View our 10 step checklist to make sure your billing for RPM, CCM, and other remote care codes are clean.
What actually gets flagged when someone reviews your remote care claims.
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The call is free. If the audit is a fit, there is a flat fee with no long term contract. This page provides general billing guidance and is not legal or coding advice.
Not a proposal dressed up as a report. Turnaround is 7 to 10 business days from the day we receive your data.
We pull a sample of your recent RPM, CCM, and PCM claims and check them against current payer rules, code by code.
Plain English, ranked by exposure, showing where an auditor would attack first so you know what to fix Monday morning.
Not "improve your documentation." Which field, which note, which step in the workflow, and who owns it.
A working session with your billing and clinical staff so the fixes hold after we leave.
The audit is not theory. It is built from over 40,000 remote care claims we have processed, billed, and defended for independent practices.
We have doubled our billing in just the brief time we have turned it over to SynsorMed, and after 18 years in nephrology I can say they are the only outside group that has ever made our patients' experience better instead of harder.
This is work we were already doing, and SynsorMed is the reason we are finally getting reimbursed for it, with a real positive impact on our practice financials as we ramp the numbers up.
SynsorMed's RPM is a win-win for patients, our health system, and our practice because it gives us escalation reports instead of data overload and creates a truly passive income stream, which is why I fought hard to get SynsorMed into our practice and I'm glad I did.
We enroll the patient and SynsorMed takes care of the rest. Their nurses call, document everything, and send in the billing, so it has been an excellent extra revenue stream that we barely have to participate in.
Before SynsorMed we were chasing paper blood pressure logs and never knew how our patients were doing until their next visit. Having a partner that scaled remote monitoring for us has been a win for the patients and for the practice.
I have worked with SynsorMed since 2019 across multiple nephrology groups. Remote monitoring and PCM are reimbursable services on top of the value based work these practices are already doing, so you get paid for time you have been giving away for years.
SynsorMed lets us catch a problem immediately instead of waiting until the next visit. Patient compliance is up and our patients genuinely feel taken care of, which is why my own mother and aunts are enrolled.
With SynsorMed's RPM technology we now get daily vitals on every patient, have cut random nursing visits, and are financially better off. As I tell everyone, the model you guys have is brilliant for our hospice and home health business.
SynsorMed's RPM program is not only cheaper than our previous vendor, they also handle all the monitoring and billing for me, turning what used to be a labor intensive headache into an easy new income stream for my private practice.
We would rather tell you no on a 20 minute call than sell you a review you do not need.
What practice administrators and physician owners want to know before they book.
The audit is a flat fee of $2,500. That covers the claim review, the written risk map, the fix list, and the walkthrough call. No long term contract, no per claim pricing, no retainer. The 20 minute call you book on this page is free, and you will know on that call whether an audit makes sense for your practice before anyone asks you to pay anything.
We ask what you bill, roughly how many patients are enrolled, who handles the documentation, and whether you use a vendor. From that we can usually tell within a few minutes whether an audit will find anything worth $2,500 to you. If it will, we scope it and get it started on the call. If it will not, we say so and you keep your checklist.
A sample of your recent RPM, CCM, and PCM claims, reviewed against the same ten checks in the checklist you just downloaded. Patient identity and coverage, program eligibility, whether the diagnosis supports medical necessity, CPT code and unit accuracy, time logs, device data days, consent and care plan documentation, provider NPI and payer enrollment, date of service and frequency, duplicate or overlapping claims, and how your denials have been worked. We look at what was actually submitted, not what your workflow says should have been submitted.
Most practices spend under two hours on their side, and that is mostly pulling the claim sample and supporting documentation. We do the review work. You are not sitting on calls with us while we do it.
7 to 10 business days from the day we receive your data. You get the written risk map and a call to walk through it line by line.
Not necessarily. Most audits run off exported claim data, time logs, device reports, and a sample of chart documentation. If read only access to your system is easier than pulling exports, we can work that way instead. We will tell you on the call which is less work for your team.
Yes. We execute a Business Associate Agreement before any protected health information changes hands, and we work from a minimum necessary sample wherever the review allows it. SynsorMed handles PHI every day as part of our remote care service, so this is standard operating procedure for us, not an exception we are making for the audit.
We document it in the risk map and tell you plainly what we found and why it is a problem. What you do next is your decision. For anything that may require a refund, a corrected claim, or a self disclosure, we will tell you to bring in your own healthcare counsel. We are billing and compliance operators, not attorneys, and we will not pretend otherwise. Some practices have their counsel engage us directly for exactly this reason, which is worth raising with your attorney before we start.
Because a free audit is a sales call with a spreadsheet attached, and the findings end up shaped by what the vendor is trying to sell. A flat fee means we are being paid to tell you the truth about your claims, including the parts where you are already fine and do not need us. You keep the risk map either way, and nothing about it obligates you to use SynsorMed for anything else.
It usually helps them. Your biller submits what your clinical documentation supports, and most of the exposure we find in remote care sits upstream of billing, in time capture, device data days, consent, and care plans. That is not something a billing company controls. Practices regularly share the risk map directly with their billing partner. If your biller is the problem, you will see that in the findings too.
Some do it well. Many hand you a dashboard and leave the documentation risk with your NPI, which is the part worth understanding, because the claim is submitted under your practice and not theirs. The audit shows you which parts of your program are defensible and which parts depend on a vendor process you have never actually seen.
Then the audit is premature and we will tell you that on the call. Use the checklist to stand your program up correctly from the start, and book time with us about launching instead. We would rather turn you away now than sell you a review of claims that do not exist.
Whoever owns billing, plus the physician owner if you can get them. Practice administrators run this alone all the time and it works fine. Findings that involve documentation habits just tend to move faster when a physician has heard them firsthand.
The audit is the audit. If the findings show you would be better off outsourcing the program, we will say so, and we will tell you what it would cost with us so you can compare it honestly against other options. If your program is in good shape, we will tell you that too and there is nothing further to sell.
10 audits a month. One time fee. No long term contract. You keep the findings.