Pulse4Pulse finds what's hidden. FitPeo monitors what's at risk. Most practices use one or the other — the ones seeing the biggest results use both. Here's exactly how they work together.
Why Both Programs
Pulse4Pulse identifies patients at risk. FitPeo monitors them continuously once enrolled. Without Pulse4Pulse, you're enrolling patients in RPM without knowing which ones need it most. Without FitPeo, you're identifying at-risk patients and then losing visibility the moment they leave your office.
Together, they close both gaps — creating a proactive care loop that detects hidden conditions, monitors the highest-risk patients around the clock, intervenes before crises occur, and generates Medicare reimbursement at every step.
Pulse4Pulse screens patients for hidden vascular, neuropathic, and cardiac autonomic conditions — identifying exactly who is highest risk.
FitPeo enrolls those high-risk patients in 24/7 remote monitoring — tracking vitals daily and alerting your team to concerning changes.
Problems get caught days or weeks earlier — preventing hospitalizations, improving outcomes, and protecting your quality ratings.
Both programs are fully Medicare-reimbursed. We handle all billing and claims — you simply collect the revenue.
Program Details
Each program is powerful on its own. Here's everything you need to know about how they work.
A 15-minute noninvasive cardiovascular assessment conducted onsite by our certified technician. No equipment purchase, no staff training, no disruption to your workflow.
FDA-approved Bluetooth devices monitor your highest-risk patients 24/7 between visits — with a dedicated team of care specialists tracking vitals daily on your behalf.
Real-World Scenario
Here's what the combined program looks like for a real patient — from initial screening through ongoing monitoring and intervention.
Our technician arrives at your practice and screens eligible patients. A 67-year-old diabetic patient — who has shown no obvious symptoms — undergoes the 15-minute assessment. Results reveal early peripheral neuropathy and reduced ankle-brachial index, indicating subclinical peripheral artery disease.
✓ Hidden condition identified before it becomes a crisisBased on the Pulse4Pulse findings, the patient is flagged as high-risk and enrolled in FitPeo's RPM program. A blood pressure cuff, pulse oximeter, and glucometer are shipped directly to the patient's home. FitPeo's team handles setup, device education, and onboarding — no staff time required from your practice.
✓ High-risk patient now monitored 24/7 between visitsAt 11pm on a Tuesday, the patient's blood pressure readings spike to 178/102 over three consecutive measurements. FitPeo's care specialist immediately alerts your on-call provider. A medication adjustment is made remotely — no ER visit, no hospitalization, no emergency transfer.
✓ Potential hospitalization prevented. Patient safe at home.Three months later, Pulse4Pulse returns for a follow-up assessment. The patient's autonomic function scores show measurable improvement following the medication change and lifestyle interventions. The patient remains enrolled in FitPeo monitoring. Your practice collects Medicare reimbursement from both programs every month.
✓ Better outcomes. Measurable data. Ongoing revenue.Reimbursement Detail
Both programs are fully Medicare-reimbursed. Here's a complete breakdown of the CPT codes and what each pays.
Rates vary per state
| CPT Code | Description |
|---|---|
| 93922 | Limited bilateral ABI / noninvasive arterial studies |
| 95923 | Autonomic sudomotor function testing (QSART) |
| 95924 | ANS parasympathetic/sympathetic with tilt |
| 95921 | Cardiovagal innervation (parasympathetic) |
| 93923 | Complete bilateral arterial studies (3+ levels) |
Rates vary per state
| CPT Code | Description |
|---|---|
| 99453 | RPM — Device setup (one-time) |
| 99454 | RPM — Device supply & monitoring |
| 99457 | RPM — Remote monitoring, first 20 min |
| 99458 | RPM — Additional 20 min |
| 99490 | CCM — Chronic care management, 20 min |
| 99439 | CCM — Additional 20 min |
Common Questions
The questions we hear most from practices before they get started.
Schedule a demo and we'll walk you through the complete ecosystem, model the revenue opportunity for your specific patient panel, and answer every question.