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 tests patients with clinical indications 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 can be caught days or weeks earlier — supporting better outcomes and protecting your quality ratings.
Both programs are Medicare-reimbursed, with billing support at every step — revenue flows to your practice.
Program Details
Each program is powerful on its own. Here's everything you need to know about how they work.
A 20-minute noninvasive cardiovascular assessment conducted onsite by our certified technician. No equipment purchase, no staff training, no disruption to your workflow.
FDA-cleared Bluetooth devices monitor your highest-risk patients 24/7 between visits — with a dedicated team of care specialists tracking vitals daily on your behalf.
Illustrative Scenario
The following is a hypothetical example created to illustrate how the two programs work together — from initial assessment through ongoing monitoring and intervention. It does not describe an actual patient.
Our technician arrives at your practice and tests patients with a documented clinical indication. A 67-year-old diabetic patient — who has shown no obvious symptoms — undergoes the 20-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 device setup, patient education, and onboarding.
✓ 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. Your provider makes a medication adjustment remotely — no ER visit, no emergency transfer.
✓ Escalation addressed early. 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 bills FitPeo RPM/CCM monthly and Pulse4Pulse per assessment visit.
✓ Better outcomes. Measurable data. Ongoing revenue.Reimbursement Detail
Both programs are Medicare-reimbursed. Here's a complete breakdown of the CPT codes for each program.
Rates vary per state and payer
| CPT Code | Description |
|---|---|
| 93922 | Ankle-Brachial Index (ABI) — noninvasive arterial study |
| 95921 | Autonomic function test — cardiovagal innervation |
| 95923 | Sudomotor function test |
| 93040 | Rhythm ECG — with interpretation and report |
| 94761 | Pulse oximetry — multiple determinations |
| 99214 | Follow-up office visit (E/M) |
Rates vary per state and payer
| CPT Code | Description |
|---|---|
| 99453 | RPM — Device setup (one-time) |
| 99454 | RPM — Device supply & monitoring, 16+ days |
| 99445 | RPM — Device supply & monitoring, 2–15 days |
| 99457 | RPM — Remote monitoring, first 20 min |
| 99458 | RPM — Additional 20 min |
| 99490 | CCM — Chronic care management, 20 min |
| 99439 | CCM — Additional 20 min |
* Planning estimate only — not a guarantee of revenue. FitPeo: conservative-to-moderate net-to-practice, after program fees, per 100 enrolled patients per year, verified against 2026 CMS national non-facility rates. Assumes approximately 80% of enrolled patients transmit enough days each month to bill device supply, 10% bill on a partial-month basis, 5% generate care-management revenue only, and 5% do not bill in a given month. CPT 99453 (one-time device setup) is billed separately at enrollment. Pulse4Pulse: revenue figures are not shown pending final reconciliation of its reimbursement model; your specific opportunity is modeled on a discovery call. Actual results for both programs vary by state, payer, patient mix, engagement, and utilization.
Common Questions
The questions we hear most from practices before they get started.
Schedule a discovery call and we'll walk you through the complete ecosystem, model the revenue opportunity for your specific patient panel, and answer every question.