Protected: RPM + CCM + GLP-1: The New Chronic Care Trifecta for Medicare Patients
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We improve chronic care and weight loss outcomes through patient engagement, coaching, and remote patient monitoring, while increasing provider revenues and enhancing quality of care.
Let us make it easy for you. We handle everything from device logistics, to enrollment, to billing support with a world-class Care Team.
Remote patient monitoring and chronic care management with customized programs for: healthy heart, weight loss, diabetes education plus support groups and webinars.
Integrate with over 550 devices, including continuous glucose monitors and the latest in artificial intelligence. Future-proof your device options.
Reportable outcomes data that drive better clinical decisions.
Utilize the latest micro-learning techniques that enable and accelerate patient improvement.
Empower your patients with Sleep Buddy’s RPM & CCM program. Optimize outcomes, enhance care, and streamline your practice.
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Common RPM Issues |
RPM Logix Solution |
|---|---|
| ❌ No medically trained staff calling patients. | ✅ Registered Nurses, Dietitians, & Diabetes Educators engage directly with patients. |
| ❌ Poor clinical value leads to low patient retention. | ✅ 91% retention rate at 12 months—ensuring long-term billables. |
| ❌ Long onboarding delays revenue growth. | ✅ Start in just 2 days—faster implementation, faster billing. |
| ❌ Billing inefficiencies leave money on the table. | ✅ Get a 5-minute revenue analysis & increase billables 2-3x. |
| ❌ Limited EHR integration causes extra admin work. | ✅ Seamless integration with Epic, Athena, Advanced MD, Azalea, Chrono, Elation, Veradigm, and 550+ devices. |
Clinical Services | How We Improve Outcomes | How We Increase Income |
|---|---|---|
| Credentialed Care Team | ||
| Nurses | ||
| Registered Dietitians | ||
| ADCES Diabetes Educators | ||
| Integrate with Over 560 Devices | ||
| CGM’s (Continuous Glucose Monitor) | ||
| AI Biometrics on Smartphones | ||
| Weight Loss Support Groups | ||
| Diabetes Support Groups | ||
| Diabetes Prevention Program | ||
| Monthly Patient Webinars | ||
| Patient Microsites | ||
| Behavioral Health Integration | ||
| Annual Wellness Visits | ||
| Patient App |
Concierge Services | How We Improve Outcomes | How We Increase Income |
|---|---|---|
| Appointment Scheduling | ||
| Return Clinical Calls | ||
| Lab Report Discussions | ||
| Scheduling In-House Diagnostics | ||
| Patient Navigation with Specialists / Hospital | ||
| Help Patients Obtain DME |
Admin Services |
How We Improve Outcomes | How We Increase Income |
|---|---|---|
| Comprehensive Billing Reports | ||
| Outsourced Patient Enrollment | ||
| Device Shipping to Patients | ||
| Device Customer Service | ||
Our Nurses, Registered Dietitians and Diabetes Educators make a difference in Patient’s Lives.
William was enrolled in program in October of 2024. His weight was 218.5 pounds. His current weigh is 142.4 pounds. The patient has lost a total of 76 pounds in the last 10 months. Patient also reported that his HA1C was at 10 and it is now 5.2.
Ronald had BG of over 200 regularly (up to 250- 260) and is now seeing BG of 130- 140 since following the diabetes plate model method, with no low BG and only one instance of high BG within 1-2 months since we last spoke. He used to have 250- 260 blood glucose daily. He has taken the diabetes plate model seriously and attributes his better glucose numbers to this.
Cathy is a patient from Dr. A. Since she started the program in May, she has lost around 6-8 lbs AND her recent blood work from the end of August shows that she was able to lower her total cholesterol from 263 to 211, her triglycerides from 282 to 189, her LDL from 165 to 129, and her liver enzymes came back to normal range. She still has some work to do but according to Cathy, Dr. A was very pleased with her results and with the work of the program. She is still hoping to lose more weight and to lower those numbers even more. This fall has been a bit rough for her with work demands, but she has blood work again in December. Fingers crossed for even lower lab values!! Yay to Cathy for her hard work!
Christopher with Dr. S had unstable blood sugar in general- experiencing some lows, and highs. Our last conversation, we discussed the 15/15 rule, carb counting (how to), timing of meals, and sources of carbohydrates to prevent and treat low BG with specific grams of carbs being recommended. He has followed these recs and since this visit he’s had zero incidents of low blood sugar. He also received education on how to address higher blood sugar levels- he was experiencing high BG of 200- 250’s, since the conversation on how to lower blood sugar occurred, he has not had these numbers and the highest (per one occasion) was 180- 181. He is having far more normalized blood sugar levels now!
Erwin struggled with rainout (waking with water on his face from CPAP mask) and mask seal issues causing leakage. A humidity change request was sent, and the patient was also recommended to use facial moisturizer and facial hair conditioner to improve the seal. The moisture acts similar to glue. With these adjustments, leakage is within normal ranges, and the patient reports sleeping very well.
I was able to get patient RX help. She was paying $965 per month for Diclofenac Sodium 3% gel, and she could no longer afford. I located a GoodRX coupon code that brought the price down to $39.35.
Assisting pt Hank with shower, toilet, and grab bars installation. He just had Spinal surgery and is in Rehab. He will not be able to lift his leg above the tub to get in the shower. Toilet seat’s too low for him to bend due to spinal surgery. Grab bars installed for stability. Discharge date in 2 weeks if all goes well with PT.
Got this message from one of my patients, “My A1C for the first time in 18YEARS of doctoring for diabetes was under 7….. it was 6.3!!!!!!!!!!”
Patient Teresha has struggled with her weight; she is morbidly obese and suffers from uncontrolled diabetes and hypertension. As soon as we signed on with RPM Logix, I knew Teresha would benefit from the dietitian/CDE consult, and she was very happy to sign on to this. Her dietitian has done a wonderful job of working with Teresha and communicating with me regarding needs for medication changes, and when there have been issues that the provider needed to be involved with. Due to this excellent nutritional care her dietitian has provided, Teresha has lost 47 lbs over a few months, is much more motivated for proper food choices, and to exercise. For the first time, her BP and glucose are in control, and she feels so much better. I have really praised Teresa for her hard work today, but also want to praise her dietitian for her dedication and for making such an improvement in this patient’s life.
The patient has been enrolled in the Sleep Buddy Program since December 2024 following a diagnosis of severe obstructive sleep apnea. At the time of diagnosis, her sleep study demonstrated an AHI of 46.4. She was prescribed CPAP therapy and has maintained compliant with treatment. In addition, she was prescribed GLP-1 medication to support weight loss as a means of improving sleep apnea. To date, the patient has achieved a weight loss of 40lbs and maintains an average AHI between 0.1 and 0.5!
I have a very motivational story to share of one of my patients Jacinta whom I have had the privilege to get to know over the past 6 months. Jacinta has done an amazing job with her weight loss journey and now has officially reached her goal. She is 194 lbs down from 221 lbs 8 months ago. A total of 53 lbs total since November 2021. Her BMI in January was 37.92 and now it is 28.6, reversing her “obesity” classification. Jacinta followed a strict regimen of eating mostly vegetables, intermittent fasting, and physical activity. She is proud to have gone down 6 dress sizes and now needs to have her entire wardrobe adjusted. She remains motivated to maintain her weight loss and promises to stick with her regimen. We wish Jacinta all the success with her maintenance phase as she moves forward!
John started CPAP therapy on 12-03-24. Usage/compliance was 43%, lower than insurance coverage guidelines and considered non-compliant. He is not feeling well rested, has daily fatigue, daytime sleepiness, naps daily, and has brain fog. Patient is now compliant at 86%, AHI within normal limits, and leakage within normal ranges. Patient is now feeling more well rested, fatigue has greatly improved, no daytime sleepiness, and no brain fog. Patient is stable!!
Today I spoke to one of Dr. M&S’s patients. Miss Kenisha has been eating a low-carb plan and focusing on high-protein foods and complementing with vegetables. She has lost about 16 lbs. She is motivated and wants to continue to lose weight. She was told by her Dr. that she reversed diabetes.
I made a 3 way call with pt Cheryl and her insurance company WellCare. We were able to get over 1,000.00 worth of the bills cleared up. The patient does not owe anything in regards to those bills now.
I called pts insurance (UHC) to set up transportation to and from her Dr appts. She has been struggling with getting this set up due to not understanding how to navigate the automated system. She now has reliable transportation to and from her doctor’s appt.
Patient’s water heater has been out for sometime. I located a non profit that can help with repair or replacement for the water heater. With food pantries and the Medicare savings program, pt got out of pocket expenses shouldered with insurance.
Our nurses, registered dietitians, and diabetes educators make a difference in the lives of patients.
Shannon
Wilbur started the program at the end of August and to this date he has lost right at 20 lbs. He is a true champ!! He enjoys working with RD Referrals | Michelle A. and follows all of her recommendations, he walks for 45 minutes daily. When I asked him if he has started t buy new clothes, he laughed and said I still have clothes from 25 years ago!! He is such a pleasure to work with!! Can we clone him!! 🙂
Suzanne
Hi all! I wanted to share that I have been working with a pt that has lost 13 pounds since February. She was like a sponge and absorbed the information with a very positive attitude. She is bulking up her meals with more fruits, veggies, and whole grains. She is finding she feels full without overcoming calories. Her grandson has been supportive and is encouraging more vegetables and salads as well.
Nina
I have a patient Benjamin. He is extremely happy with our services. He is working on losing weight. It’s extremely hard as we all know but he is working very hard. He is very thankful for what we do / our ideas (also Jessica’s help)… He is please with how far he has come & is happy to have a team behind him to help with his journey!! Thanks Jessica Carter for the teamwork!!! You rock! He started at 219 and he is now down to around 208 🙂
Jessica
I wanted to share the success of my client Margo. By changing some eating habits and adjusting her meal times to incorporate intermittent fasting on some days, she has been able to lose 15 pounds since June. She stated she might even do cartwheel in Dr…’s office at her next visit 🙂
Be up and running in 1 week. Begin billing this month.
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Key Takeaways The ACCESS Model offers significantly lower reimbursement rates ($180–$420/year) compared to traditional RPM and CCM programs ($1,500–$2,400/year). Enrollment in ACCESS creates “billing
Key Takeaways The ACCESS Model is a 10-year CMS initiative shifting chronic care from volume-based to outcomes-based reimbursement. CMS is introducing Outcome-Aligned Payments (OAPs) to
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