Remote Patient Monitoring — DirectCare AI
Stay connected

Monitor your health.
Live better.

Our remote patient monitoring program uses connected devices to track your health in real time, so your care team can spot changes early and keep you on track.

All 50 states HIPAA aware Medicare benefit
Blood pressure
120/78
mmHg · just now
Program highlights

Support at home, focused on life

DirectCare AI supports you at home with a team of health coaches so you can focus on what is important: life. Flexible and customized for your health needs.

  • A dedicated team for health coaching and care coordination, 24/7
  • Greater security to live independently with licensed support
  • Peace of mind for family, knowing you are monitored at home
  • More control over your health journey and improved results
What's included

Everything to keep you healthy at home

DirectCare AI is easy to use and connected to your clinical team.

Telephone support

Monthly coaching and secure messaging with your health coach 24/7.

Connected devices

A blood pressure cuff, scale and pulse oximeter that track your health.

Shared records

An electronic record of your vitals and status is shared with your doctor.

Devices that watch the trends

Connected devices, shipped to your home

Connected devices send daily readings to your care team automatically. No spreadsheets, no apps to fight with, just numbers your team acts on.

CGM · sensor based

Dexcom G7

Step by step setup guidance, so you start tracking your glucose without the stress. Sends updates automatically so your care team can spot patterns and adjust.

CGM · sensor based

Freestyle Libre 3

Apply your sensor in seconds and track glucose without daily fingersticks. Continuous updates throughout the day give a full picture.

Connected device · blood pressure

Blood pressure cuff

Wrap the cuff, press the button, and your reading goes straight to your care team. We watch for spikes, dips and patterns your doctor would.

Connected device · weight

Smart weight scale

Step on and your weight syncs automatically, helpful for weight management and for heart and kidney health.

A Medicare benefit

DirectCare AI is a Medicare benefit

A huge upgrade offered by your doctor, allowing us to monitor and support you at home and help keep you on track. We verify your coverage before anything moves forward.

  • Offered through your physician
  • Insurance verified up front
  • No surprises, clear plain English explanations
Built for reimbursement

Relevant CPT codes

Remote patient monitoring and chronic care management are covered Medicare benefits. Identify eligible Medicare and Medicare Advantage patients with two or more chronic conditions, and we handle the rest. Little effort, big return.

Remote patient monitoring (RPM)

99453

Setup & education

One time remote monitoring setup and patient education.

99454

Device & readings

Device supply with daily recordings, each 30 days.

99457

First 20 minutes

Treatment management, first 20 minutes per month.

99458

Each +20 minutes

Treatment management, each additional 20 minutes.

Chronic & behavioral care (CCM / BHI)

99490

Chronic care mgmt

Twenty minutes of clinical staff time per month.

G0511

FQHC / RHC

General care management for FQHCs and RHCs.

G0506

Care planning

Comprehensive assessment and planning at initiation.

99484

Behavioral health

Behavioral health integration, twenty minutes per month.

Codes shown for reference. Eligibility, documentation and billing remain the responsibility of the rendering clinician.