Remote Patient Monitoring for Chronic Diseases

Chronic diseases are some of the leading causes of fatalities in the United States. The nature of chronic diseases requires extensive medical care in the form of frequent clinical visits, strict diets, routine medications, and so on. Remote care management systems can collect patients’ medical data in real-time and transmit it to physicians at a remote location. As a result, doctors can closely monitor vitals like blood pressure, glucose levels, heart rate, oxygen saturation, and others remotely. This will improve the management of chronic diseases and also enable patients to live with greater independence. 

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Technologies For Chronic Care Management and Remote Patient Monitoring

This is one of the central aspects of chronic care management. The use of RPM monitoring devices to gather health data such as blood pressure, electrocardiogram, glucose levels, and heart rates remotely enables physicians to monitor patients’ health. Most of all, such devices reduce the need for patients to go for in-person clinic visits. OSP can develop appropriate software to store this data securely in electronic medical records for assessment.  

Patterns in the fluctuations of patients’ health vitals over time provide insight into the progress of their medical conditions. Remote patient monitoring or RPM with chronic care management (CCM) programs can help providers serve patients better.  

Patient engagement involves all the activities for making the patient aware of their conditions and enabling them to take a more active role in their recovery. It is an important part of treating patients with chronic conditions. RPM CCM management requires adequate patient engagement to achieve the best patient outcomes. OSP can develop customized solutions to help providers engage with their patients more effectively and boost the impact of RPM CCM programs.   

OSP can build an elaborate platform for remote patient monitoring chronic disease management programs at hospitals. Our solutions will help providers and patients interact better and enable them to manage their diseases efficiently.

Diabetes is one of the most prevalent chronic diseases in the United States. It is characterized by high blood sugar levels, which, left unchecked, will lead to several health problems and, finally, the failure of multiple organs. Diabetes care involves a strict diet, regular medication, and periodic follow-ups with the treating doctor. OSP can develop CCM (Chronic Care management) solutions for diabetes involving RPM devices. This will enable patients to check vital stats like blood glucose level and heart rate and catalog their medication routines. Periodic, real-time data like this helps physicians diagnose the severity of the condition more accurately and alter prescriptions accordingly. OSP’s custom-designed RPM CCM (chronic care management solutions) will enable patients to lead healthier lives and manage their conditions more efficiently.  

The number of seniors is growing with each passing year. Experts estimate that the United States will have millions of seniors needing care by the end of this decade. Adding to this problem is the high prevalence of chronic diseases. Nearly 40% of adults in America suffer from at least one such disease. OSP can design and develop remote patient monitoring-enabled chronic care management solutions to boost the efficiency of elder care.  

These solutions will enable physicians to monitor patients’ health without needing regular in-person. When physicians can monitor health vitals remotely, they can provide the required care services for elders at assisted living facilities and retirement communities.   

OSP can design and build a tailored chronic care management app to help patients have greater involvement in their care. Whether it is heart disease, cancer, diabetes, or any other chronic illness, our solution leverages cutting-edge RPM CCM technologies to enable people to track their health efficiently. Additionally, this application will build doctor-patient rapport and enable physicians to view patients’ vitals regularly.  

In addition to that, physicians can stay in touch with their patients and provide frequent advice on diets, lifestyles, and medication requirements. As a result, the patients can manage their conditions better and experience favorable outcomes. 


Technology solutions for RPM CCM (remote patient monitoring enabled chronic care management) build a rapport between patients and their doctors. As such diseases need extensive care in the form of frequent tests, prescriptions, and changes to diet and lifestyle, a chronic care management app will help to streamline all the activities necessary to control the disease and enable the patients to lead healthier lives.

Going for in-patient visits, undergoing prescribed medical tests, and doctors’ consultations tend to add up to medical bills. This is even greater in the case of chronic diseases since they need extensive continuous care. But custom RPM CCM solutions will minimize the need for in-patient visits and eliminate the need for patients to travel to the clinic. This benefit will eventually reduce the cost of care for chronic diseases in the long run.

This is the most significant benefit of implementing RPM-based chronic care management solutions for people living in distant, rural locations. Such people might often need to travel long distances for specialist care. But the combination of RPM with chronic care will help maximize the reach of care services as people can share health data with physicians and receive help without traveling physically.

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RPM for Chronic Care Management Development Services


Design and Development of Customized CCM Management Platforms

  • Interactive and user-friendly interface
  • Intuitive visualization of patient’s vital signs to help doctors
  • Compatible with data formats and standards of medical devices and wearables
  • Comprehensive data security and compliance measures
  • Simplified coding, billing, and online payment

Development of Chronic Care Management App For Patients

  • Seamless connectivity with commercially available medical wearable devices
  • Upload of health vitals to a secure database
  • Easy sharing of medical data with providers and patient EHRs
  • User-friendly UI/UX to ensure usability and navigability
  • Data security features to ensure privacy and confidentiality of patients’ information 

Design And Development Of Chronic Care Management Software

  • Creation of care teams for cohesion and coordination among providers
  • Features for the creation and customization of care plans for different patients
  • Seamless integration with medical devices and wearables from numerous manufacturers
  • Online payment options for patients
  • Interactive dashboard for viewing patients’ data and tracking progress

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Frequently Asked Questions

RPM stands for remote patient monitoring, while CCM stands for chronic care management. As the names indicate, the first is used for monitoring patients’ health outside of conventional clinical settings, whereas the second aims to help people suffering from chronic diseases.  

RPM and CCM can be combined to help bridge the gaps in care and enable patients suffering from chronic diseases to receive the care they need. The most prominent benefit of leveraging RPM for chronic care is that more patients can access care, and the costs will also be lowered. RPM enables providers to care remotely for patients with chronic diseases with few in-person clinical visits. This increases the access to care for more people.  

RPM enables patients with chronic conditions to share their vital signs with providers without going to a clinic. They can do this by using wireless medical devices or wearables like blood pressure cuffs, glucometers, heart rate monitors, etc. The providers receive this data on RPM care management platforms, where they can monitor patient health remotely. This allows one provider to monitor the health of multiple patients remotely.  

Providers can assess patients’ data through the RPM software platform and provide reliable diagnoses, followed by the necessary prescriptions. In this way, RPM helps to extend the outreach of CCM, enabling more people to access chronic care.   

  • Periodic monitoring of vital signs like blood pressure, blood glucose, heart rate, body temperature, and others  
  • Provision of necessary medical devices  
  • Timely virtual appointments  
  • E- prescriptions based on diagnoses   
  • In-person appointments based on necessities  

Yes, a provider can bill the RPM CPT code 99457 and CCM CPT Code 99490, depending on the circumstances.  

Chronic care management involves periodic measurements of patients’ vitals and extensive, long-term treatments. Remote patient monitoring services for CCM would encompass tracking patient vitals and assessing them over some time. So, components of RPM services would include –   

  • Supply of medical devices and educating patients on the use of the devices  
  • Taking readings of vital signs for a stipulated number of days each month  
  • Providing virtual care services on an ad hoc basis  
  • Scheduling in-patient visits if the need arises.  
  • Prescriptions  

Yes, RPM and its patient data can be used to support care coordination and patient engagement in CCM. The vital signs garnered from the patients through medical devices and dedicated chronic care management software can be shared among teams of providers. This allows them to coordinate their efforts and promotes greater cohesion. Since patients’ data is also uploaded to the EHRs, they can be shared easily.  

Chronic care management solutions or EHRs may be integrated with patient portals, allowing patients to be more involved in their care. This allows providers to engage with their patients through the portal and communicate things like patients’ vitals, diagnoses, prescriptions, and bills, and also respond to queries that patients may have. This is a highly useful means of patient engagement in CCM.  

Providers can bill the RPM CPT Code 99457 and CCM CPT Code 99490. Billing for both codes requires providers to deliver at least 40 minutes of services. This includes 20 minutes of RPM and 20 minutes of CCM. The time providers spend furnishing these services cannot be counted towards the required time for RPM and CCM codes for a single month.  

  • Early detection of diseases and rapid subsequent intervention  
  • Frequent, continuous monitoring of health outside of clinics or hospitals  
  • Lowered costs of care due to fewer in-person clinical visits  
  • Improved patient engagement   
  • Personalized care for each patient based on individual vital sign readings  
  • Greater revenues for providers  

The biggest advantage of remote patient monitoring is the ability of providers to monitor their patients outside of conventional clinical settings. Patients can use medical devices or wearables to record their vital signs and share them with their providers in real time. Chronic diseases require extensive care and can only be managed, not cured.   

So, an RPM service for CCM helps to track patients’ vitals more frequently without the patients needing to be in the clinic physically. This provides more data continuously for providers to analyze, enabling them to monitor patients with chronic diseases better. This ultimately leads to better management of the disease in the long run.  

  • Identify patients suffering from chronic diseases and chart a roadmap for their care management program  
  • Finalize an RPM program for gathering their vital signs continuously over some time  
  • Meet staffing requirements for the RPM program and finalize a team  
  • Begin the RPM for CCM by supplying the necessary devices and educating the patients on the use of the devices.  
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