Healthcare billing
The Monitoring Revenue That Was Leaking Away
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Outcomes from this work example.
Challenge · 01
Practices with patients eligible for RTM, RPM, and CCM were already doing the qualifying clinical work — but losing thousands of dollars a month to manual time capture and code-by-code paperwork that was easy to under-record or skip entirely.
Solution · 02
reachDr runs alongside care instead of after it, capturing qualifying time as it happens and carrying it all the way to a clean, submittable claim — with zero added staff.
Approach · 03
We started by mapping how qualifying time actually accrues during care, before proposing a single feature.
Understanding the workflow came first: we traced how time accrues across RTM, RPM, and CCM in a real practice. Only then did we pick the models and rules to enforce it — logging qualifying interactions as they occur, tracking accrued time against each CPT threshold, and validating the documentation each code requires. Once a threshold is met, the system turns it into a one-click claim, code-pairing rules enforced up front and audit-ready documentation captured from day one.
Outcome · 04
What changed inside the operation.
- 01Roughly $38K a year in already-earned revenue recovered, with no added staff
- 02CPT thresholds and code-pairing rules enforced before anything is billed
- 03Audit-ready documentation produced from day one — 100% audit pass rate
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