RPM Manual
The practical 2026 guide to device rules, day thresholds, management time, and audit defensibility for Remote Patient Monitoring.
Read the RPM Guide →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.
Base Revenue (G0556-G0558)
High Intensity ($137/mo)
50
2,000+
0% (Commercial/Standard)
50%
100% (Safety Net)
Impact: Higher QMB % increases APCM reimbursement (shifts patients to G0558 ~$110/mo).
Gross Revenue
$38,600
Total Billable
FairPath Cost
-$6,000
Flat $10/patient
Net Profit
$32,600
You Keep 100% of Net
Revenue Composition
Monthly
APCM
RPM
Assumptions: RPM @ $137/mo (99454+99457+99458). APCM distributed by QMB % (G0558 @ $110) and Standard (80% G0557 @ $50, 20% G0556 @ $15). FairPath fee flat $10 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
$10 /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.
