Last updated: July 14, 2026
Multi-OEM Data Ingestion
An automated platform connects to every major device manufacturer, including Medtronic, Boston Scientific, Abbott, and Biotronik, through APIs, HL7 feeds, XML parsing, and computer-vision OCR for unstructured PDFs. Transmissions arrive in one normalized queue instead of scattered across separate portals. Rhythm360 maintains greater than 99.9% data transmissibility through redundant feeds that stay active even during OEM server downtime.
Billing checkpoint: The system captures device type and manufacturer automatically at ingestion. This satisfies the documentation requirement for CPT codes 93294 through 93298 before any human review begins.
AI-Powered Alert Triage
Device clinics process thousands of transmissions annually, and many alerts carry no clinical significance. AI triage filters that noise before it reaches staff, surfacing only actionable events. This intelligent alerting layer cuts critical-alert response times by up to 80%. Optional 24/7/365 oversight by IBHRE-certified cardiac device specialists adds a human confirmation layer for the highest-acuity findings.
Billing checkpoint: Urgent transmissions get time-stamped at triage, creating an auditable record of the monitoring period required for CPT 93294 and 93295 (minimum 30-day period) and CPT 93297 for ILR/ICM devices.
Automated Report Generation
The platform generates near-real-time reports for routine checks and urgent alerts alike, covering ventricular fibrillation, lead malfunction, new-onset atrial fibrillation, and ERI/RRT indicators, without manual transcription. University of Chicago Medicine reviewed more than 73,000 reports through Rhythm360 in 2025, averaging over 18,000 per quarter. That volume shows the platform holds up in high-demand environments without sacrificing review quality.
Billing checkpoint: Each report captures device function, programmed parameters, and actionable findings, the three elements required for compliant remote cardiac monitoring billing.
Clinician Review and Electronic Signature
Physicians, NPs, and PAs receive prioritized worklists instead of undifferentiated transmission queues. Rhythm360's HIPAA-compliant mobile app lets clinicians review transmissions, sign reports, and coordinate care from any location, removing the need to sit at a specific workstation. Andrew Beaser, MD, Associate Professor of Medicine at UCM, said: "We are able to address these issues earlier; rather than waiting for a 3-month visit, we can call patients in for evaluation."
Billing checkpoint: The clinician interpretation note generates within the platform and links to the patient encounter, satisfying the physician-signature requirement for professional-component codes.
Bi-Directional EHR Integration
Signed reports and structured data flow directly into Epic, Cerner, Athenahealth, eClinicalWorks, Greenway Health, and other systems via HL7, eliminating duplicate data entry. The bi-directional connection also pulls patient demographics and encounter data back into Rhythm360, keeping records synchronized without manual reconciliation. Gaurav A. Upadhyay, MD, FACC, FHRS, Director of the Pacing & Defibrillation Device Clinic at UCM, said: "We have improved billing and accountability for our patients after the integration."
Billing checkpoint: Patient demographics, ICD-10 codes, and provider NPI get confirmed in the EHR record, completing the audit-ready documentation for RPM codes 99453, 99454, and 99457.
CPT Code Capture and Billing Documentation
The platform tracks monitoring-period dates, data-transmission day counts, and care-team management time automatically. CPT 99454 requires at least 16 days of automatically transmitted physiologic data per 30-day period, and manual entry does not qualify. Rhythm360's transmission logs satisfy this threshold without staff intervention. Because that threshold previously left low-transmission patients unbillable, the 2026 addition of CPT 99445 now lets practices bill for 2 to 15 transmission days per period, capturing revenue that used to fall through the cracks.
Billing checkpoint: The system assembles billing-ready packages, including consent records, transmission logs, interpretation notes, and time records, automatically. This reduces claim rejection risk and supports revenue gains of up to 300%.
Schedule a demo to see the full 6-step workflow in action for your clinic.
The same alert triage built into the workflow above directly addresses one of the biggest gaps in device clinics: weekend coverage. Data presented at HRS 2026 shows AI-driven triage cuts alert fatigue significantly while maintaining high data reliability. Without triage, clinicians face a stream where most notifications carry no clinical significance, creating the conditions for a critical event to get buried and missed.
The consequences are not abstract. Picture a Saturday morning: a patient's ICD transmits a ventricular tachycardia episode. In a manual workflow dependent on weekend staffing, that transmission might sit unreviewed until Monday. With AI triage and optional CCT oversight, the alert gets classified as urgent and escalated immediately, so the patient can start anticoagulants or get their device reprogrammed that same afternoon. Gaurav A. Upadhyay, MD, at UCM, called weekend coverage a persistent structural problem: "Staffing was always an issue for our center, because our device clinic, like many other medical centers, had struggled with technician turnover and timely weekend coverage."
Independent research backs up the clinical value of AI-assisted review. A study of 14,606 patients found an AI algorithm missed critical arrhythmias at a 1.4% false-negative rate, compared with 19.7% missed by human ECG technicians. Andrew Beaser, MD, at UCM, noted: "Decision support, including AI-assisted decision support, will become increasingly important as data volumes grow."
Each additional device brand a practice implants multiplies administrative burden: separate logins, separate data formats, separate alert thresholds, and no unified patient view. Andrew Beaser, MD, described pre-implementation workflows at UCM as "a major challenge and incredibly difficult." Gaurav A. Upadhyay, MD, added: "That was a big piece for us, to have an integrated review of data from trained personnel."
Rhythm360 aggregates data from Medtronic, Boston Scientific, Abbott, Biotronik, and other manufacturers into one normalized dashboard, sustaining the same transmissibility described earlier across the entire device population. The platform also supports CardioMEMS pulmonary artery monitors, extending vendor-neutral coverage to advanced heart failure monitoring.
That same infrastructure speeds up onboarding. Implementation, including EHR integration, runs from a few days to a few weeks depending on practice size and IT availability. Custom multi-vendor EHR integration projects built from scratch can take several months to more than a year. Pre-built OEM connectors and established EHR pathways compress that timeline substantially, which sets the stage for the billing gains covered next.
Billing leakage in cardiac device monitoring comes from three sources: untracked monitoring periods, missing clinician interpretation notes, and failure to capture newly billable codes. Rhythm360 addresses all three through automated documentation, period tracking, and real-time billing dashboards. UCM reported improved billing and accountability after implementing Rhythm360.
The 2026 introduction of CPT 99445 and CPT 99470 removes the 16-day threshold and lowers management-time requirements, opening new capture opportunities that automated tracking is built to catch. Practices that have implemented Rhythm360 report revenue gains of up to 300%, driven by better CPT code capture, fewer claim rejections, and new RPM service lines for HF and HTN patients that create recurring monthly revenue.
The table below breaks down how each metric shifts once a practice moves from manual tracking to Rhythm360.
| Metric | Baseline (Manual Workflow) | With Rhythm360 | Source |
|---|---|---|---|
| Critical-alert response time | Hours to days (manual, portal-dependent) | Reduced by up to 80% | RhythmScience platform data |
| Revenue generation | Baseline CPT capture with manual tracking | Up to 300% increase | RhythmScience client outcomes |
| Data transmissibility | Variable; OEM server-dependent | Greater than 99.9% via redundant feeds | RhythmScience platform specification |
| Annual report volume supported | Limited by staff capacity | Over 73,000 reports/year (UCM, 2025) | HMP Global / UCM White Paper |
The table below summarizes how each core feature produces that outcome.
| Feature | How It Works | Clinical or Operational Benefit |
|---|---|---|
| Vendor-neutral data aggregation | APIs, HL7, XML, and OCR ingest all OEM formats | Single dashboard; no separate portal logins |
| AI-powered alert triage | Filters non-actionable alerts; prioritizes urgent events | Faster critical-alert response; reduced clinician burnout |
| Automated CPT documentation | Tracks monitoring periods, transmission days, and management time | Billing-ready records; higher revenue capture |
| Bi-directional EHR integration | HL7 connections to Epic, Cerner, Athenahealth, and others | Eliminates manual transcription; audit-ready records |
| Redundant data feeds | Fail-safe connectivity when OEM servers are unavailable | No missed transmissions |
| HIPAA-compliant mobile app | Secure review, report signing, and care coordination on mobile | Clinician mobility; continuity of care on weekends and after hours |
Schedule a demo to review Rhythm360's billing automation capabilities with your team.
Rhythm360 runs two integrated service lines on one platform: Rhythm-CIED for implantable cardiac devices, and a dedicated HF/HTN Remote Physiological Monitoring module. The HF/HTN module monitors blood pressure, weight, pulse oximetry, and other parameters from FDA-cleared connected devices. It automatically tracks transmission days against the thresholds for CPT 99454 (roughly $52/month) and the 2026 companion code CPT 99445. Practices can launch a new RPM line for HF and HTN patients with minimal overhead, adding recurring monthly revenue alongside existing CIED monitoring.
The platform also supports CardioMEMS pulmonary artery pressure monitors, extending coverage to advanced HF patients who need hemodynamic data alongside rhythm data. Remote monitoring of CIED patients has been linked to lower cardiovascular hospitalization rates than standard in-office monitoring, which underscores the stakes of reliable, continuous data access.
The HIPAA-compliant mobile app gives electrophysiologists, cardiologists, NPs, and PAs full access to transmissions, reports, and patient communications from any device. A built-in Twilio-powered communication hub logs all patient messaging and calls within the patient record, creating a complete audit trail and preventing duplicate outreach.
Onboarding, including EHR integration with systems like Epic, Cerner, Athenahealth, and eClinicalWorks, typically takes a few days to a few weeks depending on practice size and IT availability. RhythmScience manages integration configuration, staff training, and go-live readiness, so practices do not need dedicated internal IT resources. Pre-built OEM connectors and established HL7 pathways eliminate the custom development work that makes from-scratch projects run much longer.
Yes. The platform ingests and normalizes data from all major cardiac device manufacturers, including Medtronic, Boston Scientific, Abbott, and Biotronik, plus CardioMEMS pulmonary artery monitors. Practices do not need to standardize on one OEM. The entire device population, regardless of manufacturer mix, consolidates into one dashboard.
The AI triage layer classifies incoming transmissions by clinical urgency, filtering non-actionable alerts before they reach staff and surfacing only events that need intervention. Redundant data feeds keep the underlying data complete and accurate. For the highest-acuity events, practices can add optional 24/7/365 oversight by IBHRE-certified specialists for a human confirmation layer before escalation.
Rhythm360 tracks documentation for 93294, 93295, 93296, 93297, and 93298 for CIED monitoring, and 99453, 99454, 99445, 99457, 99470, and 99458 for remote physiologic monitoring. The platform tracks monitoring-period dates, transmission day counts, and care-team management time, then generates billing-ready packages with patient demographics, device type, monitoring records, and clinician notes. A real-time dashboard shows captured and potential revenue by CPT code, so practices can catch billing gaps before each monitoring period ends.
Rhythm360 uses a SaaS pricing model that scales with clinic size and platform usage, with no prohibitive upfront setup fees. Costs adjust as a practice's monitored patient population grows, which lets solo practitioners and small clinics access the same capabilities as large health systems. RhythmScience tailors pricing during the demo process based on device volume, OEM mix, and EHR environment.
Manual cardiac device monitoring across fragmented OEM portals creates three compounding problems: administrative overload that burns out staff, alert fatigue that raises the risk of missing critical events, and billing leakage that leaves CPT revenue uncaptured. Each problem has a solution.
Rhythm360 consolidates CIED and RPM data into one source of truth, cuts critical-alert response times, sustains high data transmissibility through redundant feeds, and automates the documentation needed to capture more revenue. Implementation takes days to weeks, not months, and the platform scales from solo practices to health systems managing tens of thousands of patients.
The shift from reactive to proactive cardiac care is an operational decision practices can make today.
