Frequently Asked Questions

RPM is continuous, technology-enabled monitoring of a patient's vital signs and physiological data outside of a traditional clinical setting. For long-term care facilities, this means ambient sensors in resident rooms that track heart rate, respiration rate, and movement 24 hours a day, without wearables, without interrupting residents, and without additional work for your nursing staff.

Nurse call systems and bed alarms are reactive, responding after something has already happened (a fall, a button press, a resident leaving bed). TRC is predictive. Our AI monitors continuous physiological trends and identifies the patterns that precede a deterioration event, hours or days before it becomes a crisis. You are not responding to emergencies. You are preventing them.

No. TRC sensors are mounted in the room, not on the resident. There are no wearables, no patches, no devices to charge or wear. Residents continue their daily routines completely unchanged. Many residents are entirely unaware the monitoring is occurring, which also avoids many of the compliance challenges common with wearable monitoring programs.

Sensor installation takes under 30 minutes per room. A typical 60-bed facility is fully installed in one day. Our team handles all installation. There is no construction, no drilling into walls, and no disruption to resident care or daily activities. Most facilities are fully live within 3 to 5 business days of signing.

The system spends the first 72 hours after installation learning each resident's individual physiological baseline: their normal heart rate range, their typical breathing patterns, their movement behavior day and night. Alerts are triggered based on meaningful deviations from that personal baseline, not a one-size-fits-all clinical threshold. A heart rate of 90 bpm means something very different for a resident whose normal is 65 versus one whose baseline is 88. The AI knows the difference.

This is one of our primary design concerns. TRC is built to reduce alarm fatigue, not contribute to it. Because alerts are personalized to each resident's baseline and calibrated for clinical significance, the signal-to-noise ratio is high. During the first 30 days, your implementation manager actively works with your team to tune thresholds to your facility's specific environment. If your nurses are getting too many alerts, we adjust. That is part of the ongoing service.

TRC continuously monitors heart rate, respiration rate, and movement patterns. These three indicators, when tracked together longitudinally, provide the earliest detectable signals of the most common causes of deterioration in long-term care residents, including respiratory infections, cardiac events, sepsis onset, and dehydration. Our CCM program also incorporates additional condition-specific tracking integrated from clinical assessments.

The assigned nurse receives a push notification on their mobile device and a dashboard alert. The alert includes the resident's name, room number, the specific vital sign or pattern that triggered it, the severity level, and a trend visualization showing the deviation from baseline. Your team decides how to respond. TRC provides the intelligence, your clinicians exercise the judgment.

TRC integrates natively with PointClickCare, the most widely used EHR in skilled nursing facilities, as well as eClinicalWorks, and other major platforms via HL7/FHIR-compliant APIs. If your facility uses a system not on this list, contact us. We have integrated with dozens of platforms and our technical team will assess compatibility during pre-implementation at no additional charge.

TRC sensors can connect via your existing Wi-Fi infrastructure or via dedicated cellular gateways if Wi-Fi coverage is insufficient. Our implementation team conducts a connectivity assessment before installation to identify any gaps. Most facilities require no network changes whatsoever. For facilities with challenging infrastructure, we provide cellular gateway hardware as part of the implementation package.

All resident data is stored in a HIPAA-compliant, SOC 2 Type II audited cloud environment. Each facility operates within its own isolated data instance, and your resident data is never co-mingled with another facility's data. Access is controlled by role-based permissions that you configure. TRC staff can only access your data with your explicit authorization for support purposes, and all such access is logged and auditable.

Yes. Medicare reimburses for Remote Patient Monitoring under CPT codes 99453, 99454, 99457, and 99458. CCM is reimbursed under CPT codes 99490, 99491, 99487, and 99489. Eligibility requirements apply and vary by patient. TRC generates all the documentation required to support billing, including time logs, device readings, clinical review records, and care plan updates, automatically and in CMS-compliant format. Your billing team submits; we do the paperwork.

TRC provides the documentation infrastructure and reporting required for billing, but we do not submit claims on your behalf. Your existing billing team or billing partner handles claim submission using the records TRC generates. If your facility does not have billing expertise for RPM and CCM, we can refer you to specialized billing partners we work with. We make the documentation bulletproof; your team or partner handles the submission.

TRC maintains a continuous, auditable record of all monitoring activity, including every alert, every clinical review, every care plan update, and every vital sign data point. This record can be exported in standard formats on demand. Facilities using TRC have found survey preparation significantly less burdensome because the documentation is always current, always complete, and always accessible. Your surveyor asks for a record; you pull it in seconds.