Inputs

MAC / Location
Medicare Patients
Total eligible population
RPM Program
RPM Off
Includes device compliance factors
Office Enrollment
Office Help Off
Disables patient attrition
View Assumptions & Modeling Logic
Fixed Assumptions (matching Proforma):
  • CCM/PCM split: 80% / 20%
  • Eligible Rate: 90% of Medicare patients
  • Enrollment Rate (Max): 35% (Office Help Off) / 60% (Office Help On)
  • Enrollment Ramp: 65%/35% (6 mo) (Off) / 65%/25%/10% (12 mo) (On)
  • Monthly Attrition: 4% (Off) / 0% (On)
  • Patient Compliance: 67%
  • Engagement Time: 43 minutes/month
  • RPM (if Yes): 60% weight, 65% device compliance
  • Denial adjustment: 3% (profit = (rate - fee) × 0.97)
  • Cashflow timing: 74% current month + 23% prior month collections
Billing Logic (from engagement time):
  • CCM: 99490 (first 20 min) + 99439 × (remaining/20)
  • PCM: 99426 (first 30 min) + 99427 × (remaining/30)
  • RPM: 99454 × device compliance (management time excluded to avoid double counting)

Results

CY 2026 Rates
Year 1 Profit
$0
Total profit during ramp up
Annual Run Rate
$0
Steady-state annual profit
Avg Profit / Pt / Mo
$0
Net margin per enrolled patient

Projection (Year 1)

Patients Profit Cashflow
This chart projects enrollment growth (line) against monthly profit and cashflow (bars) over the first 12 months.
Month Patients Monthly Profit Cashflow Cashflow/Pt