Remote Patient Monitoring in cardiology relies on CPT codes 93298 and 99454 for cardiac implantable electronic devices, heart failure, and hypertension monitoring. CMS finalized new RPM CPT codes 99445 and 99470 effective January 1, 2026, allowing reimbursement for patients transmitting data for 2-15 days in a 30-day period. These new codes expand billing opportunities for cardiovascular practices that manage variable adherence and shorter monitoring windows.
The main operational challenge comes from manual OEM portal chaos compared with unified AI triage systems. A multi-centre cohort of over 26,000 patients with cardiac implantable electronic devices generated 205,804 remote monitoring transmissions over 12 months, of which 82,797 were alerts. This volume illustrates the overwhelming alert burden that AI-powered platforms must handle for safe and sustainable workflows.
Modern workflow automation cuts false positives through computer vision and intelligent filtering. These tools allow clinicians to focus on true emergencies while automated CPT documentation captures revenue that manual processes often miss.
Rhythm360 leads the cardiovascular RPM market with comprehensive vendor-neutral integration across Medtronic, Abbott, Boston Scientific, and Biotronik. The platform achieves greater than 99.9% data transmissibility through redundant feeds, computer vision OCR, and AI-powered extrapolation. This approach removes portal fragmentation for practices managing mixed device inventories.
Feature | Capability | Impact |
Vendor Integration | All major OEMs unified | Eliminates data silos |
AI Alert Response | 80% faster critical alerts | Prevents missed events |
EHR Integration | Epic, Cerner bi-directional | Streamlines daily workflow |
Revenue Optimization | Automated CPT capture | Up to 300% profitability increase |
In a real-world scenario, a Saturday morning atrial fibrillation alert triggers an immediate mobile notification. The care team can start anticoagulation by that afternoon, which may prevent a stroke and avoid an unnecessary emergency admission.
Schedule a demo to see this type of life-saving workflow automation in action.
Murj targets workflow improvement with a cloud-based architecture and a clean, intuitive interface. The platform offers basic automation features that simplify routine review tasks for many practices. However, it lacks full vendor-neutral capabilities and does not match Rhythm360’s depth of AI-powered alert triage.
PaceMate, strengthened by the PaceArt acquisition from Medtronic, provides solid CIED management within specific OEM ecosystems. The platform benefits from an established market presence and dependable data processing. Its main drawbacks include vendor lock-in risk and limited integration for comprehensive heart failure and hypertension monitoring.
Implicity highlights AI-driven alert filtering with strong algorithms that reduce false positives. The platform offers sophisticated pattern recognition and deep experience in European markets. It falls short on billing automation features and has less complete integration with US-based EHR systems than Rhythm360’s end-to-end approach.
Octagos focuses on AI-powered filtering of non-actionable transmissions and supports bi-directional EHR integration. These capabilities help reduce alert fatigue and streamline daily workflows for cardiology teams. The platform currently offers narrower heart failure monitoring features and less extensive vendor-neutral integration than leading competitors.
Rhythm Management Group combines software with monitoring services to support large, high-volume practices. The company integrates human oversight with established clinical protocols and robust automated workflows. This model scales well but may not suit practices that prefer to keep all monitoring functions in-house.
Paceart represents a legacy on-premise database solution that lacks modern cloud capabilities and advanced AI automation. Many organizations still rely on it for basic data organization and historical records. However, it does not meet current workflow automation standards, with no cloud-based access, limited mobile support, and no AI-driven alert triage.
Data silos create dangerous clinical gaps when practices manage devices from multiple manufacturers. Rhythm360’s vendor-neutral architecture unifies disparate data streams through API integration, HL7 messaging, XML parsing, and PDF extraction via computer vision. This unified approach powers population health dashboards and removes the need for constant portal switching.
EHR integration challenges are addressed with SMART on FHIR apps that support in-workflow viewing without system switching. This model directly tackles the operational pain points that fragment patient care and slow clinical decisions.
Many competing platforms limit practices to specific OEM ecosystems, which forces continued reliance on multiple systems. That fragmentation preserves the administrative burden that modern workflow automation should remove.
Effective RPM platform selection depends on three core factors that shape long-term success. Practices must assess EHR integration depth with Epic, Cerner, and Athenahealth. They also need clear ROI projections based on revenue capture and efficiency gains, plus realistic implementation timelines measured in days or weeks instead of months.
Platform | Vendor-Neutral | AI Uptime | Revenue Uplift |
Rhythm360 | Complete | >99.9% | 300% |
Murj | Limited | 95% | 150% |
Implicity | Partial | 97% | 200% |
AI-enabled ambient-listening tools saved a large California-based health system nearly 16,000 hours in documentation time over 15 months. This example shows how well-implemented automation can reclaim thousands of clinician hours for direct patient care.
Schedule a workflow automation demo to compare how these platforms align with your integration, revenue, and implementation goals.
Rhythm360’s AI-powered triage system delivers the strongest alert fatigue reduction among vendor-neutral platforms. Its algorithms filter non-actionable notifications and prioritize clinically urgent events for rapid review. The platform reduces critical response times by 80% by distinguishing routine device checks from emergencies that require immediate intervention.
This approach keeps clinicians focused on true positives while maintaining continuous monitoring coverage across the entire device population.
The main PaceMate competitors in 2026 include Rhythm360, Murj, and Implicity. Rhythm360 stands out with complete OEM unification, high AI reliability, and automated revenue optimization features. Murj appeals to practices that prioritize straightforward workflow tools, while Implicity focuses on AI-driven alert management.
Each platform serves different practice profiles, but Rhythm360 offers the most comprehensive solution for multi-device cardiovascular programs.
Heart failure RPM uses CPT code 99454 for 16-30 days of data transmission and 99445 for 2-15 days starting in 2026. Practices also bill 99457 for initial treatment management time and 99458 for additional treatment time within the same month. The 2026 CMS updates expand billing flexibility for shorter monitoring periods.
This flexibility helps practices capture revenue despite variable adherence patterns that are common in heart failure populations.
A vendor-neutral CIED platform integrates data from all major device manufacturers, including Medtronic, Abbott, Boston Scientific, and Biotronik, within a single interface. Rhythm360 leads this category by providing unified dashboards, standardized reporting, and comprehensive device management across manufacturers.
This model removes data silos and reduces administrative work compared with OEM-specific solutions that require separate logins and workflows.
AI-powered RPM platforms improve cardiovascular workflows through automated data ingestion and intelligent alert prioritization. They also support predictive risk stratification and tight EHR integration for in-workflow review. These capabilities reduce manual data entry and eliminate constant portal switching.
Clinicians can focus on patients who need immediate attention while automated documentation and billing processes support consistent revenue capture.
Rhythm360 replaces fragmented portal chaos with a unified, automated RPM workflow that protects response time and revenue. Its vendor-neutral architecture, AI-driven automation, and deep EHR integration deliver measurable gains in patient outcomes and practice profitability.
Schedule a Rhythm360 demo today to achieve up to 80% faster alert response times and as much as 300% revenue growth for your cardiovascular practice.
