Spot early signs of fluid retention, prevent hospital readmissions and bill monthly in line with CMS guidelines.
Congestive heart failure isn’t just a diagnosis—it’s a daily challenge for patients and a critical point of care for providers. With high readmission rates, fluctuating symptoms, and the need for constant vigilance, CHF requires more than occasional office visits.
This is where our Heart Failure Monitoring Program steps in. By combining CHF remote monitoring with real-time data, your team gains the tools to track warning signs—like sudden weight gain or elevated blood pressure—as they happen. This allows for early intervention, fewer hospitalizations, and better outcomes, all without adding extra work to your staff.
Schedule a CHF Program Demo
Why CHF Requires Monitoring
Congestive heart failure (CHF) is one of the leading causes of hospital readmissions in the U.S.—and also one of the most preventable. The financial and emotional toll of repeated hospital stays adds up quickly—impacting both patient well-being and practice resources.
Yet, with the right monitoring tools and heart failure coordination, most cases of CHF can be identified early.
Patients simply step on a scale or check their blood pressure—and our team takes it from there.
- We review the data, escalate alerts when needed, and handle follow-ups.
- Providers gain peace of mind.
- Patients receive proactive care.
- And your practice earns Medicare CHF management reimbursements with every interaction.
CHF Monitoring Tools That Work
Our CHF RPM program is designed around the real-world needs of patients and the practical workflows of healthcare providers. We use FDA-approved cellular devices that require no setup or Wi-Fi—ensuring easy access for seniors and those with limited tech experience.
What we monitor daily:
- Weight – Sudden changes can indicate fluid buildup, an early sign of heart failure decompensation.
- Blood Pressure – Elevated readings can worsen CHF and require prompt attention and intervention.
Diet and Care Coordination
Congestive heart failure needs more than just monitoring—it requires comprehensive management. That’s why we’ve combined CCM for congestive heart failure with our RPM program to deliver complete, dedicated patient care.
Each enrolled patient receives:
- Monthly 20+ minute calls with our credentialed RNs or dietitians—designed to align with Medicare billing requirements for CCM services.
- Personalized low-sodium meal planning and fluid restriction guidance from registered dietitians
- Medication adherence reminders and side-effect tracking
- Patient engagement calls to reinforce daily device use and symptom monitoring
Medicare Reimbursement: CHF RPM + CCM
Our Medicare CHF management program is structured to meet CMS billing standards—combining RPM and CCM codes for streamlined reimbursement.
Reimbursable RPM CPT Codes:
- 99453 – One-time device setup and patient education
- 99454 – Monthly device supply and data transmission
- 99457 – First 20 minutes of clinical monitoring and interaction
- 99458 – Each additional 20-minute increment of clinical monitoring
Reimbursable CCM CPT Codes:
- 99490 – 20 minutes per month of CCM services
- 99439 – Each additional 20-minute increment of CCM
- 99487 – Complex CCM involving 60+ minutes of care coordination
- 99489 – Add-on code for additional time spent on complex CCM
Schedule a free revenue analysis today.
Ideal Patient Profile for CHF Monitoring
Our heart failure monitoring program is built for high-risk patients who need structured oversight—but prefer to stay out of the hospital.
We recommend this admission for patients who:
- Are diagnosed with Stage C or D congestive heart failure
- Have been recently discharged after a heart failure-related hospitalization
- Struggle with medication adherence, fluid retention, or symptom management
- Have additional chronic conditions such as diabetes or chronic kidney disease
- Are Medicare beneficiaries seeking at-home care options
Our Fully Managed CHF Monitoring Solution
It’s not just software or a set of devices—it’s a complete, hands-free monitoring program designed to scale with your practice. Whether you’re serving patients at a single location or across multiple facilities, our system is built to match your team’s workflow and patient volume.
See What Our services include:
- Deployment of cellular blood pressure monitors and weight scales
- Daily data tracking and analysis
- Real-time alerts for fluid retention or blood pressure spikes
- Personalized support and education from registered dietitians
- Monthly check-ins that qualify for RPM and CCM billing
- Seamless integration with EHR systems like Epic, eClinicalWorks, Elation, Athena, and more
- Dedicated account management and staff support
What Providers Say About Our CHF Program
“There was a time when CHF readmissions were a constant struggle. Since enrolling our patients in the RPM & CCM Health program, we’ve seen a significant decline. The combination of weight tracking and real-time alerts has made all the difference.” — Dr. Megan L., Cardiology Specialist.
“Our CHF patients now feel more supported, and our team isn’t overwhelmed by data or extra administrative work. The program runs seamlessly in the background—delivering real insights and driving revenue growth.” — Frank D., Internal Medicine Administrator.
CHF Monitoring FAQS
How do you catch CHF exacerbations early?
We use cellular weight and blood pressure devices to detect changes that may signal fluid retention. When readings fall outside set thresholds, our care team alerts your clinic right away—enabling proactive intervention.
How often are vitals reviewed?
Our monitoring staff reviews patient vitals daily. Any abnormalities are escalated within 24 hours to ensure a timely clinical response.
Do patients need Wi-Fi or smartphones?
No. Our devices come with built-in cellular chips and are completely plug-and-play. Patients simply step on the scale or press a button—and we take care of the rest.
Can RPM and CCM be billed together for CHF?
Yes. Many of our partner practices combine RPM for cardiology with CCM for congestive heart failure—leading to higher reimbursement and improved patient outcomes.
What about patients who travel or move?
No problem. Our devices work nationwide, and our care team stays connected with patients wherever they go, ensuring consistent support no matter their location.
Enroll Your CHF Patients Today – Start Seeing Results in 48 Hours
Don’t wait for the next readmission. With RPM & CCM Health’s Heart Failure Monitoring Program, you can proactively manage fluid retention, blood pressure spikes, and weight changes—before complications arise.
Call Now: 914-420-1023 | Schedule a CHF Program Demo
Request Your Free Revenue Analysis — See Your Earning Potential, Risk-Free!
