Features
Everything to run a compliant Texas Medicaid RPM program
RemoteCares is a TMHP-first platform. From authorization through monitoring to S9110 billing, every feature is built for the way Texas Medicaid and home care agencies actually work — so you can run a compliant, profitable RPM program without stitching tools together.
TMHP authorization & billing
Authorization automation, S9110 + U1–U9 modifier toolkit, billing dashboard, and audit-ready bundle exports.
Provider signing portal
Send authorizations to providers to sign in bulk or one at a time, via a secure link — audit-ready e-signatures that keep billing moving.
Real-time monitoring
Automated reading capture from connected devices, trend analytics, and configurable normal/abnormal/critical alerts.
Care-plan engine
Reusable templates turn goals into activities, education, and targets across RPM, CCM, RTM and more.
Alerts & escalations
A deterministic, layered triage framework routes urgent patient signals to the right care manager, fast.
AI assistants — patients & care team
One of the first telemonitoring platforms with AI on both sides: multilingual SMS engages patients (safe-zone answers, clinical questions held for review), while a care-team assistant surfaces and summarizes the patients who need attention.
Time tracking & compliance
Automatic reading-day and time capture with a compliance dashboard, so reimbursement is always defensible.
Patient app & portal
Patients see daily actions, goals, and education, and message their care team — secured with OTP and biometrics.
Reporting & interoperability
Outcome analytics plus FHIR / HL7 / C-CDA and EMR integration for clean, audit-ready data exchange.
Real-time monitoring & alerts
Readings from connected devices stream straight into the chart, where configurable thresholds classify each value as normal, abnormal, or critical. Critical signals are routed to the right care manager immediately, while trend analytics surface the slow climbs that precede a hospitalization — so your team intervenes early instead of reacting late.
TMHP authorization & S9110 billing
Authorization automation generates and routes the paperwork TMHP expects and keeps every record audit-ready. Reading days and review time are tracked automatically as care happens, then roll up into audit-ready bundle exports for S9110 with U1–U9 modifiers — one bundle, ready to submit, with the documentation behind each claim.
Everything in the platform
A complete chronic-care platform behind your Texas Medicaid RPM program — from intake and authorization to monitoring, billing, and reporting.
Patients & enrollment
- Create patients with demographics, contacts & preferred language
- Seven programs: RPM, RPM Medicaid, CCM, BHI, RTM, APCM, AWV
- Program & SMS consent capture with document upload
- Insurance / payer (Medicare, Medicaid, commercial)
- Enrollment status, renewals & disenrollment
- Patient tags, bulk import & intake
Authorizations & signing
- Prior authorization for TMHP, Molina & Superior
- Authorization wizard — diagnoses, risk factors, S9110 setup
- Send for provider signature via EMR Direct or email
- Provider signing portal — sign in bulk or one-by-one
- Authorization versions, renewals & audit-ready records
Devices & readings
- Assign, unassign & swap connected devices
- BG strip inventory & refill tracking
- Per-patient normal / abnormal / critical thresholds
- TaskBoard reading triage with outcomes & notes
- Missed-reading tracking + SMS outreach
- Device anomaly detection
Care plans
- Templates → goals, target dates & status lifecycle
- Problems, barriers & interventions
- Generate, sign & send care-plan PDFs (in-app / fax / Direct)
- Reassessment reminders & outcome tracking
Surveys & screeners
- PHQ-9, GAD-7, CAGE, DAST-10, HRA, Mini-Cog
- Automatic scoring, severity bands & outcome labels
- Build custom survey templates
- AI-driven adaptive questionnaires
Encounters, time & tasks
- Log encounters & care time with billable-minute rollup
- CCM initiating-visit linking (auto-match + override)
- Appointment scheduling & requests
- TaskBoard, today’s tasks & escalations
Billing & claims
- S9110 + U1–U9 toolkit for Texas Medicaid
- Program billing with billable minutes & complex-MDM flags
- Billing cycles & period management
- Export & submit claims — CSV and EDI 837 (SFTP)
- Provider minutes report
Reports & analytics
- Dashboard: patient, care-team, care-plan & billing views
- Patient summary — minutes, readings & surveys
- Analysis: RPM, RTM, SMS & device anomaly
- Weekly home-health performance report
- Report subscriptions & patient audit logs
AI assistants
- Patient Assistant — multilingual engagement SMS
- Care Manager Assistant — surfaces & summarizes patients
- Safe-zone answers; clinical questions held for review
- AI engagement tracking, provider/model registry & usage
Communications & interoperability
- EMR Direct secure messaging
- Outbound fax manager & provider notifications
- SMS logs & consent records
- C-CDA documents and FHIR / HL7 integration
Patient experience
- Patient app & portal — daily actions, goals & education
- OTP + biometric sign-in
- Multilingual reminders & notifications
- Easy device setup
Administration & security
- Multi-tenant onboarding: tenant → org → locations → staff
- Providers & NPI import; users, roles & permissions
- Enterprises, locations & regions
- HIPAA-secure, encrypted & fully audit-logged
See RemoteCares with your own workflows
A short walkthrough with your programs, devices, and billing in mind. No pressure — just a clear look at the platform.