Chronic Care Management
& Remote Patient Monitoring
Physician-led CCM and RPM that generates up to $193/patient/month in Medicare reimbursement — with zero new hires. iScript.care acts as a seamless extension of your practice.
Join the Provider Network
Our Programs
Comprehensive Chronic Care Suite
Four complementary programs that stack on top of each other for maximum patient value and maximum practice revenue.
Remote Patient Monitoring (RPM)
Monitor patients' vitals in real-time with 4G-enabled cellular devices. No WiFi, no app — data transmits automatically. Our 24/7 nursing team detects anomalies and escalates to your practice immediately.
- Blood pressure, glucose, pulse oximetry, weight
- Cellular devices — no patient tech needed
- Round-the-clock clinical escalation
- Generates CPT codes 99453, 99454, 99457, 99458
Chronic Care Management (CCM)
Monthly care coordination calls by licensed RNs. We identify patient risk levels, establish health goals, ensure medication adherence, and schedule PCP appointments — all documented for billing.
- Monthly RN phone assessment
- 24/7/365 text and call support
- Medication adherence monitoring
- CPT codes 99490, 99439, 99487, 99489
Behavioral Health Integration (BHI)
Holistic patient care that integrates mental health monitoring with physical care. Our BHI program screens for depression, anxiety, and cognitive decline — and coordinates with your behavioral health team.
- PHQ-9, GAD-7, and MMSE screening
- Care coordinator touchpoints
- Behavioral health care plan templates
- CPT codes 99484, 99492, 99493
Principal Care Management (PCM)
Targeted single-condition chronic care for patients who do not qualify for full CCM. PCM focuses one complex chronic condition with a dedicated care plan and monthly clinical touchpoints.
- Single-condition focus
- Specialized 30-minute monthly calls
- Condition-specific care plan templates
- CPT codes 99424, 99425, 99426, 99427
How It Works
RPM in Four Simple Steps
From patient identification to monthly reimbursement — iScript.care handles the entire workflow.
Identify & Enroll Patients
We help you identify eligible patients in your panel — typically those with 2+ chronic conditions. We handle enrollment paperwork and patient consent.
Ship 4G Device — No Setup
Patients receive a pre-configured 4G cellular device. No WiFi, no app, no smartphone needed. Blood pressure, glucose, pulse ox, or weight data transmits automatically.
24/7 Clinical Monitoring
Our bilingual nursing team monitors readings 24/7. Anomalies trigger immediate patient outreach and escalation to your practice via your preferred protocol.
Monthly Billing Reports
Every month we generate a billing summary with time-stamped clinical interactions, CPT codes, and documentation ready for your billing department to submit.
No WiFi · No App · It Just Works
4G-Enabled Device Ecosystem
Every device is 4G cellular-connected, HIPAA-compliant, and ships pre-configured. First device per patient is provided as part of our service — consumables included.
Blood Pressure Monitor
Cellular BP cuff — readings transmit instantly
Glucometer
No coding, no syncing, lancets & strips included
Pulse Oximeter
SpO2 and pulse rate monitoring
Smart Scale
Weight tracking with trend alerts
Thermometer
Temperature monitoring for high-risk patients
Peak Flow Meter
Respiratory monitoring for COPD & asthma
Pill Box Monitor
Medication adherence tracking
Smart Watch
Continuous heart rate, ECG, and activity
Medicare Reimbursement
CPT Codes & Rates
2024 Medicare fee schedule rates. iScript generates billing documentation monthly — your team submits and collects.
| CPT Code | Program | Description | Medicare Rate | Frequency |
|---|---|---|---|---|
| 99453 | RPM | Initial setup and patient education | $19.18 | Once |
| 99454 | RPM | Device supply — 16+ days of readings/month | $46.01 | Monthly |
| 99457 | RPM | First 20 min clinical staff time | $48.49 | Monthly |
| 99458 | RPM | Each additional 20 min | $39.47 | Monthly |
| 99490 | CCM | First 20 min care coordination | $62.24 | Monthly |
| 99439 | CCM | Each additional 20 min | $47.35 | Monthly |
| 99484 | BHI | General BHI — 20 min/month | $49.40 | Monthly |
| 99424 | PCM | First 30 min PCM | $32.07 | Monthly |
Rates approximate. Varies by geography and payer. Consult your billing department for exact reimbursement. Additional payers available.
24/7 Clinical Coverage
Your Virtual Clinical Team
Our clinical monitoring team of registered nurses and medical assistants monitors your patients around the clock — escalating relevant cases according to your practice's protocols.
- 24/7/365 monitoring cover, wherever your practice is
- English and Spanish speaking staff
- Clinic-guided escalation protocols
- Scale your program without hiring
- Seamless extension of your practice
- HIPAA-compliant documentation
500+
Provider Practices
24/7
Monitoring Coverage
125+
Pre-Built Care Plans
60 Days
Avg. Time to First Bill
Start Generating RPM Revenue
in 30 Days
Join the Provider Network
No new hires. No tech investment. Just enroll your first patients and let iScript.care do the work.