Last updated: January 27, 2026
The cardiac monitoring market divides into two main categories: proprietary hardware devices and vendor-neutral software platforms. Hardware solutions like iRhythm Zio provide wearable patch monitors for up to 14 days of continuous ECG recording with proprietary cloud-based analysis, while InfoBionic MoMe ARC offers mobile cardiac telemetry with 2-week wear time and AI-driven event detection through proprietary AI Telemetry Centers.
These hardware-centric approaches create vendor-locked ecosystems that require separate logins, interfaces, and workflows for each manufacturer. Vendor-neutral software platforms such as Rhythm360, PaceMate, and Implicity instead provide cloud-based unification that aggregates data from multiple OEMs through APIs, HL7 integration, and advanced data parsing technologies.
Feature | Hardware (Zio/MoMe) | Software Platforms | Winner |
Multi-OEM Data Aggregation | No (vendor-locked) | Yes (API/HL7/CV for all CIEDs) | Software |
Alert Triage | Device-specific, high fatigue | AI filters non-actionable noise | Software |
EHR Integration | Limited | Bi-directional (Epic/Cerner) | Software |
Billing Automation | Manual | Automated CPT capture | Software |
This architectural difference drives major operational impacts. Hardware devices perform well for specific use cases, but do not support the full workflow needs of modern cardiology practices that manage diverse device populations from multiple manufacturers.
Multi-OEM CIED monitoring creates a heavy administrative burden through fragmented data access. Device data must flow directly into electronic records to overcome data fragmentation.
Practice staff face daily workflow disruption as they log into separate portals for Medtronic, Abbott, Boston Scientific, and Biotronik devices. Each manufacturer uses proprietary interfaces with different navigation structures, data formats, and reporting capabilities. This fragmentation forces technicians to master multiple systems and increases the risk of missed transmissions and delayed responses.
Rhythm360 removes portal fatigue by providing a single dashboard that consolidates all CIED data regardless of manufacturer. The platform’s data ingestion engine processes APIs, HL7 feeds, XML files, and unstructured PDFs through computer vision technology. Teams capture a complete data set without manual portal navigation.
Time savings are substantial. Practices report reducing daily administrative tasks by 80% after moving from multi-portal workflows to a unified platform. Clinical staff can redirect that time to patient care instead of data retrieval, which improves both job satisfaction and patient outcomes.
Hardware devices contribute to 30-50% alert fatigue due to unfiltered, vendor-specific notifications, while neutral platforms like Rhythm360 consolidate and AI-triage alerts for 70% reduction. Traditional hardware sends device-specific alerts without cross-platform prioritization, which overwhelms clinical staff with non-actionable notifications.
AI and machine learning in mobile cardiac telemetry achieve over 95% accuracy for arrhythmias like atrial fibrillation and ventricular tachycardia by detecting subtle patterns in real-time ECG streams, filtering noise and motion artifacts to reduce false positives. Advanced algorithms also analyze contextual factors such as patient history, medication changes, and activity levels to determine clinical significance.
Consider a real-world scenario. An electrophysiologist receives a mobile alert on Saturday morning about new-onset atrial fibrillation in a high-risk patient. Rhythm360’s AI triage system pushes this alert ahead of routine notifications and triggers immediate clinical review. By Saturday afternoon, the patient starts anticoagulation therapy, which may prevent a stroke that could occur if the alert stayed buried in routine transmissions.
HeartBeam’s deep learning algorithms demonstrate 94.5% accuracy for detecting atrial fibrillation, atrial flutter, and sinus rhythm when applied to 3D ECG systems. This result highlights how AI-driven analysis can improve diagnostic precision while reducing clinical workload.
The 2026 CPT code updates create new revenue opportunities in remote cardiac monitoring. New 2026 RPM CPT code 99445 covers remote monitoring of physiologic parameters with daily recordings or programmed alerts for 2-15 days in a 30-day period. This code complements existing codes such as 93298 and 93299 for CIED monitoring.
New code 99470 addresses clinical staff or physician time with interactive communication for 10–19 minutes in a calendar month with approximately a $26 reimbursement rate, while new cardiovascular monitoring codes include remote interrogation codes for cardiac contractility modulation (CCM) systems: 0948T and 0949T.
Hardware-centric workflows usually rely on manual documentation and billing code capture, which causes significant revenue leakage. Practice administrators report missing 40-60% of billable events because of incomplete documentation and delayed claim submission. Managing multiple vendor portals further fragments billing workflows and increases error risk.
Rhythm360’s automated CPT code capture and documentation system protects this revenue. The platform tracks all billable activities across device types and automatically generates compliant documentation for CPT codes, including 93298, 93299, and 99454. Practices report revenue increases of up to 300% through stronger billing compliance and lower administrative overhead.
Rhythm360 provides a comprehensive vendor-neutral platform for real-time arrhythmia monitoring. Core capabilities include cloud-based data ingestion that supports API, HL7, and computer vision parsing, bi-directional EHR integration with Epic, Cerner, and other major systems, 24/7 certified cardiac technician oversight, HIPAA-compliant mobile applications, and automated patient communication tools.
The platform reaches >99.9% data transmissibility through redundant data feeds and AI-powered gap filling. Critical events remain visible even when technical issues occur. Advanced alert triage cuts response times by 80% while maintaining clinical accuracy above 95% for arrhythmia detection.
Workflow Step | Before (Hardware) | After (Rhythm360) | Time Savings |
Data Retrieval | Multi-portal logins | Single dashboard | 80% reduction |
Alert Response | Manual review | AI-prioritized | 80% faster |
Billing Documentation | Manual entry | Automated CPT | 300% revenue increase |
Clinical workflows change dramatically with unified monitoring. Technicians no longer log into separate Medtronic, Abbott, and Boston Scientific portals. They instead use a single interface that displays all patient data with consistent formatting and prioritized alerts. Mobile access supports continuity of care from any location, and automated billing documentation captures revenue that previously went unbilled.
Schedule a demo to see how Rhythm360 removes operational friction and supports better patient outcomes.
Monitoring platform selection works best with a structured evaluation. The decision matrix below compares leading solutions on multi-OEM integration, AI capabilities, EHR connectivity, billing automation, and mobile access. Rhythm360 consistently outperforms hardware-centric options for practices that manage diverse device populations.
Platform | Multi-OEM Support | AI Triage | EHR Integration | Overall Score |
Rhythm360 | Excellent | Advanced | Bi-directional | 9.5/10 |
PaceMate | Good | Basic | Comprehensive | 8.0/10 |
Zio Platform | Poor | Device-specific | Manual | 5.5/10 |
MoMe ARC | Poor | Proprietary | Limited | 6.0/10 |
These scores reflect real-world implementation challenges and operational benefits. Practices that work with multiple device manufacturers need broad integration capabilities that hardware-centric solutions do not provide. Schedule a demo to compare Rhythm360 against your current workflow and requirements.
Vendor-neutral platforms like Rhythm360 integrate data from CIEDs and RPM devices into Epic through standardized HL7 interfaces and API connections. The system automatically parses disparate data formats from multiple OEMs, normalizes the information according to clinical standards, and populates relevant Epic fields. This approach removes manual data entry and supports complete documentation for billing and clinical decision-making.
The 2026 CPT updates introduce several new remote monitoring codes, including 99445 for physiologic parameter monitoring over 2-15 days, 99470 for clinical staff communication time, and Category III codes 0948T-0949T for cardiac contractility modulation remote interrogation. Existing codes 93298 and 93299 remain for CIED monitoring, while 99454 continues to cover device supply for 16-30 day periods. These updates create more granular billing options and stronger reimbursement opportunities for shorter monitoring periods.
Mobile Cardiac Telemetry (MCT) provides real-time transmission and immediate alert capabilities for acute arrhythmia detection, which suits high-risk patients who require continuous monitoring. Remote Patient Monitoring (RPM) supports broader physiologic parameter tracking such as weight, blood pressure, and activity levels, along with cardiac rhythm data. RPM platforms unify multiple data streams for chronic disease management, while MCT focuses on cardiac event detection and rapid clinical response.
Rhythm360 stands out for managing multiple OEM portals by removing the need for separate logins. The platform’s vendor-neutral architecture ingests data from major manufacturers, including Medtronic, Abbott, Boston Scientific, and Biotronik, through automated API connections, HL7 feeds, and computer vision parsing of PDF reports. This approach cuts portal fatigue by 80% and supports complete data capture with unified clinical workflows across all device types.
Alert fatigue reduction depends on intelligent filtering and prioritization that consider clinical context, patient history, and event significance. Advanced platforms use machine learning algorithms to separate actionable alerts from routine notifications and can reduce false positives by up to 70%. Effective strategies include customizable alert thresholds, escalation protocols based on clinical urgency, mobile notifications for critical events, and detailed audit trails for quality assurance and regulatory compliance.
Evidence shows that vendor-neutral software platforms outperform siloed hardware ecosystems for comprehensive cardiac monitoring. Practices that continue to rely on fragmented hardware solutions face ongoing operational inefficiencies, missed revenue, and weaker patient outcomes. Rhythm360’s unified platform delivers measurable ROI through lower administrative burden, streamlined clinical workflows, and automated billing support.
Transform your cardiology practice with unified real-time arrhythmia monitoring. Schedule a demo today to remove portal fatigue and strengthen both clinical and financial performance.
