Remote Patient Monitoring

See the 30-day readmission before it happens.

RPMLyra streams glucose, blood pressure, and weight readings from home devices into one clinical dashboard — flagging deterioration patterns before the patient calls your nurse line.

Clinical care coordinator reviewing patient monitoring dashboard on desktop screen in modern hospital office
~68%
Target reduction in avoidable readmissions for enrolled patient cohorts
3
Device classes — glucose meters, BP cuffs, smart scales — in one real-time view
4 CPT
Codes auto-tracked: 99453 / 99454 / 99457 / 99458 — reimbursement-ready from day one
The Care Gap

Your patients go home. Your visibility ends.

After discharge, your highest-risk chronic disease patients disappear into an information void. Glucose spikes, blood pressure climbs, weight gains three pounds in two days — and your care team won't know until the patient calls the nurse line, or worse, presents in the ED.

Traditional care management means waiting for check-in calls, relying on patient self-report, and reacting after deterioration is already advanced. The result: preventable readmissions that cost your health system $15,000–$25,000 per event and erode quality scores.

See How We Close the Gap
Patient Home Glucose / BP / Weight Glucose Meter BP Cuff Smart Scale Silo 1 No alert Silo 2 No alert Silo 3 No alert Without RPMLyra: fragmented data, no unified alert
Platform

One dashboard. Three device classes. Continuous insight.

From the first glucose reading to the billing summary report, RPMLyra unifies your chronic care management workflow.

Device Ingestion

Continuous data streams from Bluetooth glucose meters, BP cuffs, and connected smart scales — no manual entry, no delayed batch uploads. Readings arrive within seconds of patient measurement.

Lyra Alert Engine

Multi-signal pattern scoring that weights glucose trends, BP variability, and weight gain together — computing a 30-day readmission risk score and triggering care team alerts before clinical thresholds are breached.

CCM Billing Workflow

Monitoring minutes automatically tracked per patient per month. CPT codes 99453, 99454, 99457, and 99458 populated and ready for your billing team — zero manual documentation.

Lyra Clinical Dashboard — Population Monitoring View
Active Alerts
PT-4821 Glucose 287 mg/dL — 3-day spike pattern 08:14
PT-3077 Weight +3.2 lbs in 48h — fluid retention risk 07:52
PT-6143 SBP 162 mmHg — above threshold 2 readings 07:30
PT-1904 All readings within target range 06:45
PT-5529 Missed 4 readings — device connectivity 06:10
Patient PT-4821 — Today's Vitals
Glucose
287
mg/dL · 08:12
Systolic BP
148
mmHg · 08:11
Diastolic BP
88
mmHg · 08:11
Weight
187.4
lbs · 07:58
30d Risk
HIGH
Score 78/100
CPT Status
18 min
99457 pending
How It Works

From device pairing to billing summary in three steps

1

Connect Home Devices

Patients pair Bluetooth glucose meters, BP cuffs, and smart scales at home via the RPMLyra patient app. No IT infrastructure required on the patient side.

2

Monitor in Lyra Dashboard

Your care team sees real-time vital feeds, alert triggers, and 30-day readmission risk scores — stratified by condition and severity — in one unified view.

3

Act Early + Bill Appropriately

Intervene before deterioration escalates. CPT codes are generated automatically from documented monitoring minutes. Your billing team receives ready-to-submit reports.

Clinical Use Cases

Built for the conditions driving readmissions

RPMLyra is calibrated to the three chronic conditions responsible for the majority of preventable readmissions in US health systems.

Diabetes Management

Glucose + HbA1c trend

Continuous glucose monitoring detects post-prandial spikes and overnight hypoglycemia patterns. Alert thresholds customizable by physician. HbA1c trajectory modeled from 30-day average readings.

Supported CPT: 99453 · 99454 · 99457 · 99458

Hypertension Control

BP reading patterns

Twice-daily BP readings detect systolic elevation trends that precede hypertensive crises. Medication adherence proxied by reading consistency. Morning hypertension patterns flagged automatically.

Supported CPT: 99453 · 99454 · 99457 · 99458

Heart Failure Monitoring

Weight gain as fluid signal

Daily weight readings detect the 2–3 lb overnight gain that signals early fluid retention — a reliable early indicator of decompensating heart failure. Alert before the next scheduled appointment.

Supported CPT: 99453 · 99454 · 99457 · 99458
CPT Reimbursement

RPM is now a billable line item.

RPMLyra helps your care team document the monitoring minutes that map directly to CMS CPT reimbursement codes — making your RPM program financially self-sustaining.

99453
Device setup and patient education — one-time per patient enrollment
99454
Device supply and daily readings — per 30-day period of monitoring
99457
First 20 minutes of clinical review per calendar month by qualified staff
99458
Each additional 20 minutes of clinical review beyond the first
Explore the Billing Workflow
Clinical Perspectives

What care teams are saying

The alert stratification is what changed how we work. We're not scrolling through 800 patients every morning — we see the five who need a call today. That's exactly what population health management should feel like.
Dr. James Okafor
Medical Director, Population Health — Regional Health Network
We used to lose an entire afternoon each month on CCM billing documentation. With the monitoring minutes tracked automatically, our billing cycle went from three days to three hours. The CFO noticed before I had a chance to show her the data.
Anita Srivastava
VP Clinical Operations — Community Health Organization
Integrations

Integrates with your EHR workflows.

RPMLyra is built on open healthcare interoperability standards — connecting to your existing clinical infrastructure without proprietary lock-in.

HL7 FHIR R4
SMART on FHIR
RESTful API
Bluetooth Device SDK

Standards-based interoperability. Works with any health system supporting SMART on FHIR.

Clinical Insights

From the RPMLyra clinical team

Evidence-informed guides on remote monitoring program design, CPT billing, and clinical threshold calibration.

View All Clinical Insights
Get Started

Start monitoring your highest-risk patients in 30 days.

No large implementation. No new hardware procurement required. Schedule a clinical workflow review with our team.