Remote monitoring is one of the most-audited corners of Medicare — and most compliance failures in this category aren’t fraud, they’re sloppy record-keeping discovered too late. Ronvida was built by starting from the audit and working backwards. This page describes the actual mechanics.
When a claim line is created, it is linked — at selection time, in the database — to the specific device readings and clinical time entries that justify it. A 99454 claim references the sixteen-plus transmission days behind it; a 99457 claim references the recorded minutes and the interactive call. Evidence is attached when the claim is born, never reconstructed after the fact.
A minute of clinical work belongs to exactly one program — RPM or CCM, never both. This is enforced as a database constraint, not a policy memo: our systems are physically incapable of billing the same minute under two codes. Time records are append-only; corrections are made by reversal entries that preserve the full history.
Sixteen transmission days means sixteen distinct days in the patient’s own time zone. Twenty minutes means twenty timer-recorded minutes — 19 minutes 59 seconds does not round up. Interactive-communication requirements are tracked per calendar month. If a month doesn’t qualify, it isn’t billed.
Coverage is re-verified before every billing cycle. Hospital, skilled-nursing, and hospice stays automatically pause billing for the overlapping period, because those days are bundled into facility payment. Patients who lose eligibility are surfaced for outreach, not billed.
Every enrolled patient has recorded consent — including the cost-sharing conversation — captured before the first billable service. Patients can leave the program at any time.
Practices we serve can see the full record behind any claim at any time: consent, readings, calls, minutes, and the claim lines themselves. If a payer asks, the answer is an export, not an archaeology project.
Patient health information is handled under HIPAA, with Business Associate Agreements in place with the practices we serve and the vendors we rely on. Access to patient data is role-scoped and logged. This website itself collects no patient information — see our privacy policy.
Compliance questions, audit requests, or concerns — including anonymous ones — reach us at hello@ronvida.com. We’d rather hear it early.