Model Your 2026 Revenue Stack.
The new 2026 Medicare rules allow you to combine the stability of APCM (non-time-based) with the high yield of RPM.
Use this tool to see your practice's true monthly profit potential when you run both.
Assumptions: RPM @ $137/mo (99454+99457+99458). APCM distributed by QMB % (G0558 @ $110) and Standard (80% G0557 @ $50, 20% G0556 @ $15). FairPath fee flat $12 PPM.
Where These Numbers Come From
Estimates based on national 2025-2026 PFS averages.
APCM (The Base)
- G0556 (Level 1): ~$15/mo
- G0557 (Level 2): ~$50/mo (Most common)
- G0558 (QMB): ~$110/mo (High social risk)
RPM (The Add-On)
- 99454 (Device): ~$49/mo (16 days)
- 99457 (20 mins): ~$48/mo
- 99458 (Add'l 20): ~$40/mo
The FairPath Cost
$12 /patient
Flat SaaS fee. No revenue share.
The Math is Easy. The Workflow is Hard.
Capturing this revenue requires tracking 16 days of device readings (RPM) AND 13 core service elements (APCM) simultaneously without code-stacking errors. You can't do this on a spreadsheet.
Stop the manual hacks.
FairPath orchestrates both tracks so clinical teams work the same list while billing stays compliant.
