Remote patient monitoring (RPM) is a proven way to improve patient outcomes while building steady reimbursement revenue. However, introducing an outsourced or vendor-managed program can create operational complexities. High technical fees and challenges with patient engagement often place an unexpected administrative burden on internal clinic staff, making it difficult to achieve long-term financial predictability.
When Waco Heart & Vascular—a private cardiology practice serving a highly rural Texas population—encountered these obstacles, they chose to transition their RPM operations to an in-house, technology-first model. In doing so, they eliminated the biggest hurdles holding them back: complex staff workflows, confusing mobile app requirements for elderly patients, and missed billing opportunities.
The result? An 89.8% patient engagement rate over 90 days and $1,711 in annualized reimbursement per patient– and just as importantly, satisfied patients and timely interventions leading to more proactive care.
Streamlining operations through an integrated platform
To implement this transition, Waco Heart & Vascular partnered with Murj®, consolidating patient data, clinical alerts, and billing workflows into a single interface. This enabled the practice to optimize its remote care operations across several key areas:
- Intelligent dashboards: The platform leverages proprietary software functionality for interval-based patient management, aggregating clinical data, managing monthly cycles, and highlighting patient-specific alerts for rapid clinical triage.
- Built-in billing compliance: Automated tracking directly resolved and prevented claim denials, allowing the practice to secure predictable monthly returns.
- Improved resource management: Streamlined workflows enabled a lean team to manage the entire program workload. Additionally, by purchasing durable, reusable blood pressure cuffs, the clinic established an efficient internal inventory system that eliminated external servicing fees.
Measured outcomes: Scalability, engagement, and revenue
By bringing RPM in-house, Waco Heart & Vascular established a highly scalable and financially sustainable remote care program. Key results from the transition include:
- High patient retention: 89.8% of patients remained active past 90 days, and 55% maintained active engagement for more than two years.
- Financial sustainability: The practice achieved a $1,711 annual reimbursement rate per patient by optimizing billing tracking and managing inventory internally. (from data collected in 2026)
- Efficient scaling: The practice successfully scaled the program to 373 active patients while maintaining their lean staffing structure of 2.5 FTEs.
Key Takeaways for Healthcare Leaders:
● Control your revenue: In-house RPM management allows practices to retain the majority of their CPT reimbursements rather than handing high percentages over to vendors.
● Scale without overhiring: With the right software platform, a smaller staff can easily support hundreds of active patients without compromising the quality of care.
● Simplify for every stakeholder: True scalability relies on simplified patient touchpoints, standardized clinical workflows, and predictable revenue cycles.
Download the full case study
Waco Heart & Vascular’s experience demonstrates that with the right technology, healthcare organizations can successfully transition to a high-quality, self-managed remote care model that provides direct benefit to their patient populations.
[Download the white paper] to explore the complete operational and clinical insights behind this sustainable remote care model.
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