states, so it is unlikely that your payers do not cover RPM at all. However, if we find that they do not cover, then we will actually advocate directly with the medical director at that payer to implement an RPM policy. We have had success with this approach before.
Yes. Medicare covers these services nationally, and we have directly pre-verified coverage by over 100 commercial payers in over 30 states.
Medicare reimbursements are set by region and are adjusted for cost of living. Commercial payers typically follow those Medicare adjustments, but you can look up your actual RPM reimbursement rates by contacting your payers.
85% of American adults have a smartphone, including the majority of elderly people. However, if a patient doesn’t have a smartphone or tablet, they can also use the device of a caregiver or family member for RPM. We find this works in many cases.
We have all the necessary security and other information to fulfill the vendor vetting for your health system or physician group, as we have completed these processes many times. We can work directly with your IT or other teams to complete this process so it does not take your time. We do recommend having a senior champion who can help push this process through if there are ever bureaucratic delays.
Yes, they are clear if you know what you are doing and have the right sources of knowledge. That is the benefit of our RPM billing experts. We also have direct insight and clarity from contacts at CMS and commercial payers.
Some RPM vendors have no upfront costs, but we believe it is important to have some small upfront investment to ensure you and your department are serious about successfully implementing our solution. Within a couple months we are usually more profitable for you.
Yes, it works with both outsourced and in-house billers. Our RPM billing experts will guide them.
Yes, as long as multiple staff members can train at once. We have trained up to 30 staff at once.
We get where you’re coming from, but before you make that decision, remember how much revenue you can gain over that period of time by starting now. What else are you doing now that will add over $1,000,000 revenue per month?
We understand. What has worked well and what has not worked well with that company? In the case studies section above, you can find testimonials showing how much more revenue you can generate working with us.
Yes, as long as the client opportunity is large enough to justify the additional technology development work. Typically this is reserved for health systems and physician groups. There are also other ways we can share data with your EHR even without an integration.
Brittney Spears
PA-C, Grand View Health
Grand View Health is a health system in eastern Pennsylvania that works with CoachCare to support hundreds of its patients through Remote Patient Monitoring and broader virtual health services.
As a large health system, we have a lot of stakeholders involved in launching a new program like RPM, but CoachCare’s expert team has been very helpful in making the process go smoothly. They are highly knowledgeable and on-call when needed, so we get the right mix of expertise and timely support. We could not have launched successfully without them.
Ryan Vanderscheuren
PA-C, Ashland Medical Center
Memorial Medical Center is a hospital in northern Wisconsin that works with CoachCare to support their medical weight management program, including through Remote Patient Monitoring.
We have been very pleased working with CoachCare to start our RPM program. We launched the program in one specialty, but given the benefits to ROI and patient outcomes, we hope to expand it to other specialties as well.
Peter Billing, MD
Transform, an independent weight management and bariatric surgery practice, grew its remote patient monitoring program from zero to nearly $10,000 in monthly revenue with almost 50 patients.
CoachCare has been a fantastic partner in helping us grow our RPM program. We are seeing increased revenue and patients enjoy the app and devices. Our practice is growing quickly and CoachCare is an important part of that growth.