Field notes
One spine, three very different practices
The largest federally qualified health center in Texas running blood pressure at population scale. A sleep medicine group rescuing PAP starts inside the ninety-day compliance window. A teleneurology network following mTBI recovery from the patient's own phone. Different specialties, different devices, different payers — the same ingest layer, threshold engine, and audit trail underneath. That is what device-agnostic means when it has to cash out.
Hypertension at Legacy Community HealthMedicare's highest-volume monitoring program, run at FQHC scale in the population every default kit excludes.
RPM
Federally qualified health center
99453 99454 99445
Sleep apnea with Sleep VigilPAP adherence is the entire outcome, the payer decides it in ninety days, and the rescue window is week two.
RTM
Sleep medicine group
98975 98976 98984
mTBI recovery with NeuroGlympseMore than half of mild TBIs are missed at first presentation. Find the injury with instrumented testing, then follow it from the patient's phone until it resolves.
RTM
Teleneurology network
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