Reviewed by Jack Wright, Managing Partner
When CMS proposed that, from 2027, only staff employed by the billing practice may furnish remote patient monitoring (RPM) and remote therapeutic monitoring (RTM), a lot of practices that rely on an outside vendor started asking a simple question: what would an in-house program even look like? Practice Management Consultancy built one with its affiliated clinic, Regenerative Joint Clinics, a non-surgical joint care clinic in Riverdale, Georgia that our founder operates. Six months in, here is what it looked like.
What PMC built, and who runs it
The program runs principal care management (PCM) and remote therapeutic monitoring (RTM), and it was designed around one decision: the clinic’s own employees run it. PMC selected the program model, built the workflows and documentation, and advised on the billing mechanics. From there the clinic’s own care coordinators run it day to day, and the clinic submits its own claims. PMC designed, built, and supports the program; it does not run the program and it does not operate the clinic’s billing.
How enrollment grew over six months
The program launched in February 2026. Enrollment climbed steadily through the spring and summer. The counts below are measured at each month’s end and are accurate to within a patient or two:
- About 48 enrolled patients at the end of March 2026
- About 62 at the end of April
- About 68 at the end of May
- About 84 at the end of June
- About 105 at the end of July
- About 109 at the end of August
That is a little more than double the March figure in five months, built on the clinic’s own staff rather than an outside clinical team.
Why the in-house part is what matters
The 2027 change is still a proposal, and it covers RPM and RTM only. But the direction is hard to miss: CMS wants the clinical staff who furnish remote monitoring to be employees of the practice that bills for it. A program built that way from day one does not have to be taken apart and rebuilt if the rule is finalized. If you want to read the proposal itself, our explainer on the proposed 2027 RPM and RTM staffing rule walks through what it says and what is still open.
What this case does and does not tell you
This is one clinic’s experience, not a forecast for yours. What a care management program looks like at your practice depends on your own patient panel: how many of your patients have ongoing conditions you follow over months and years, and whether you can give a coordinator protected hours to run it. We can model the math on your own numbers and show you an honest range, but we do not promise a figure. What this case does show is that a program staffed by the practice’s own people can be stood up and grown without handing the clinical work to an outside vendor.
Thinking about an in-house program?
Book a free 30 minute readiness call. We will walk through which of your patients would qualify, what an in-house staffing model would look like for your practice, and how to build a program that meets today’s rules and the direction of the proposed 2027 ones. No cost, no commitment.
