Revenue Cycle Management · Medical Billing & Coding · Revenue Intelligence

Kitronixe Solutions

Remote patient monitoring support

Connect Monitoring Data With a Repeatable Practice Workflow

Kitronixe helps practices organize operational and billing workflows around eligible remote patient monitoring programs, including patient review, enrollment, device workflow, monitoring activity, documentation, follow-up and billing readiness within the agreed scope.

RPM program operationsWork items by workflow status - not patient dataSample RPM operations view
  1. 01

    41

    Patients for Review

  2. 02

    12

    Enrollment Pending

  3. 03

    8

    Device Setup

  4. 04

    186

    Data Available

  5. 05

    27

    Review Needed

  6. 06

    14

    Interaction / Follow-Up

  7. 07

    19

    Documentation Pending

  8. 08

    73

    Billing Review

Illustrative data for a fictional practice’s program. Counts of work items only - no patient data, readings or alerts - and not a Kitronixe result.

Clinical responsibility: Clinical interpretation and medical decision-making remain the responsibility of appropriately qualified healthcare professionals.

More than a device

A monitoring program only works if the workflow around it does

A remote patient monitoring program depends on more than a device. Patients are reviewed and enrolled, eligible devices are set up, data has to keep arriving, the clinical team reviews it, interactions are documented, and each period is reviewed before billing - and every one of those steps can stall.

Kitronixe supports the operational side of that workflow: tracking enrollment and device setup, following up when data is missing, keeping documentation workflow visible and reviewing billing readiness against current program and payer requirements. Clinical review, interpretation and medical decisions stay with the practice’s qualified clinical team.

The RPM workflow

From the patient’s device to billing review, in ten stages

Patient and device, a secure workflow, the practice team, documentation and billing review. Choose any stage.

Patient / device

  1. 01

    Patient Review

    Patients the practice may consider for the program are organized for clinical review.

  2. 02

    Program Eligibility Review

    Program and payer requirements checked for each patient, where applicable.

  3. 03

    Consent / Enrollment

    Consent and enrollment tracked to completion and recorded.

  4. 04

    Eligible Device Setup

    An eligible device is set up and assigned - device eligibility depends on program requirements.

  5. 05

    Data Collection

    Patient-generated data arrives from the device; missing data is followed up.

Secure workflow

  1. 06

    Monitoring Workflow

    Data availability and review timing tracked for the clinical team.

Practice team

  1. 07

    Provider / Clinical-Team Review

    The practice’s clinical team reviews the data and makes any clinical decision.

Documentation

  1. 08

    Documented Interaction

    Interactions with the patient documented by the clinical team, as the program requires.

Billing / review

  1. 09

    Billing Readiness

    A workflow readiness review before billing - not a guarantee of payment.

  2. 10

    Program Reporting

    Enrollment, data, review and documentation status reported to the practice.

Device to practice

Where the data goes, and who acts on it

Data moves from an eligible device into a monitoring workflow - but the review, the decision and the interaction belong to the practice’s clinical team.
  1. Eligible connected device

    A device that meets the applicable program’s requirements.

  2. Patient-generated data

    Physiologic data transmitted from the device.

  3. Monitoring workflow

    Whether data is arriving and review is due, tracked operationally.

  4. Practice / clinical review

    The clinical team reviews the data and decides what, if anything, to do.

    Practice / clinical team

  5. Documented interaction

    The clinical team documents interactions as the program requires.

    Practice / clinical team

  6. Program / billing workflow

    The period is reviewed for billing readiness against current requirements.

  • Device eligibility depends on applicable program requirements.
  • Clinical interpretation remains with the practice / qualified clinical team.

Eligible devices

Connected does not mean eligible

A device that sends data is not automatically part of an RPM program. Program requirements decide.
Program requirements met? (conceptual)

01

Connected health device

Many devices can send data. That alone says nothing about program eligibility.

  • Blood pressure device
  • Weight scale
  • Other physiologic monitoring devices

02

Program requirements

Whether a device and patient fit a program depends on the applicable program and payer requirements.

  • Device requirements
  • Patient eligibility
  • Documentation
  • Coverage

03

RPM workflow

Only once the requirements are met does the monitoring workflow - and billing review - apply.

  • Enrollment
  • Monitoring workflow
  • Clinical review
  • Billing readiness

Not in the RPM workflow - connected alone is not enough

A note on CGM. Continuous glucose monitoring (CGM) has its own coding and coverage considerations and should not automatically be treated as RPM. Examples here are conceptual; no device or patient is eligible by default.

Remote Patient Monitoring

RPM Revenue Opportunity Calculator

Estimate potential gross reimbursement opportunity for an eligible Remote Patient Monitoring program using your Medicare population, enrollment assumptions, monthly participation and reimbursement assumptions.

  1. Patient population
  2. Participation
  3. Program assumptions
  4. Revenue opportunity
Not every connected device or remote health service qualifies for RPM. Program, device, documentation and payer requirements apply. Continuous glucose monitoring (CGM) has separate coding and coverage considerations and should not automatically be treated as RPM.

Patient population

Aggregate counts only - never a name, an ID or a diagnosis.

Your figure
Your figure

Total Medicare / Medicare Advantage population0

Planning assumption

Participation

How many of the review population enroll, and how many take part in a given month.

ScenarioPlanning assumption

Sets the three participation assumptions. Every value stays editable, and no scenario changes an allowed amount.

Planning assumption
Planning assumption
Potential review population
0
Estimated enrolled participants
0
Estimated monthly participating
0

Estimated first-year gross opportunity

$0

View breakdown

Program and reimbursement assumptions

Recurring amounts apply each month to participating patients. Initial / setup amounts apply once per new enrollment and are never multiplied across the year.

Recurring monthly allowed amount assumption
Payer-dependent

No default configured - enter your expected allowed amount to include it.

Payer-dependent

No default configured - enter your expected allowed amount to include it.

Initial / setup allowed amount (optional)
Payer-dependent
Payer-dependent

Your estimated opportunity

Gross reimbursement opportunity - before any cost, never a guarantee.

Enter your Original Medicare and Medicare Advantage patient counts to see an estimate.

Monthly recurring opportunity

$0

Annual recurring opportunity

$0

Initial / setup opportunity

$0

Once per new enrollment

Estimated first-year gross opportunity

$0

Annual recurring + initial / setup

Monthly participating patients

0

Avg. monthly amount per participant

$0

  • Potential review population0
  • Estimated enrolled patients0
  • Original Medicare - recurring (monthly)$0
  • Medicare Advantage - recurring (monthly)$0
  • Original Medicare - initial / setup (year)$0
  • Medicare Advantage - initial / setup (year)$0
How the first year is built
Monthly recurring = monthly participating patients × recurring allowed amount
Annual recurring = monthly recurring × 12
Initial / setup = expected new enrollments in the year × initial / setup allowed amount
First year = annual recurring + initial / setup

Estimated monthly recurring gross opportunity $0, first-year gross $0, for 0 monthly participating patients.

Patient funnel
  1. Active Medicare / MA population0
  2. Potential RPM review population0
  3. Estimated enrolled patients0
  4. Estimated monthly participating0
Recurring vs initial / setup (first year)
  • Annual recurring$0
  • Initial / setup$0
First-year opportunity by payer
  • Original Medicare$0
  • Medicare Advantage$0

Reimbursement assumptionsCMS-derived

Medicare rate basis
Not configured - the estimate uses the allowed amounts you enter
Locality
Default planning amount where configured, otherwise visitor-entered
Effective year
2026
Last reviewed
2026-09-26

Original Medicare amounts vary by year, locality, service and setting. Medicare Advantage payment and coverage vary by plan, contract and program rules, and are never assumed equal to Original Medicare.

Estimates are provided for planning purposes only. Actual patient eligibility, service requirements, coding, coverage, allowed amounts and payment depend on the services furnished, documentation, current CMS or payer requirements, geographic fee schedules and individual payer contracts. Results do not guarantee reimbursement or revenue. Medicare Advantage payment and coverage vary by plan and contract.

Who does what

Three roles, and only one of them is clinical

The patient uses the device, the clinical team reviews and decides, and Kitronixe supports the operational workflow around both.
  1. Patient

    • Use the device
    • Participate in the program
    • Respond to outreach where applicable
  2. Practice / clinical team

    • Clinical oversight
    • Clinical review
    • Medical decisions
    • Clinical interactions
  3. Kitronixe operational support

    • Workflow tracking
    • Enrollment administration where scoped
    • Operational follow-up
    • Documentation workflow support
    • Billing readiness
    • Reporting

Clinical responsibility: Clinical interpretation and medical decision-making remain the responsibility of appropriately qualified healthcare professionals.

Program operations

Every enrollee, with the next operational step

The work queue behind the program, and what is reported from it - operational status only, never a clinical outcome.

RPM operations work queue

Filter by provider, location, program status or month

Illustrative RPM work queue
  • Enrollee 01Month 2

    Patient Review

    Provider A · Location 1

    Provider review

  • Enrollee 02Month 2

    Enrollment Pending

    Provider B · Location 1

    Record consent

  • Enrollee 03Month 2

    Device Setup Pending

    Provider A · Location 2

    Confirm device setup

  • Enrollee 04Month 2

    No / Limited Data

    Provider C · Location 1

    Operational outreach

  • Enrollee 05Month 2

    Review Needed

    Provider B · Location 2

    Flag to clinical team

  • Enrollee 06Month 2

    Interaction Needed

    Provider A · Location 1

    Clinical team to contact

  • Enrollee 07Month 1

    Documentation Pending

    Provider C · Location 2

    Confirm documentation

  • Enrollee 08Month 1

    Billing Review

    Provider B · Location 1

    Readiness review

  • Enrollee 09Month 1

    Follow-Up

    Provider A · Location 2

    Resolve open item

  • Enrollee 10Month 1

    No / Limited Data

    Provider B · Location 2

    Device help call

10 enrollees shown

Illustrative queue: invented program enrollees, identified by number, with providers as letters. No patient, device or clinical data; not a Kitronixe result.

Reported regularly

  • Enrollment Status
  • Device Setup Status
  • Data Availability
  • Review Outstanding
  • Follow-Up Required
  • Documentation Outstanding
  • Billing Readiness
  • Provider / Location View

What is supported

RPM workflow support, within the agreed scope

Review, enrollment & devices

  • Patient review workflow

    Patients the practice may consider for the program organized for clinical review - the practice decides.

  • Program eligibility workflow

    Program and payer requirements tracked for each patient under review, where applicable.

  • Enrollment

    Consent and enrollment tracked to completion and recorded.

  • Device workflow

    Eligible device setup, assignment and readiness tracked for each enrolled patient.

Monitoring operations

  • Monitoring operations

    Whether data is arriving, and whether review is due, tracked for the clinical team.

  • Missing-data / exception follow-up

    Patients with no or limited data followed up operationally, and flagged to the practice.

  • Patient engagement workflow

    Administrative outreach - device help, reminders - where it is part of the scope.

  • Escalation workflow

    Anything clinical routed straight to the practice’s clinical team, as agreed.

  • Documentation

    Documentation workflow tracked so required interactions and time are recorded by the clinical team.

Billing

  • Billing readiness

    A workflow readiness review before billing - subject to program, documentation and coverage requirements.

  • Claim workflow support

    RPM claims worked through submission and follow-up, where it is part of the scope.

Reporting & visibility

  • Reporting

    Enrollment, device setup, data availability, review and documentation status, reported regularly.

  • Program visibility

    Program status by provider and location, so outstanding work is visible to the right people.

Where this sits

RPM support, CCM support and Practice Analytics

Why Kitronixe

How Kitronixe supports an RPM program

  • Operational support, clinical boundaries

    Kitronixe tracks the workflow; clinical review and decisions stay with the practice.

  • Careful about eligibility

    Device and patient eligibility are reviewed against current requirements, never assumed.

  • Missing data followed up

    Patients with no or limited data are found and followed up rather than discovered at month end.

  • Documentation workflow visible

    What still needs documenting is visible before billing review.

  • Provider and location view

    Program status is reported by provider and location.

  • Fits with CCM and RCM

    RPM support can sit alongside chronic care management support or full RCM.

Questions

Remote patient monitoring support, answered

All FAQs
What is Remote Patient Monitoring?

Remote patient monitoring programs use eligible connected devices to collect patient-generated physiologic data between visits, which the practice’s clinical team reviews. Program, device and coverage requirements vary by payer and change over time.

Does every connected device qualify for RPM?

No. Being connected does not make a device eligible for an RPM program. Device eligibility depends on the applicable program and payer requirements. Continuous glucose monitoring, for example, has its own coding and coverage considerations and should not automatically be treated as RPM.

Does Kitronixe provide clinical monitoring?

No. Clinical interpretation and medical decision-making remain the responsibility of appropriately qualified healthcare professionals. Kitronixe supports the operational and billing workflow around the program.

Can you help with patient enrollment?

Yes. Consent and enrollment are tracked to completion. Which patients are appropriate for the program is a clinical decision made by the practice.

Can you support device workflow?

Yes - tracking eligible device setup, assignment and readiness for each enrolled patient. Kitronixe does not manufacture or supply devices.

Can you track missing data or follow-up?

Yes. Patients with no or limited data are identified and followed up operationally, and the practice is told. Anything clinical is escalated to the practice’s clinical team.

Can you help with RPM billing workflow?

Yes, where billing is in scope: a workflow readiness review, claim submission and follow-up. Whether a period is billable depends on program, documentation and coverage requirements; readiness review does not guarantee payment.

Can you provide RPM reporting?

Yes: enrollment status, device setup status, data availability, review outstanding, follow-up required, documentation outstanding and billing readiness, by provider and location. No clinical outcome reporting is implied.

Can RPM be combined with CCM?

The workflows can be supported together. Whether both programs apply to the same patient in the same period depends on current program, payer and documentation requirements.

Can RPM support work across multiple providers or locations?

Yes. The program can be tracked and reported by provider and location.

Talk through your RPM workflow

Tell us how the program runs today - enrollment, devices, data and review. We will say plainly where operational support would help.