VivoCore for enterprise

Run a CMS-billable Remote Patient Monitoring program without standing up the program yourself.

VivoCore licenses per enrolled patient per month to hospitals, home-health agencies, and senior-living operators running remote monitoring at scale. Adaptive baselines, real-time anomaly detection, CMS-compliant reporting, and EHR handoff — wrapped in a single, white-label RPM program your clinical and IT teams can adopt in weeks, not quarters.

Built with the same adaptive AI that already powers always-on monitoring for individual wearers — backed by HIPAA-grade data handling from sensor to clinician.

Pricing & ROI

Per-patient licensing that the $50–150 Medicare reimbursement band can offset.

VivoCore is priced per enrolled patient per month — three tiers, one continuous platform. The CMS RPM codes pay back most of that license for a fully qualifying patient; the math below shows what the rest of the program actually costs to operate.

Starter

$49 / patient / mo

Small hospital teams · Single-site home health · Independent senior living

  • Per-patient monitoring dashboard
  • Monthly CMS-compliant reports
  • Email anomaly alerts to on-call staff
  • Up to 50 enrolled patients

Growth

Most programs pick this

$89 / patient / mo

Mid-size hospital systems · Multi-site home health · Regional senior-living groups

  • Everything in Starter
  • Full CMS 99453 / 99454 / 99457 / 99458 billing support
  • Single sign-on (SSO / SAML)
  • Priority email + phone support

Enterprise

$149 / patient / mo

Multi-state health systems · National home-health networks · Large senior-living chains

  • Everything in Growth
  • HL7 / FHIR integration with your EHR
  • Custom SLAs (uptime + clinical-response time)
  • Dedicated customer success manager

Full pricing, comparison matrix, and integration notes live on the For providers page.

See the per-patient pricing tiers
How the Medicare math plays out

What a fully billed patient actually nets.

The numbers below pair VivoCore\'s per-patient license with the $50–150 / patient / month ceiling across all four CMS RPM codes. Your net cost — or surplus — depends on how cleanly your program clears the 16-day threshold and the 99457/99458 touch requirement every month.

Tier

Per the matrix above

VivoCore license

CMS reimbursement(range)

Net cost / surplus

Starter

Small hospital teams · Single-site home health · Independent senior living

Tier 1 of 3

$49 / patient / mo

floor: 25 enrolled patients

$50 – $150

99453 + 99454 + 99457 (+ 99458)

Approximate, payer-dependent

+$1 – +$101

per fully qualifying patient / month

Growth

Mid-size hospital systems · Multi-site home health · Regional senior-living groups

Tier 2 of 3

$89 / patient / mo

floor: 100 enrolled patients

$50 – $150

99453 + 99454 + 99457 (+ 99458)

Approximate, payer-dependent

−$39 – +$61

per fully qualifying patient / month

Enterprise

Multi-state health systems · National home-health networks · Large senior-living chains

Tier 3 of 3

$149 / patient / mo

floor: 500 enrolled patients

$50 – $150

99453 + 99454 + 99457 (+ 99458)

Approximate, payer-dependent

−$99 – +$1

per fully qualifying patient / month

VivoCore\'s monthly CMS billing packet closes the loop — every enrolled patient maps to the right codes, the 16-day threshold and the 99457 touch are tracked automatically, and any non-qualifying month is excluded before the claim goes out.

How billing works

The mechanics behind the four CMS RPM codes.

Plain-English answers to the questions that come up most on the first call — including how the math, the audit, and the commercial-payer variation actually play out.

Deep dive

RPM billing codes and reimbursement, line by line.

The full transcription of the four CMS codes, the 16-day rule, the live-touch requirement, and the $50–150 reimbursement band — with the same worked examples the team references on onboarding calls.

Read the RPM-billing-codes deep-dive

Ready when you are

See how the math lands on your roster.

Share a few details about your program — the founder personally reads every enterprise inquiry and will follow up to talk cohort, timeline, and integration depth.

Request a conversation

Provider questions

The practical details behind a confident rollout.

Clear expectations matter before a clinical or IT team commits. Here are the five questions we hear most often from providers evaluating VivoCore.

VivoCore is licensed per enrolled patient per month and produces a monthly packet for CPT 99453, 99454, 99457, and 99458 when setup, reading-day, and clinical-touch requirements are met. Payer rules, patient eligibility, and reimbursement vary, so we do not promise a guaranteed margin or payment outcome.

Why enterprise buyers choose VivoCore

One RPM platform — three kinds of operator.

Every segment gets the same core engine. The configuration, the integration depth, and the escalation workflow change to fit the clinical and business reality on the ground.

Most deployed

Hospitals & health systems

A full RPM service line in your EHR workflow

Stand up CMS-billable Remote Patient Monitoring without hiring an in-house engineering team. VivoCore handles enrollment, device provisioning, daily monitoring, and clinical escalation — your team gets an RPM program that already earns 99453 / 99454 / 99457 / 99458 reimbursement.

  • Per-patient monthly license covers the entire RPM workflow
  • Adaptive AI baselines every enrolled patient on their own rolling 14-day window
  • CMS-compliant monthly reporting pre-built — no spreadsheet maintenance
  • HL7 / FHIR integration with Epic, Cerner, and Meditech on Enterprise plans
  • Risk-stratified triage routes the clinician inbox to the right patient, not the whole caseload

Home-health agencies

Reach every patient between visits — without 24/7 call lines

Reduce rehospitalization risk by catching deterioration hours before a phone call from the patient or family. VivoCore monitors vitals around the clock, escalates on a real signal, and keeps your nurses focused on the visits that actually need them.

  • Continuous vitals tracking between scheduled home visits
  • Auto-generated daily summaries your nurses can scan in 30 seconds
  • Smart triage routing means routine alerts stay out of the on-call rotation
  • Patient-facing app reinforces adherence between visits — no extra nurse labor
  • Quarterly clinical-outcomes reviews surface where the program is actually working

Senior-living operators

24/7 wellness oversight that family & staff can both trust

Give independent-living and assisted-living residents an always-on layer of protection without instrumenting every apartment with pull-cord hardware. Wearable-driven vitals monitoring surfaces changes early and notifies the right caregiver — not the whole building.

  • Cellular wearables ship pre-paired — no Wi-Fi or phone pairing by the resident
  • Escalation workflow differentiates between "review tomorrow" and "page on-call"
  • Family-facing portal keeps adult children informed without burdening your staff
  • Battery + cellular health telemetry tells you when a device goes offline before it becomes a coverage gap
  • HIPAA audit log export ready for state-level assisted-living inspections

How a VivoCore deployment rolls out

Four phases from kickoff to a billable RPM program.

Most pilots are reading signal by week two and produce their first CMS billing pack by month one. Enterprise timelines (with full HL7/FHIR integration) typically run 8–12 weeks end to end.

  1. 01

    Pilot a defined cohort

    Pick a clinical service line (post-acute CHF, post-surgical recovery, senior-living wellness) and enroll 25–50 patients. VivoCore configures the wearables, ships them to the patients, and gets read-outs inside a week.

    • Cohort definition + enrollment plan with your clinical lead
    • Cellular wearables shipped, pre-paired, and confirmed transmitting
    • Baseline-building period tracked; reporting at days 14, 30, and 60
  2. 02

    Adaptive baselines tune to every patient

    After a rolling 14-day window of data, every enrolled patient gets a personal model. Heart rate, HRV, sleep, and activity are compared against the patient's own mean ± standard deviation — outliers are flagged on what is actually unusual for them.

    • Per-patient baseline visible in the provider dashboard
    • Population safety floor (HR, SpO₂) protects patients before the window fills
    • Tuning handles day-over-day variability — no false alarms on the routine
  3. 03

    Triage routing keeps the inbox usable

    Alerts are triaged into three lanes: review-tomorrow (logged for the daily summary), nurse-call-today (lands in the on-call rotation), and clinic-page-now (routed to the named clinician with patient context already attached). Your team only sees what genuinely needs them.

    • Configurable escalation policy per cohort
    • Auto-booked appointments for critical alerts — full context sent ahead
    • Daily digests surface what held steady so nothing is forgotten
  4. 04

    Outcomes + billing, wrapped up

    Monthly CMS-compliant reports map every enrolled patient to the appropriate 99453 / 99454 / 99457 / 99458 codes — ready to submit. Quarterly outcomes reviews surface where the program is generating real signal vs. noise, so you can scale or adjust with confidence.

    • Pre-built CMS billing packet delivered on the 1st of each month
    • Quarterly clinical-outcomes review with your team
    • HIPAA audit log export on demand for compliance inspections
Get in touch

Thinking about deploying an RPM program?

Share a few details — the founder personally reads every enterprise inquiry and will follow up to talk cohort, timeline, and integration depth. No sales-rep queue, no obligation.

  • Tiered per-patient pricing — Starter, Growth, and Enterprise plans
  • Full CMS RPM billing support (99453 / 99454 / 99457 / 99458)
  • HL7 / FHIR integration scoped for your EHR on Enterprise plans