Last updated: June 25, 2026
Unified telemetry starts with a platform that ingests data from every OEM without manual reconciliation. Rhythm360 uses API connections, HL7 messaging, XML parsing, and PDF extraction via computer vision to normalize disparate data formats into a single, structured patient record. A redundant data feed architecture maintains continuity even when an OEM server experiences downtime, delivering greater than 99.9% transmissibility across the monitored population.
2026 Practice Scenario: A device technician at a mid-sized electrophysiology clinic previously spent the first 90 minutes of each shift logging into five separate OEM portals, including Medtronic CareLink, Boston Scientific Latitude, Abbott Merlin.net, Biotronik Home Monitoring, and a legacy PDF inbox, before reviewing a single transmission. After implementing Rhythm360, that same technician opens one dashboard. All overnight transmissions from all manufacturers appear in a unified view, already normalized, prioritized by clinical urgency, and ready for review. The five-login burden disappears, and the technician reaches the first critical alert within minutes instead of after an hour of administrative overhead.
EHR integration with Epic, Cerner, Athenahealth, eClinicalWorks, and Greenway Health via bi-directional HL7 sends normalized device data directly into the patient record. This flow removes manual transcription and the transcription errors that often accompany it.
Unified telemetry delivers its greatest clinical value in arrhythmia detection and early intervention. When data from all devices flows into a single AI-triage layer, clinicians see abnormalities that fragmented workflows often delay or miss entirely.
University of Chicago Medicine (UCM) reviewed more than 73,000 reports annually through Rhythm360 in calendar year 2025, a volume that would be operationally unmanageable across fragmented OEM portals. This scale enabled clinicians to review more transmissions daily and identify more abnormalities, shifting the practice from reactive to proactive management. Andrew Beaser, MD, Associate Professor of Medicine at UCM, noted: "We are able to address these issues earlier; rather than waiting for a 3-month visit, we can call patients in for evaluation."
Earlier identification of new-onset AFib, ventricular tachycardia, elective replacement indicators (ERI), and lead anomalies leads directly to earlier intervention and fewer downstream hospitalizations. Rhythm360's AI alert engine flags clinically significant events, including device-detected AFib burden thresholds, VT/VF episodes, and significant weight gain in HF patients, and routes them to the appropriate clinician with context instead of a raw transmission alone.
Alert fatigue arises as a structural problem in legacy multi-portal environments. Each OEM system generates its own notification queue with its own severity taxonomy, so clinical staff spend significant time evaluating non-actionable alerts. That time compounds into burnout and, more critically, desensitization to genuine emergencies.
Rhythm360's AI triage layer filters non-actionable transmissions and surfaces only clinically significant events in a prioritized worklist. Andrew Beaser, MD, observed that "decision support, including AI-assisted decision support, will become increasingly important as data volumes grow", a reality already demonstrated at UCM's scale, noted earlier, with stable dismissal rates.
The platform also offers optional 24/7/365 oversight by certified cardiac technicians (CCTs) supervised by physicians. This service provides a human triage layer for practices that need after-hours coverage without additional FTE overhead. The result matches the response-time improvement noted earlier and a measurable reduction in the administrative burden that drives device technician turnover.
2026 Practice Scenario: A CCT receives a single prioritized notification on a Saturday morning: new-onset AFib with a high burden detected in a 68-year-old ICD patient. By Saturday afternoon, the EP has reviewed the transmission via the Rhythm360 mobile app, contacted the patient, and initiated anticoagulation. In a fragmented workflow, the transmission would likely sit in the OEM portal queue until Monday morning.
Rhythm360 operates two integrated service lines within a single workspace: Rhythm-CIED for implantable device monitoring and a dedicated HF/HTN remote physiological monitoring (RPM) module. Practices can monitor weight trends, blood pressure, and fluid status alongside device transmissions, which supports coordinated management of patients who carry both a CIED and a chronic cardiometabolic diagnosis.
The secure, HIPAA-compliant mobile application allows EPs, NPs, and PAs to review transmissions, sign reports, and coordinate care from any location. On-call clinicians no longer remain tethered to a workstation to access critical patient data. All mobile actions are logged with a full audit trail, which maintains documentation integrity regardless of where the review occurs.
The integrated Twilio-powered communication hub tracks all patient outreach, including automated reminders, manual calls, and message logs, within the patient record. This tracking eliminates redundant contact attempts and preserves a fully documented care coordination workflow.
Revenue leakage in cardiac remote monitoring often stems from documentation gaps. CPT codes 93298 (remote monitoring of implantable cardiovascular monitor, physician review), 93299 (technical support), 99454 (remote physiologic monitoring device supply), and 99457 (RPM treatment management, first 20 minutes) each require specific, time-stamped documentation that manual workflows frequently miss.
Rhythm360 automates CPT code identification and documentation generation at the point of data ingestion, so every billable event carries an auditable record. Gaurav A. Upadhyay, MD, at UCM, stated: "We have improved billing and accountability for our patients after the integration." Practices implementing Rhythm360 have realized the revenue gains described earlier through recovered CPT capture, fewer claim rejections, and the addition of new RPM service lines for HF/HTN patients.
| Metric | Legacy Multi-Portal | Unified AI Telemetry (Rhythm360) | 2026 Outcome |
|---|---|---|---|
| Critical-alert response time | Hours to days (manual queue per OEM portal) | Up to 80% faster response | Earlier intervention, reduced stroke and hospitalization risk |
| Data transmissibility | Variable, OEM server downtime creates gaps | Greater than 99.9% via redundant feeds and AI gap-filling | No missed transmissions due to technical failure |
| Annual report volume (scalability) | Limited by manual staff capacity per portal | 73,000+ reports annually at UCM (2025) | High-volume monitoring without proportional FTE increase |
| Revenue capture | Incomplete CPT documentation, frequent claim gaps | Automated CPT capture (93298, 99454, 99457, and others) | Up to 300% revenue increase for implementing practices |
Rhythm360 onboarding follows a structured sequence that minimizes clinical disruption. EHR integration via HL7 is configured first and typically completes within a few days to a few weeks, depending on the EHR system and practice size. OEM data feed connections are established in parallel, and redundant feed architecture is validated before go-live. Staff training then covers the unified dashboard, alert prioritization workflows, mobile app access, and CPT documentation review.
The platform's SaaS pricing model scales with clinic size and usage, which removes the high upfront costs associated with legacy on-premise systems like Paceart. This pricing flexibility matters because practices can adopt Rhythm360 without replacing their existing EHR infrastructure. Instead, Rhythm360 integrates bidirectionally with Epic, Cerner, Athenahealth, eClinicalWorks, and Greenway Health, preserving existing clinical workflows while adding the unified monitoring layer on top.
These KPIs work together to show whether unified telemetry is improving clinical care, staff efficiency, and financial performance.
Once the core CIED monitoring workflow stabilizes, practices can activate the HF/HTN RPM service line within the same Rhythm360 workspace. Teams then refine AI alert rules over time using practice-specific thresholds, such as adjusting AFib burden notification cutoffs based on the EP's intervention criteria. New chronic disease modules, including pulmonary artery pressure monitoring via CardioMEMS integration, can be added without migrating to a new platform. This modular architecture lets practices expand their monitored population and billable service lines incrementally, while administrative overhead grows much more slowly.
How quickly can a practice see an 80% faster alert response?
Most practices observe measurable response-time improvements within the first few weeks of go-live once OEM data feeds connect and the AI triage worklist becomes active. The 80% reduction reflects the removal of manual portal-switching and the prioritization of critical alerts above routine transmissions. Practices with existing high-volume workflows, such as those managing hundreds of CIED patients, usually see the largest gains earliest because consolidation has the greatest impact at scale.
Does Rhythm360 integrate with Epic and Cerner?
Yes. Rhythm360 offers bi-directional HL7 integration with Epic, Cerner, Athenahealth, eClinicalWorks, Greenway Health, and other EHR systems. Bi-directional integration means that normalized device data flows into the EHR patient record, and relevant patient demographic or clinical data flows back into Rhythm360, which removes duplicate entry in both directions. Integration setup is included in onboarding and typically completes within days to a few weeks.
What CPT codes are automatically captured?
Rhythm360 automates documentation for the primary cardiac remote monitoring and RPM billing codes, including 93298 (remote monitoring of implantable cardiovascular monitor, physician review and interpretation), 93299 (technical support and transmission), 99453 (remote physiologic monitoring setup), 99454 (device supply with daily recording), and 99457 (RPM treatment management, first 20 minutes of clinical staff time per month). The platform generates time-stamped, auditable documentation for each billable event, which reduces claim rejections and supports compliance during payer audits.
How does vendor neutrality affect data reliability?
Vendor-neutral platforms raise a natural reliability question when an OEM's data feed becomes inconsistent or temporarily unavailable. Rhythm360 addresses this risk through a redundant data feed architecture that maintains connectivity even during OEM server downtime, combined with AI-powered gap-filling that uses computer vision to extract data from PDF transmissions when structured feeds are unavailable. The result is greater than 99.9% transmissibility, a level that single-OEM or manual-retrieval workflows rarely match because they lack a redundancy layer.
The six workflow improvements in this article, including multi-vendor data unification, early arrhythmia detection, AI-powered alert triage, remote HF/HTN integration, automated revenue capture, and scalable RPM expansion, function as compounding benefits of one architectural decision. Practices that replace fragmented OEM portals with one vendor-neutral, AI-powered platform gain a unified foundation for both clinical and operational performance.
University of Chicago Medicine's 2025 experience with Rhythm360 shows what this architecture delivers at scale: 73,000-plus annual transmission reviews, earlier patient interventions, and measurable billing improvement, all within a unified workspace. For cardiology practices still managing five portal logins, manual CPT documentation, and weekend alert backlogs, the operational and clinical cost of fragmentation is both quantifiable and avoidable.
Rhythm360 serves as a single source of truth for cardiac telemetry monitoring in 2026. Request a workflow audit to quantify what fragmentation is costing your practice today.
