RPM Consulting

RPM Consulting for Practices Who Want the Truth.

If you’re here from an ad, you’re probably feeling one of these:

“Are we actually compliant?” The billing is happening, but you don’t trust the evidence trail.
“Where is the money going?” Patient counts look healthy, but collections don’t match.
“We need a clean launch or reset.” You want an in-house program or a safer model without chaos.

This page is about consulting engagements: we analyze your program using your exports, deliver an evidence-based packet, and walk your team through exactly what to fix next. Vendor-run, in-house, or hybrid--we work with what you have today.

What happens after you submit intake
Step 1: Quick intake + triage call (no PHI required).
Step 2: We send a secure upload request for anonymized exports.
Step 3: You receive an Intelligence Packet + walkthrough--fast and fixed-scope.
We provide operational analysis and guidance. We do not provide legal advice.

Proof Before You Book: Free Guides + Video Briefs

We publish a deep resource library on RPM compliance, audit traps, vendor economics, and operational playbooks. If you want to understand our point of view before you talk to us, start here.

Explore the Resources Library
Includes guides, tools, and a growing library of short Video Briefs on audit and payer volatility.

Three Consulting Engagements We Run Most Often

These start as consulting engagements: fixed-scope, evidence-based, and designed to produce a concrete action plan. Below, we’ll walk the story of each scenario.

Audit Risk Review

For Compliance Anxiety

You’re billing RPM codes, but you don’t trust the audit trail. If a payer asked for evidence tomorrow, you’re not sure you could produce it cleanly.

Revenue Recovery

For Missing Revenue

Devices are active, staff is working, but reimbursement doesn’t match. You suspect workflow gaps, denials, or underbilling.

Launch / Reset

For New Programs

You want to launch in-house (or exit a vendor), but need a safer operating system: eligibility, consent, protocols, and staffing.

Scenario 1

The “Black Box” RPM Program

This is the most common story: RPM is “running,” claims are going out, and nobody is asking hard questions--until a payer denial spikes, a compliance officer gets nervous, or leadership realizes the vendor can’t produce clean evidence on demand.

What it looks like inside a practice

  • Your team can’t answer, quickly, how many patients truly met device-day thresholds in a given cycle.
  • Time-based billing feels “templated” or disconnected from actual clinician work.
  • Documentation exists, but it isn’t consistently tied to the underlying readings and actions.
  • If you have a vendor, they assure you it’s fine--but the liability is still yours.

What we do in the consulting engagement

  • Review your recent billing patterns and operational posture for the same failure modes that drive denials and audit questions.
  • Identify “proof gaps”: where the story in the chart doesn’t match the claim being filed.
  • Deliver a prioritized remediation plan: the few changes that reduce risk the fastest.

What you get

A consulting packet your leadership team can actually use: specific risks, specific fixes, and what to change next month.
  • Red Flag Findings: The risk patterns we see and why they matter operationally.
  • Proof Gap Map: Where evidence is thin or inconsistent.
  • Remediation Plan: A prioritized list of fixes and who on your team owns each one.
Want the lighter-weight version first? Start with the free Fraud Risk Report.
Scenario 2

The “Leaking Bucket” RPM Program

This is the story where leadership senses something is off: devices are deployed, staff is doing work, but reimbursement doesn’t match the expected yield. Revenue leakage can come from missed eligibility, missed thresholds, operational bottlenecks, denial patterns, or vendor fee structures that hide real unit economics.

What it looks like inside a practice

  • Your “active RPM patient” count looks strong, but billed units are inconsistent month-to-month.
  • Denials increase, resubmissions increase, and nobody can pinpoint the root cause quickly.
  • Staff is overworked--so the first thing that breaks is tracking and follow-through.

What we do in the consulting engagement

  • Reconcile your operational activity vs. what actually got billed and paid.
  • Identify where opportunities are being missed (and whether fixing them would also increase risk).
  • Give you a month-one plan: changes that materially improve collections without creating compliance exposure.

What you get

  • Leakage Map: Where revenue is slipping through the cracks (and why).
  • Found Money Estimate: The measurable delta between “should have billed” vs “did bill.”
  • Fix Plan: Concrete operational changes to capture it next month.
If you’re mostly worried about vendor economics (not ops), start with the Vendor P&L Analyzer.
Scenario 3

The “Cold Start” (Launch / Reset)

This is the practice that wants control: launch in-house RPM from scratch, rebuild a shaky program, or exit a vendor without destabilizing patient care. The risk here isn’t just compliance--it’s operational chaos: unclear eligibility, inconsistent consent, no protocols, and staff burnout.

What it looks like inside a practice

  • “We could run RPM, but we don’t know what ‘good’ looks like operationally.”
  • Consent and patient expectations are inconsistent, which creates coinsurance blowback and drop-off.
  • No clear clinical playbooks means you’re collecting data without a defensible intervention plan.

What we do in the consulting engagement

  • Define a safe first cohort and a realistic staffing model based on your team.
  • Align eligibility, consent language, and protocols so the program is defensible and sustainable.
  • Deliver a launch plan that is designed to work even if you stay vendor-agnostic.

What you get

  • Clinical Infrastructure Kit: Enrollment posture, consent flow, and cadence.
  • Protocol Starter Set: A sane baseline for interventions and documentation.
  • 30-Day Plan: What to implement first so you don’t burn out staff.
If you want automation later, FairPath can enforce these same guardrails in software--but this engagement stands alone.

How the Consulting Engagement Works

This is built to be fast, structured, and low-friction--especially for practices coming from vendors.

1
Intake + Triage
Submit the intake form and book a short triage call. We confirm your scenario and what data is available. No PHI required at this stage.
2
Secure Data Request
We send a secure upload request for anonymized exports (billing/utilization summaries, device activity, and workflow artifacts).
3
Analysis + Packet
We analyze patterns, identify risks and leakage, and produce an Intelligence Packet you can hand to leadership and ops.
4
Walkthrough + Fix Plan
We walk you through the findings, answer questions, and align on the specific changes to implement next month.
Important:
This is consulting, not a vendor replacement project. We can help you implement fixes in your current stack. If you want automation afterward, we can show how FairPath enforces these guardrails in software.

Anatomy of an Intelligence Packet

We don’t give you a generic “Best Practices” PDF. You receive a specific, evidence-based dossier on your RPM program and what to do next.

What we need from you:
We work with anonymized exports from your current EHR or billing software. No complex API integrations required. We provide a secure upload link after intake.
The "Red Flag" Report

A line-item list of the patterns that create audit exposure (and the operational fixes that close those gaps).

Revenue Leakage Matrix

A comparison of your Active Patients vs. Billed Units, pinpointing where revenue is being lost and how to capture it next month.

Walkthrough + Q&A

A recorded or live walkthrough where we explain what we found, the remediation plan, and how to operationalize it with your team.

Why trust FairPath with consulting?

We aren’t just consultants. We build the systems that run these programs.

The Engineering Advantage

FairPath is a technology company building compliance-grade RPM automation. Because we build the "compliance-as-code" engines that run real programs, we understand the rules and failure modes at a forensic level--and we can translate that into practical operational fixes.

Clinical Expertise
Protocols shaped by board-certified NPs.
Data-First
We audit patterns, not opinions.
"Most consultants give you a PDF of 'Best Practices' and wish you luck. We take your actual data, analyze the risk and leakage patterns, and give you a specific roadmap."
-- The FairPath Team
Prefer to validate us first? Browse the resource library and watch the video briefs.

FAQ

Common questions from practices who land here from audit-risk, vendor, or revenue-leakage ads.

This page is for consulting engagements. We analyze your RPM program and deliver a written Intelligence Packet + walkthrough. If you later want automation, FairPath is the software that can enforce the same guardrails--but consulting does not require switching platforms.

No PHI is required for the initial triage. For the consulting review, we typically work from anonymized exports and operational artifacts. If a deeper review requires identifiable data, we’ll handle that explicitly with appropriate safeguards after triage.

Yes. We’re vendor-agnostic. We can analyze what’s happening in your current model and recommend fixes you can implement now. If you decide to migrate later, we can help you plan a non-chaotic transition (and point you to the Vendor Exit Blueprint).

It depends on scope and data availability. The point of the triage call is to align on a fixed scope and timeline. Most reviews are designed to be fast and decision-oriented, not months of open-ended consulting.

No. We provide operational analysis and evidence-based recommendations. If you need legal review, we’ll suggest you involve your healthcare counsel, and we’ll help you prepare cleaner operational evidence for that conversation.

The free report is a lightweight scan designed to surface high-level compliance signals quickly. The consulting engagement is a deeper, practice-specific analysis with a structured packet, a remediation plan, and a walkthrough tailored to your workflow and constraints.

No. We focus on diagnostic analysis and operational remediation. We can advise on staffing models and workflows, but we don’t operate as a call center or outsourced clinical services vendor.

Start with the resources library. It includes written guides, tools, and a growing library of short video briefs. When your team is aligned and you want a practice-specific answer, come back and request a triage call.

Request an RPM Consulting Triage Call

Complete the intake below to determine fit and scope. No PHI required for triage.

Start Intake

Secure submission. No PHI required for initial triage.

Prefer to start self-serve? Run the free Fraud Risk Report or the Vendor P&L Analyzer.

Looking for software instead? Explore the FairPath Platform

Standard Operating Procedures

FairPath is built on operational work, not theory. We publish the playbooks and checklists we use to keep programs compliant and profitable. Use them whether you run FairPath or not.

Browse the Expert Library →

RPM Manual

The practical 2026 guide to device rules, day thresholds, management time, and audit defensibility for Remote Patient Monitoring.

Read the RPM Guide →

RTM Guide

How to run Remote Therapeutic Monitoring for MSK, respiratory, and CBT workflows with the correct 9897x and 9898x rules.

Read the RTM Guide →

CCM Guide

Calendar-month operations for CCM: consent, initiating visit, care plan requirements, time counting, and concurrency rules.

Read the CCM Guide →

APCM Playbook

The operator blueprint for Advanced Primary Care Management: eligibility, G0556–G0558 tiers, and monthly execution.

Read the APCM Playbook →