See Which Patients Are Billable This Month
Upload your patient CSV and see which patients appear billable based on the data you provide, which are close to a CPT threshold, and exactly what's missing to close the gap. Configured for 2026 billing rules.
Your CSV is processed entirely in your browser — it's never uploaded to a server. Results are an estimate based on the data you provide, not a claim guarantee.
How It Works
Upload Your CSV
Export your patient list with program type, days with readings, and clinical minutes. We accept flexible column names.
Instant Analysis
Billing Pulse evaluates each patient against the 2026 CPT code thresholds configured in the tool — including the new short-duration RPM/RTM codes (99445, 99470, 98979, 98984, 98985).
Download Your Report
Get a PDF report showing patients who appear billable, near-misses with specific gaps to close, and estimated revenue at stake.
Analysis quality depends on the completeness and accuracy of the data you upload — Billing Pulse evaluates exactly what's in your CSV, nothing more.
What You'll See
Billable Patients
Who appears to meet CPT thresholds for 99454, 99457, 98980, 99490 and more
Almost There
Patients 1-3 days or minutes short — close the gap before month-end
Not Eligible
Why they don't qualify and what would need to change
Revenue Impact
Estimated reimbursement opportunity based on the data you provide
Configured for 2026 Billing Rules
Billing Pulse is configured with 2026 Medicare Physician Fee Schedule rate assumptions, including the new short-duration RPM and RTM codes CMS added for 2026, and RTM device-supply codes for both musculoskeletal and respiratory monitoring.
RPM
- 99453$22
- 99454$52
- 99445$52 (NEW)
- 99457$52
- 99470$26 (NEW)
- 99458$41
RTM
- 98975$22
- 98977$51 (MSK)
- 98985$51 (MSK, NEW)
- 98976$52 (Resp)
- 98984$52 (Resp, NEW)
- 98980$54
- 98979$26 (NEW)
- 98981$41
CCM
- 99490$66
- 99439$50
- 99491$89
- 99437$63
Displayed amounts are national, non-facility Medicare estimates from the CY2026 Physician Fee Schedule — not payer- or region-specific figures, and not a claim guarantee. Actual reimbursement varies by payer, geography, applicable payment methodology, eligibility, modifiers, and final claim adjudication. Codes requiring an interactive treatment-management touchpoint (99457, 99458, 99470, 98980, 98981, 98979) additionally require a live, real-time communication with the patient or caregiver during the month.
Built for Billing Teams
Billing Coordinators
Replace manual spreadsheet reconciliation with one view of every patient's billing status — billable, close, or not yet eligible.
Practice Managers
See an estimate of the RPM/RTM/CCM revenue your practice may be capturing this month — and where the gaps are.
Revenue Cycle Managers
Identify missing billing prerequisites before claims are submitted. Track 16-day and 20-minute thresholds automatically.
Billing Pulse answers one question: what may be billable this month. VitalEdge answers the bigger one: how to operationalize the care, evidence, documentation, compliance, and billing readiness behind it — as one connected platform, not a monthly spreadsheet exercise.
Ready to Find Your Missing Revenue?
See how much potential reimbursement your submitted data suggests may be recoverable — in about 60 seconds.