Last updated: January 23, 2026
Modern cardiology practices face constant data fragmentation across separate OEM portals from Medtronic, Abbott, Boston Scientific, and Biotronik. Device technicians log into multiple systems that do not communicate, which increases administrative burden and raises the risk of missed events and lost revenue.
The clinical impact can be devastating. A weekend atrial fibrillation episode reviewed on Monday instead of Saturday can result in stroke. Ventricular tachycardia alerts buried in notification overload can contribute to syncope or sudden cardiac death. At the same time, practices lose revenue from manual CPT coding errors, especially for complex remote monitoring codes like 93298, 93299, and 99454.
CMS 2026 proposed rules introduce new short-duration RPM codes that allow billing for monitoring periods as short as 7 days while preserving the structure for 99453, 99454, 99457, and 99458. These changes expand reimbursement opportunities and demand automated systems that capture every billable event accurately.
Advanced RPM platforms solve these problems with vendor-neutral data consolidation, AI-driven alert triage that achieves >99.9% data transmissibility, and automated billing compliance. Practices respond to critical events up to 80% faster and recover revenue that previously slipped through manual processes.
Effective selection of an RPM heart rhythm monitoring platform depends on a few clear criteria that shape clinical and financial outcomes.
The most efficient workflow follows a consistent pattern. OEM device data flows into AI normalization and alert triage, then into the EHR, followed by automated billing documentation. Platforms that perform strongly at each step deliver the highest efficiency and better clinical outcomes.
Platform | Vendor Neutrality | AI/Alert Features | EHR/Billing/ROI |
Rhythm360 | All major OEMs (Medtronic, Abbott, Boston Scientific, Biotronik) | AI triage (80% faster response, >99.9% data reliability), advanced AFib/VT detection | Bi-directional Epic/Cerner, automated 93298/93299/99454, up to 300% revenue increase |
Murj | Partial (workflow-focused) | Advanced automation features | Seamless EHR integrations, strong ROI potential |
Implicity | Good multi-OEM support | Strong AI filtering capabilities | EHR support, AI-focused with limited billing automation |
PaceMate | Broad via Paceart legacy | Standard alert management | Some EHR connectivity, legacy architecture can slow performance |
Octagos | Strong EHR integration focus | AI non-urgent filtering | Deep EHR connectivity, effective alert fatigue reduction |
Implicity offers strong AI capabilities and PaceMate provides broad device compatibility through Paceart heritage. Rhythm360 stands out by combining full vendor neutrality, robust mobile access, and a software-only model that removes service overhead while preserving practice control and margins.
The choice between software platforms and turnkey monitoring services shapes daily workflows, costs, and patient outcomes. Software solutions like Rhythm360 keep monitoring workflows, alert rules, and staffing decisions inside the practice, which supports higher margins and consistent clinical oversight.
Comparative studies show software-based monitoring with human oversight delivers 3x more clinically relevant arrhythmia detection than heavily automated turnkey services that rely on algorithms alone. Better detection accuracy improves outcomes and reduces alert fatigue for clinicians.
Real-world examples highlight this difference. A practice administrator replaces five OEM portals with Rhythm360 and cuts daily login time from 45 minutes to 5 minutes while capturing all patient data in one view. An electrophysiologist receives a prioritized mobile alert about new-onset atrial fibrillation during weekend rounds and starts anticoagulation immediately, which helps prevent a potential stroke.
The 2026 CPT code changes further strengthen the case for software platforms. New short-duration monitoring codes and reduced time thresholds demand billing systems that adjust quickly to rule changes. Software platforms update centrally, while turnkey services often respond more slowly to new billing requirements.
Most implementations complete in days or weeks instead of months. Practices retain full control over patient relationships and clinical decisions. Schedule a demo to see how Rhythm360’s software-only model can simplify cardiac monitoring across your organization.
Practice size and complexity influence which platform features matter most. Solo cardiology practices gain from Rhythm360’s unified interface and automated billing, which reduce the need for dedicated device staff. Mid-size practices with 2-5 providers benefit from scalability and mobile access that support efficient on-call coverage.
Large health systems rely on advanced analytics and population health tools that operate across thousands of devices. Rhythm360 supports these needs while keeping data in a single, vendor-neutral environment.
ROI metrics consistently favor comprehensive platforms. Practices report 80% faster alert response through AI triage, revenue lifts of up to 300% from automated CPT capture, and removal of redundant data feeds that previously created monitoring gaps. Most organizations recover their investment within 3-6 months through billing efficiency alone.
Implementation usually follows a clear path. Initial setup and EHR integration take about 1-2 weeks, followed by a week of staff training and workflow refinement. Full deployment then proceeds with ongoing support. This rapid onboarding compares favorably with legacy systems that often require months of configuration.
Rhythm360’s AI-powered system delivers strong AFib detection as part of its intelligent alerting for clinically significant events such as new-onset atrial fibrillation. The AI triage filters non-actionable noise and elevates critical arrhythmias, which reduces alert fatigue and shortens response times. CIED-based monitoring provides continuous surveillance with hospital-grade precision and remains the gold standard for AFib detection in patients with implanted devices.
Rhythm360 maintains >99.9% data transmissibility through redundant feeds, computer vision, and AI-based extrapolation. When primary OEM servers go offline, backup pathways activate automatically so monitoring continues without interruption.
The platform’s computer vision tools extract data from PDF reports when API connections fail. Machine learning models analyze historical patterns and device behavior to bridge short gaps. This layered strategy helps ensure that critical events are not missed because of technical outages.
Most practices achieve positive ROI within 3-6 months through automated billing and workflow gains. Early wins include 80% faster alert response and removal of manual data entry across multiple OEM portals.
Revenue increases of up to 300% often occur as practices consistently capture CPT codes 93298, 93299, and 99454 through automated documentation. Long-term benefits include lower staff burnout, better outcomes, and scalable growth without matching increases in administrative headcount.
Software platforms like Rhythm360 give practices more control, stronger margins, and faster regulatory adaptation than turnkey monitoring services. Software removes recurring service fees and supports custom alert rules, workflow integration, and reporting formats.
Practices keep direct patient relationships and full authority over clinical decisions. Turnkey services can feel simpler at first but often create dependence on external teams and reduce long-term profitability through ongoing charges.
Rhythm360 implementations usually complete within 2-4 weeks from contract to full deployment. The process includes EHR integration, staff training on the unified interface, migration of existing patient data, and workflow tuning.
This rapid schedule contrasts with legacy systems that may require months of setup. The cloud-based design removes hardware installation needs, and structured training plus dedicated support help teams transition with minimal disruption to patient care.
The 2026 RPM heart rhythm landscape favors platforms that remove data silos, reduce alert fatigue, and capture revenue through automated compliance. Rhythm360 delivers a vendor-neutral solution that unifies major OEM data streams and applies AI to streamline daily operations.
With 80% faster alert response, revenue gains up to 300%, and >99.9% data reliability, Rhythm360 addresses the core challenges facing cardiology practices. Its software-only architecture supports maximum control, strong margins, and rapid alignment with evolving rules such as the 2026 CPT updates.
Schedule a demo today to see how Rhythm360 can unify RPM heart rhythm monitoring, reduce administrative burden, and deliver measurable improvements in outcomes and profitability.
