Remote patient monitoring vendors often promise effortless care — and leave practices with high staff burden and inconsistent billing. Waco Heart & Vascular, a private cardiology practice in Waco, Texas, hit that wall: denied claims and vendor fees left its program well short of its monthly revenue goal.
In response, the practice brought monitoring in-house. Using a dedicated management platform, a team of 2.5 FTEs organized transmissions, alert triage, and billing into a single daily workflow and scaled home blood pressure monitoring to 373 active patients.
The program delivered on both sides of the ledger: patients remained engaged and reimbursement became more sustainable. Fewer than 4% left in the first month and 89.8% remained active past 90 days. Following the 2026 CPT changes, reimbursement reached an annualized run rate of $1,711 per patient.
This case study details:
- The staffing model behind 373 patients on 2.5 FTEs — program manager, clinical manager, and RPM coordinator
- Retention tactics that kept 55% of currently followed patients engaged beyond two years
- Clinical wins from continuous monitoring, such as a previously unknown atrial fibrillation diagnosis surfaced by a blood pressure alert