Last updated: August 24, 2026
This checklist walks through each criterion your RFP should cover and shows how Rhythm360 addresses it in real clinical environments.
Universal Multi-OEM Data Ingestion
A platform that requires staff to log into separate portals for Medtronic, Boston Scientific, Abbott, and Biotronik creates data silos that slow triage and increase error risk. Passive monitoring across fragmented OEM portals prevents billing for unreviewed data when patients fail to transmit or staff do not actively pull data within the 90-day billing cycle. Health system leaders have confirmed that this gap creates direct revenue loss.
Rhythm360 ingests and normalizes data from all major CIED manufacturers via API, HL7, XML, and PDF parsing through computer vision. The platform consolidates every transmission into one unified dashboard and achieves greater than 99.9% data transmissibility through redundant data feeds and AI gap-filling.
AI-Powered Alert Triage That Reduces Noise
Alert fatigue creates measurable clinical risk. A 2026 multicentre observational study of 445 patients with implantable loop recorders found that AI algorithm activation reduced total transmitted alerts from 4,261 to 2,509 and released an estimated 185–218 hours of physiologist review time annually. The EHRA 2026 analysis of episodes from AI-equipped ICMs found that 32.9% remained non-actionable, and a separate HRS 2026 analysis reported that an additional cloud-based AI layer filtered out 61.6% of remaining false positives. These findings highlight the value of a platform-level triage layer.
Rhythm360’s AI-powered triage filters non-actionable noise and prioritizes clinically significant events such as ventricular tachycardia and new-onset AFib. The platform cuts critical-alert response times by up to 80%, which can mean a Saturday-morning flag reaches a clinician that afternoon instead of waiting until Monday.
Bidirectional Epic and Athenahealth Integration
Bidirectional EHR integration forms the operational backbone of a vendor-neutral CIED platform. Without it, staff manually transcribe transmission data into the EHR, which introduces errors, consumes hours, and delays billing. A true integration pulls patient demographics, diagnosis codes, and insurance data into the CIED platform as soon as a transmission arrives. It then writes back structured encounter data, e-signed reports, and billing-ready documentation automatically.
Rhythm360 supports deep bidirectional integration with Epic, Athenahealth, Cerner, eClinicalWorks, Greenway Health, and additional systems via HL7. The University of Chicago Medicine, which reviewed more than 73,000 reports annually through Rhythm360 in 2025, reported directly: “We have improved billing and accountability for our patients after the integration.” Onboarding that includes EHR integration typically completes within a short window measured in days or a few weeks.
See the EHR integration in action in a live clinical environment.
Automated CPT 93298/99454 Capture Mechanics
Billing compliance for CIED remote monitoring depends on precise, automated day counting. Under 2026 CMS guidelines, CPT 99454 requires physiologic data transmission on at least 16 days within a 30-day billing period. A new CPT 99445 code, effective January 1, 2026, allows billing for remote monitoring periods of 2 to 15 days, which closes the previous billing dead zone for patients with partial compliance.
The financial stakes are significant. A practice with 200 monitored patients that loses just one CPT 99454 billing cycle per patient per quarter faces nearly $38,000 in annual lost revenue from device supply billing alone, and that figure excludes downstream care management codes. By automating CPT 93298, 99454, and related code capture with audit-ready documentation, Rhythm360 helps practices recover this previously lost revenue, with some reporting profitability increases of up to 300%.
Real-Time Compliance Tracking and Gap Alerts
Automated, real-time compliance tracking raises billable event capture compared with passive monitoring and manual tracking across multiple OEM portals. Platforms that flag at-risk patients during the billing cycle allow staff to intervene before a claimable period closes. Mid-cycle gap detection converts a potential missed billing event into a captured one.
Rhythm360’s administrative dashboard provides a real-time overview of patient compliance status, transmission gaps, and billable activity across the entire device population. Staff can act before a billing cycle ends rather than discovering gaps during claims reconciliation.
Secure Mobile Review and Sign-Off
Clinicians need secure access to critical CIED events at any time. A new-onset AFib flag on a Saturday morning requires a clinician who can review the transmission, assess the data, and initiate an anticoagulation protocol from wherever they are. A workstation-only model no longer supports after-hours cardiac monitoring in 2026.
Rhythm360 provides a HIPAA-compliant mobile application that enables remote review of transmissions, sign-off on reports, and coordination of care for after-hours and weekend critical alerts. Optional 24/7/365 oversight by certified cardiac technicians (CCTs) supports continuous coverage. The University of Chicago Medicine noted the direct clinical benefit: “We are able to address these issues earlier; rather than waiting for a 3-month visit, we can call patients in for evaluation.”
Audit-Ready Documentation and HIPAA Controls
Every CIED transmission review, clinician sign-off, patient communication, and billing event must remain traceable. Regulatory compliance requires maintaining detailed audit trails for every data transformation to meet HIPAA requirements under 45 CFR 164. Documentation gaps discovered during audits create both financial penalties and compliance exposure.
Rhythm360 maintains a full audit trail for all platform activity, including phone call logs tracked through its integrated Twilio communication framework. The system operates as a HIPAA-compliant, cloud-based platform with role-based access controls and multi-factor authentication.
Scalable Onboarding Without Legacy Disruption
Migration from OEM portals or legacy on-premise systems to a unified platform carries real operational risk when handled poorly. Best-practice migration frameworks include a test migration well before go-live, strong user-adoption planning, explicit validation of data correctness, and phased go-live by department or service line rather than a hard cutover. Incomplete field mapping and inadequate testing frequently cause post-migration data gaps.
Rhythm360’s implementation process, including EHR integration, follows this structured approach and completes within a compact timeline while avoiding disruption to existing monitoring workflows. The University of Chicago Medicine’s experience, scaling to the volume described earlier without proportional staff increases, demonstrates the platform’s capacity to absorb high-volume environments.
The following table maps each RFP criterion to Rhythm360’s specific capability, a verified performance metric, and the independent source that confirms it. Procurement and clinical leaders can use this as a single-page reference when comparing vendor responses.
| RFP Criterion | Rhythm360 Capability | Verified Metric | Source |
|---|---|---|---|
| Universal Multi-OEM Data Ingestion | API, HL7, XML, PDF via computer vision; all major manufacturers | >99.9% data transmissibility | Rhythm360 platform documentation |
| AI-Powered Alert Triage | AI filters non-actionable alerts, prioritizes VT, AFib, device malfunction | Up to 80% reduction in critical-alert response time | Rhythm360 platform documentation |
| Bidirectional EHR Integration | Epic, Athenahealth, Cerner, eClinicalWorks, Greenway, others via HL7 | 73,000+ reports annually at University of Chicago Medicine | UCM white paper, HMP Global Learning Network |
| Automated CPT 93298/99454 Capture | Automated day counting, gap detection, audit-ready billing documentation | Up to 300% revenue lift through optimized CPT capture | RhythmScience company outcomes data |
| Real-Time Compliance Tracking | Mid-cycle gap alerts, population-level compliance dashboard | Manual tracking yields lower compliance rates, automated platforms push rates significantly higher | 2026 CMS billing analysis |
| Secure Mobile Review and Sign-Off | HIPAA-compliant mobile app, optional 24/7/365 CCT oversight | After-hours and weekend critical alert coverage confirmed | Rhythm360 platform documentation |
| Audit-Ready Documentation and HIPAA Controls | Full audit trail, Twilio call logging, role-based access, MFA | HIPAA-compliant cloud architecture with complete activity logging | RhythmScience company documentation |
| Scalable Onboarding | Implementation in days to weeks, phased EHR integration, no legacy disruption | 18,000+ reports per quarter at scale post-implementation | UCM white paper, HMP Global Learning Network |
Request a custom RFP scorecard showing how Rhythm360 meets your clinic’s specific requirements.
Rhythm360 uses a SaaS-based pricing model that scales according to clinic size and platform usage. Solo electrophysiology practices and small cardiology groups pay for the capacity they actually use, while larger health systems managing thousands of CIED patients access the same unified platform at enterprise scale. There are no rigid per-seat structures that penalize growth. Practices that automate CPT 93298 and 99454 capture and eliminate billing leakage from fragmented OEM workflows have reported revenue increases of up to 300%, which typically offset platform costs well within the first year.
Rhythm360’s onboarding process, including EHR integration with systems such as Epic and Athenahealth, follows a structured framework that completes within a compact timeline based on environment complexity. The approach uses data validation, EHR connection testing, and phased go-live to avoid the hard-cutover risks associated with legacy system migrations. Staff do not need to maintain parallel workflows during transition. The University of Chicago Medicine scaled to more than 73,000 annual reports through Rhythm360 without proportional increases in staffing, which reflects the platform’s ability to absorb volume from day one of full operation.
Data portability remains a core requirement of any responsible CIED platform transition. Rhythm360 ingests data across multiple formats, including API, HL7, XML, and unstructured PDFs via computer vision. Historical transmission records, device configurations, and patient encounter data can be normalized into the platform without reformatting the source data. All data transformations maintain a complete audit trail to satisfy HIPAA requirements. Practices retain full access to their patient records, and Rhythm360’s bidirectional EHR integration ensures that data written back to Epic, Athenahealth, or other connected systems remains structured, discrete, and accessible independent of the Rhythm360 platform itself.
Cardiology clinics and electrophysiology practices operating across multiple OEM portals in 2026 face compounding costs. Staff lose hours to redundant logins, revenue leaks through incomplete CPT capture, and critical alerts risk going unseen on weekends. A vendor-neutral platform that unifies data ingestion, AI triage, bidirectional EHR sync, and automated billing documentation into a single workflow now represents the operational standard for high-performing practices.
Rhythm360 delivers that standard, and the University of Chicago Medicine has confirmed it at scale. The metrics, including 80% faster critical-alert response, greater than 99.9% transmissibility, and up to 300% revenue lift, reflect documented outcomes rather than projections.
Evaluate Rhythm360 with your own data and test every criterion in this checklist against your patient population and workflow requirements.
