Built for independent 2–4 provider practices

The AI engine for patient monitoring

ITAS runs RPM and APCM end-to-end — for Medicare and private insurance. A durable new revenue line that runs itself, supervised by your clinicians.

Medicare + private insurance Works on your existing EHR Physician-supervised, always
ITAS · Monitoring & Revenue Console
Panel
Billable today
Awaiting reading
Consent gate
Care escalations
Programs
APCM
RPM
Margaret R. · 78
BP 128/82 · 22/30 transmission days
RPM 99454 · billable
James T. · 64
Consent pending — billing held
Gate: consent
Ana P. · 71
Glucose trend · 30-day stable
Works with your existing tools: Epic · FHIR Tenovi · devices Twilio · SMS Stedi · claims Fax-to-Chart
One operating loop

Run by AI. Overseen by you.

One AI engine runs the routine work. Clinicians own every clinical decision.

Find & enroll

Finds eligible patients, drafts the order, captures consent — billing gates enforced up front.

Monitor & engage

Device monitoring and 24/7 AI triage turn readings into the next clinical action.

Document & get paid

Compliant notes, a full audit trail, and clean claims — reconciled every month.

How it works

From eligible patient to clean claim

Every step has a gate. AI drafts; the physician signs.

STEP 1

Propose enrollment

A nurse offers monitoring to an eligible patient.

STEP 2

AI drafts the order

Checks ICD-10 eligibility and drafts the prescription.

STEP 3

Physician signs

The doctor signs off. Nothing fires without it.

STEP 4

Capture consent

Cost-sharing, single-biller rule, and opt-out, on record.

STEP 5

Device & readings

A cellular device ships; qualifying days accumulate.

STEP 6

Document & bill

Compliant docs, audit trail, clean claims — monthly.

The revenue line

A new, recurring revenue line — without new staff

APCM and RPM are flat, recurring payments — and RPM bills private insurance too. Across your panel, that compounds every month.

$0k+
Potential new annual revenue per practice
0
Billable APCM & RPM codes, run end-to-end
0
Extra staff you need to hire

What one enrolled patient earns

Illustrative reimbursement per patient, per month — both programs stacked.

  • G0556–58 APCMAdvanced Primary Care Management · flat monthly ~$15–110 / mo
  • 99454 RPM device supply16–30 transmission days ~$45 / mo
  • 99457 RPM managementfirst 20 min + live touchpoint ~$48 / mo
  • 99458 RPM managementeach additional 20 min ~$39 / mo
  • Recurring, every month ~$150+ / patient

Illustrative only. Amounts vary by level, transmission days, clinical time, and the CMS fee schedule. Verify before billing.

Scaled across your panel

Most panels are only ~30–40% Medicare. Because RPM bills private insurance too, the same engine roughly doubles who you can monitor.

150 patients enrolled~$270k / yr
100 patients enrolled~$180k / yr
50 patients enrolled~$90k / yr

ITAS handles eligibility, enrollment, monitoring, and claim prep — so revenue scales like software, not headcount.

Audit-ready by design

RPM is an OIG target. Bill it like one.

Remote monitoring is on the OIG Work Plan. ITAS turns every audit risk into a hard stop before the claim goes out.

  • No order or consent → no bill. A hard gate, not a reminder.
  • Day-count, counted right. Reconciled against the device feed — never a guess.
  • The live touchpoint RPM requires. Management codes stay locked until a real call is logged.
  • One biller, no double-dips. Cross-checks stop duplicate claims across APCM, RPM, and CCM.
If the auditor calls

Every billable month carries its own audit-ready evidence file:

  • Signed order + dated, program-specific consent
  • Transmission logs proving the day count
  • Time logs with the interactive-communication record
  • Append-only audit trail on every PHI access & action
APCM G0556/57/58 RPM 99453/54 99445/57/58 BAAs in place 60-day overpayment
The care ladder

Why monitoring is the wedge

Monitoring is the bottom rung every patient can climb. Each rung up is more care delivered — and more revenue earned.

📈Rung 1

Monitoring The wedge

Device data shows what happens between visits — day-counted automatically.

RPM 99453 · setup 99454 · 16–30 days 99445 · 2–15 days
Rung 2

Insight The AI care engine

The engine turns data into the next action — surfacing who needs attention, drafting the outreach.

No standalone code — the work that turns monitoring into billable care
Rung 3

Care The clinic acts

The provider reviews, orders, and signs — with the live touchpoint Medicare requires. AI drafts; the human decides.

RPM 99457 / 99458 APCM G0556–58
$Rung 4

Revenue It compounds

Billable, recurring programs — APCM and RPM stack each month, and RPM bills private insurance too.

Stacked, monthly ~$150+ / patient
FAQ

Questions

Does the AI make clinical decisions?

No. The AI drafts orders, outreach, and documentation; the physician's signature and judgment stay human.

Do we bill private insurance too, or just Medicare?

Both. APCM is Medicare, but RPM is widely reimbursed by commercial plans and Medicare Advantage. Since most panels are only ~30–40% Medicare, the same rail roughly doubles who you can bill.

Do we need to replace our EHR?

No. ITAS connects to your existing EHR (e.g., Epic via FHIR) and works alongside it.

How is this different from a care-management service?

Competitors staff call centers that cap out at what a person can call. ITAS runs the routine work with AI under enforced gates — so a small practice reaches a far larger panel without new headcount.

What is the "care ladder"?

How the AI engine turns data into revenue: MonitoringInsightCareRevenue. Monitoring is the wedge — the same engine extends to your next care line.

Who actually bills the payer?

Your practice does. ITAS is the technology behind the claim — the practice orders services, owns clinical decisions, and submits claims.

What happens if we get audited?

Each billable month carries its own evidence file — signed order, dated consent, transmission logs, time logs, and an append-only audit trail. What you submitted is what you can defend.

See the revenue hiding in your panel

A 20-minute walkthrough of the revenue you're leaving on the table — and how ITAS captures it.

Book a demo