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💰 Automated Billing

Transparent,
Automated Billing
Built for Care Management.

AuriaMedical's billing platform automatically captures staff time, generates compliant billing reports, and delivers a complete CPT-coded billing file to your practice every month — with a full audit trail.

Calculate Your Revenue View All CPT Codes →

Billing Dashboard · April 2025

Filing Ready
$76,884
Monthly Revenue
1,000
Active Patients
94%
Collection Rate
RPM Codes Billed412 patients
CCM Codes Billed338 patients
BHI Codes Billed124 patients
PCM Codes Billed126 patients
Billing Platform

How the Billing System Works

Every minute of qualifying staff time is automatically captured, timestamped, and translated into compliant CPT codes — with a full audit trail ready for documentation requests.

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Automatic Time Capture

Our platform logs every staff interaction — care manager calls, secure messages, review sessions, and documentation time — down to the second. No manual time tracking required.

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CPT-Coded Billing Reports

Monthly billing files are generated automatically with the correct CPT codes applied per patient based on qualifying time, transmission days, and program type. Ready for your billing team to submit.

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Secure Audit Trail

Every call, message, review, and action is logged with a tamper-proof timestamp. Full documentation is available for MAC audits, compliance reviews, and payer requests.

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Claim Submission Support

AuriaMedical submits claims within 5 business days of month end. Our billing team manages denials, appeals, and reconciliation — maximizing your collection rate.

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Revenue Reconciliation

Monthly collection reports show what was billed vs. what was collected, with detailed reconciliation. Preliminary and final adjusted invoices clearly show AuriaMedical's fee against your net revenue.

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Automatic Monthly Cycle

The entire billing cycle repeats automatically each month — no manual intervention required from your practice. Services rendered → billing file → claims → reconciliation → invoice, on repeat.

All CPT Codes by Program

AuriaMedical manages billing for all five programs. Every code listed below is automatically tracked and billed when qualifying criteria are met.

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Remote Patient Monitoring (RPM)
Physiologic data monitoring — BP, glucose, weight, SpO₂, spirometry
99453
Initial Setup & Education
Device setup and patient education at enrollment. Billed once per monitoring episode regardless of device count.
One-time · ~$19.43
99454
Device Supply + 16-Day Transmission
Monthly device supply and data transmission. Requires 16+ days of readings transmitted in a 30-day period.
Monthly · ~$64.15 · 16+ days req.
99457
First 20-Min Management
Initial 20 minutes of remote monitoring treatment management with interactive patient communication in the calendar month.
Monthly · ~$50.18 · Interactive contact
99458
Additional 20-Min Management
Each additional 20-minute block of remote monitoring management beyond the initial 99457 within a calendar month.
Monthly · ~$40.84 · Per 20-min block
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Chronic Care Management (CCM)
Ongoing clinical management for patients with 2+ chronic conditions
99490
CCM — First 20 Minutes
First 20 minutes of clinical staff time for CCM services per calendar month, including care plan development and patient coordination.
Monthly · ~$62.21 · 20 min · 2+ chronic Dx
99439
CCM — Additional 20-Min Block
Each additional 20-minute increment of CCM clinical staff time beyond the initial 99490. Can be reported up to 2 times per month.
Monthly · ~$47.56 · Up to 2x per month
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Behavioral Health Integration (BHI)
Integrated behavioral and mental health management services
99484
BHI — 20-Min Care Management
Behavioral health care management services — initial, subsequent, and concurrent. Requires a clinical staff member acting under direction of a treating physician. Min 20 minutes/month.
Monthly · ~$48.75 · 20 min · Behavioral Dx
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Principal Care Management (PCM)
Focused care management for patients with one high-risk chronic condition
99426
PCM — First 30 Minutes (Physician)
First 30 minutes of PCM services provided by a physician or NPP per calendar month. Requires a comprehensive care plan for a single high-risk condition.
Monthly · ~$88.11 · 30 min · MD/NPP only
99427
PCM — Additional 30-Min Block
Each additional 30-minute increment of PCM services by a physician or NPP beyond the initial 99426. Can be reported up to 2 times per month.
Monthly · ~$60.18 · Up to 2x per month
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Remote Therapeutic Monitoring (RTM)
Non-physiologic therapy adherence and response monitoring
98975
RTM Setup & Education
Initial setup and patient education for RTM devices. Billed once per monitoring episode.
One-time · ~$19.43
98976
MSK Device Supply
Monthly device supply for musculoskeletal RTM. Requires 16+ days data transmission in 30-day period.
Monthly · ~$54.00 · MSK · 16+ days
98980
RTM — First 20-Min Management
First 20 minutes of RTM treatment management with interactive patient communication in a calendar month.
Monthly · ~$50.18 · Interactive contact
98981
RTM — Additional 20-Min Block
Each additional 20-minute increment of RTM management beyond 98980. Stackable per qualifying time.
Monthly · ~$40.84 · Per 20-min block
Sample Billing File

Monthly Billing File Example

Every month, AuriaMedical delivers a complete billing file like this to your practice — ready to submit to Medicare and commercial payers.

April 2025 Billing File · Starling Clinic
Generated: May 1, 2025 · 1,000 enrolled patients · $76,884 gross
✓ Ready to Submit
Patient ID Program Days Transmitted Staff Time Codes Billed Gross Amt Status
PT-00142 RPM 22 days 24 min 99454 · 99457 $114.33 ✓ Filed
PT-00238 CCM 42 min 99490 · 99439 $109.77 ✓ Filed
PT-00389 RPM 18 days 41 min 99454 · 99457 · 99458 $155.17 ✓ Filed
PT-00451 BHI 22 min 99484 $48.75 ✓ Filed
PT-00512 PCM 34 min 99426 $88.11 ✓ Filed
PT-00623 RPM 14 days 18 min 99457 $50.18 ⚠ Pending
Monthly Total (1,000 patients) $76,884

Invoicing Flow

Every billing cycle follows the same transparent, repeatable process — with clear communication at each step.

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Services Provided
Month-end
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Billing File to Clinic
Day 1
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Claims Submitted
≤5 Business Days
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Preliminary Invoice
Day 10
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Reconciliation
Day 20
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Collection Report
Day 25
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Final Adjusted Invoice
Month End
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Repeats Monthly
Automatic
Revenue Estimator

Calculate Your Monthly Revenue

Use the slider to estimate your practice's monthly and annual revenue from AuriaMedical's care management programs.

Revenue Calculator

Live Estimates
Number of Enrolled Patients
500
Monthly Revenue
$38,442
50 250 500 1,000 1,500 2,000 2,500
Monthly Revenue
$38,442
Gross Medicare reimbursement
Annual Revenue
$461,304
Projected 12-month total
Revenue / Patient
$76.88
Monthly per enrolled patient
Net Profit / Patient
$41.17
After AuriaMedical fee
Enrolled patients 500 patients
Gross Medicare reimbursement $38,442 / mo
AuriaMedical service fee (~46%) −$17,683 / mo
Net practice profit $20,580 / mo
Reference rates: 100 pts = $7,688/mo · 250 pts = $19,221/mo · 500 pts = $38,442/mo · 1,000 pts = $76,884/mo · 2,500 pts = $192,210/mo. Profit per patient varies by patient mix: $41.17 (100 pts) → $76.88 (500 pts) → $112.60 (2,500 pts) as fixed costs are spread across a larger patient base. Estimates based on Medicare fee schedules and typical program participation rates.
💰 Get Paid First Guarantee

Your Practice Gets Paid First.

AuriaMedical invoices your practice only after Medicare pays you. We invoice based on actual collections — not billed amounts. No upfront costs. No risk. No surprises.

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Medicare pays your practice first
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We invoice on collected amounts only
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Zero upfront investment required
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Full monthly reconciliation report
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Audit-ready documentation always on file
Schedule a Demo to Learn More
Start Earning

Revenue That Works While You Sleep

AuriaMedical handles all the clinical work, documentation, and billing. Your practice generates new monthly revenue from patients you already see.

Schedule a Demo Explore RPM →