RSH Distribution offers the solution for a successful remote patient monitoring program implementation in the doctors practice.  There are two barriers that prevents the doctor from being reimbursed for Remote patient monitoring  the patient must test their vitals a minimum of 16 times per month and they are required to speak to a registered nurse on behalf of the doctor each month. RPM package includes a cellular gateway, vital watch and another piece of home monitoring equipment selected by the doctor that matches the patient chronic condition and a team of remote registered nurses prepared to speak with the patient. To get started the patient simply plugs in the gateway  and put on the vital watch then  The Artificial Intelligence built into our health cloud will recognize health trends and if they deteriorate and the patient is trending badly the patient and care giver will be notified through Text, Email and IVR. RSH package allows the physicians a path to implement remote patient monitoring within their practice without any out of pocket expenses for the physician practice or any additional workload for their nurses. The package includes the technical requirements needed to bill cpt code 99454 and the clinical requirements needed to bill cpt code 99457. Clinical requirements consist of a registered nurse and the clerical support staff spending a minimum of twenty minutes each month reviewing the vitals collected from the patients home and having a phone conversation with the patient discussing the results. Technical requirements consist of supplying the monitoring devices needed to collect the vitals from the patient home and transmitting the readings to a healthcloud that can be viewed by the care givers and patients. RSH healthcloud also offers a five star rating system that functions as a patient report card with a reward package included. The patients who have improved and followed the doctors testing protocols will be rewarded points that can be used to purchase items through our on line gift store or to purchase more equipment to enhance their health. Remote Patient Monitoring is good for the patient and good for the doctor. RSH is able to collect information that traditionally are only available in a hospital setting. This additional info collected 24/7 enables the a i software to recognize  health trends in the patients life and advise the care team of the problem.  RPM also offers a respectful increase of revenue for the doctors practice and should also help to increase the star rating for the practice. The suggested path for the patient to sign up to RPM is during their visit to the doctors office. The patients is more likely to understand the value of RPM when told about it during their scheduled visit to the doctors office rather than to be contacted by a stranger on the phone. Once the patient signs the form accepting to participate with RPM the documentation is sent via fax or email to RSH.  After receiving the patient signup sheet RSH will implement the welcome call and mail out the home monitoring equipment. Following the delivery of the equipment our customer support center will contact the patient to help assist them in testing their vital for the first time with their new equipment. There are eight pieces of equipment available for delivery to the patient and the doctor can select one that best meet the needs of the patient chronic condition.  The RSH A I platform protocols allows the caregiver to set push and pull notifications to the patient via Interactive Voice Recognition, text, email or connecting the patient to a live support person. The package includes the smart health software platform, the home monitoring equipment that will upload seamlessly to the health cloud through cellular technology and twenty minutes of clinical time . There will not be any cost to the doctor if the patient is denied for payment of cpt code 99454.