What happens when the Wi-Fi drops?

Detection runs on the bedside phone, not in the cloud, so a fall still alarms locally the moment it happens. Readings queue on the phone while the link is down and backfill to the station the moment it returns. Nothing is lost and nothing waits for the network.

What has to be installed in the building?

Nothing wired. Each resident gets a wristband and a phone at the bedside; the phone uses the facility Wi-Fi or its own cellular connection. There are no ceiling sensors, no cabling and no server on site.

How much extra work is this for nursing staff?

Readings arrive on their own — nothing is typed in by hand. Staff watch one station screen rather than checking devices per resident, and acknowledge alarms from that screen. The clinical time they already spend reviewing residents is what supports the monthly billing codes.

Which billing codes does this support?

Remote physiologic monitoring: 99453 for setup, 99454 or the new 99445 for device supply depending on how many days of data a resident returns in the period, and 99457 or the new 99470 for treatment management with 99458 for additional time. The calculator on this page models the combinations and enforces the exclusivity rules between them.

Where does resident data live, and who can see it?

Data is encrypted in transit and at rest, and access is scoped to the facility staff you authorise. Every alarm acknowledgement is logged against the name of the person who cleared it, which is what gives you a defensible record of response time.

How does the 30-day trial work?

You pick a small number of residents, we ship the devices, and you run it alongside your existing rounds for a month. No credit card up front and no hardware ships until you tell us to. If it does not earn its place you send the kit back.

Remote patient monitoring for nursing homes

Every resident on one screen.Every fall on the same screen.

WatchMyVitals turns a phone at the bedside into a monitored bed. Vitals, falls and wandering reach the nurse station the second they happen — not at the next round.

No credit card. No hardware shipped until you say go.

Build a resident and watch it reach the station

Alice Whitfield

Room 112 · Floor 1

Stable

Heart rate bpm

SpO₂ %

Resp. br/min

Temp. °F

98.1

BP mmHg

122/78

Steps

412

Falls
Oxygen
Blood pressure
Temperature

Build a resident, watch the system work

Not a video, and not a screenshot. Admit someone, fit their devices, take a reading, and see what the station does when they fall — in about ninety seconds, in your browser.

Create the residentType over the details. The card builds as you go.
Fit the devices
Take a reading
Watch the data travel
The nurse station

Resident nameMargaret Ellis

Age82

Room104

Primary conditionHypertension

Nothing here is sent anywhere. This is a sandbox running entirely in your browser.

Margaret Ellis

Room 10482 yrs

Hypertension

Devices

Monitoring · 9

SpO₂
Heart rate
Perfusion
Respiration
Fall detection
SOS button
Activity and posture
Safe-zone exit
Watch left behind

1 / 5Create the residentType over the details. The card builds as you go.
2 / 5Fit the devicesAdd or remove devices. What you skip stays unavailable later.
3 / 5Take a readingPush a value out of range and watch what happens.
4 / 5Watch the data travelIncluding what happens when the network drops.
5 / 5The nurse stationSimulate a fall and acknowledge it.

What we watch

Two halves of the same record: the readings a nurse would take on a round, and the events nobody is present for.

Safety events, not just readings.

Detection runs on the wristband and the bedside phone, so it works during a Wi-Fi dropout and alerts locally the moment it fires.

fall
Fall detection
Impact plus body-orientation confirmation, tuned on recorded real-world falls — not a raw accelerometer threshold.
SOS
Wristband SOS button
A resident presses; the station knows which room before anyone shouts.
zone
Safe-zone exit
Resident leaves the defined area. Alerts the station, and family where the resident lives independently.
sep.
Watch left behind
The band stops reporting to its phone. You find out in about two minutes instead of at the next round.
rest
Prolonged rest
Hours without movement trigger a gentle check-in prompt, with quiet hours respected.

mmHg
Blood pressure
Upper-arm cuff
%
SpO₂
Fingertip oximeter
bpm
Heart rate
Oximeter or cuff
°F / °C
Temperature
Continuous patch
br/min
Respiration
Derived at the oximeter
steps
Activity and posture
B10 wristband

How it works

Six stages, from admitting a resident to billing for the month.

01
Enrol
Add the resident and their room.
Thresholds are set per person, not per facility.
02
Pair
Devices pair to the bedside phone.
No wiring, no server on site.
03
Stream
Readings arrive on their own.
Nothing is typed in by hand.
04
Watch
One station screen for every bed.
Colour and words, never colour alone.
05
Respond
Alarms name the room immediately.
Acknowledgement is logged against a name.
06
Bill
Monitoring days and clinical time accrue.
The record supports the monthly codes.

What it pays back

2026 codes, with the exclusivity rules enforced — 99445 against 99454, and 99470 against 99457. Move the sliders to your own census.

Residents in the facility120

Eligible and enrolled55% · 66 residents

Reach 16+ monitoring days75% · 50 on 99454, 16 on 99445

Estimated monthly billing

$6,943

$83,315 a year

Per-resident figures assume Part B billing. Residents in a covered Part A stay are subject to SNF consolidated billing, which generally bundles the device-supply codes.

Illustrative only, based on 2026 national non-facility averages. Actual payment varies by locality, payer and documentation. This is not billing advice — confirm against the current fee schedule and your own MAC before relying on it.

Rates last verified 2026-09

How a month is billed

Four steps, in the order they happen. The two codes that changed for 2026 — 99445 and 99470 — are what make a partial month, or a short month of clinical time, worth billing at all.

1
Enrol the resident
- 99453$21.71
Bill 99453 once, when the device is set up and the resident or the staff caring for them is taught to use it. It pays for the setup, not for the month.
Once per episode of care — not every month, and not again for a second device on the same episode.
2
Supply the device and collect the data
- 99454$52.11
- 99445$52.11
One device-supply code per resident per 30 days, chosen by how many days actually transmitted: 99454 at 16 days or more, 99445 at 2 to 15. 99445 is new for 2026 and is what makes a partial month billable at all.
Mutually exclusive. Never both in the same 30-day window, however many devices the resident wears.
In 2026 both supply codes pay the same, so the days threshold decides which code you bill, not what you are paid for it.
3
Log the clinical time
- 99470$26.05
- 99457$51.77
One management code per calendar month, chosen by the time your staff logged: 99470 for the first 10 minutes, 99457 for the first 20. Both require at least one real-time, two-way conversation with the resident or their caregiver during the month.
Also mutually exclusive, and the interactive contact is not optional — logged review time alone does not support either code.
4
Add further time, if there was any
- 99458$41.42
99458 covers each additional 20 minutes beyond the first 20, in whole increments.
An add-on to 99457 only. It cannot ride on 99470, so the 10-minute route caps what a heavy month can earn.

Which residents this applies to

Long-term residents, billed under Part B

The codes above apply in the normal way. This is most of a typical facility's census, and it is the population the calculator models.

Residents in a covered Part A stay

During a skilled, post-hospital stay, SNF consolidated billing folds almost everything into the facility's prospective payment. The device-supply codes, 99454 and 99445, are generally bundled and are not separately billable. Practitioner management time — 99457, 99458 and 99470 — is a professional service, which consolidated billing excludes, so it can remain separately payable.

Before any of it bills

The device has to be a medical device: It must meet the FDA definition and transmit readings automatically. Numbers a nurse keys in by hand do not support the supply codes.
Consent on file before you bill: It can be taken at the first service, and staff working under general supervision can take it. It does have to be recorded.
One practitioner per resident per 30 days: Only one practitioner may bill RPM for a resident in a period, so a resident followed by two groups is a coordination problem before it is a billing one.
RPM and RTM are not additive: Remote physiologic and remote therapeutic monitoring cannot both be billed for the same resident in the same month.
Clinical staff time counts: Time logged by clinical staff under general supervision counts toward the management codes; the practitioner who bills holds the NPI.

WatchMyVitals vs a typical RPM tool

Specific capabilities, not adjectives. Every row is something you can ask any vendor to demonstrate.

Capability	WatchMyVitals	Typical RPM platform
Fall detection	Impact plus orientation confirmation, on the wristband and phone	Not offered — vitals only
Works during a Wi-Fi dropout	Detection runs on the phone; readings queue and backfill	Cloud-side processing; a dropout is a gap in the record
Resident-initiated SOS	Button on the wristband, routed with the room number	Not offered
Safe-zone exit and wandering	Alerts the station, and family for independent living	Not offered
Per-resident thresholds	Set per person at enrolment	Commonly one threshold set per facility
2026 codes 99445 and 99470	Modelled, with the exclusivity rules enforced	Typically still modelling 99454 and 99457 only

Fall detection
WatchMyVitalsImpact plus orientation confirmation, on the wristband and phone
Typical RPM platformNot offered — vitals only
Works during a Wi-Fi dropout
WatchMyVitalsDetection runs on the phone; readings queue and backfill
Typical RPM platformCloud-side processing; a dropout is a gap in the record
Resident-initiated SOS
WatchMyVitalsButton on the wristband, routed with the room number
Typical RPM platformNot offered
Safe-zone exit and wandering
WatchMyVitalsAlerts the station, and family for independent living
Typical RPM platformNot offered
Per-resident thresholds
WatchMyVitalsSet per person at enrolment
Typical RPM platformCommonly one threshold set per facility
2026 codes 99445 and 99470
WatchMyVitalsModelled, with the exclusivity rules enforced
Typical RPM platformTypically still modelling 99454 and 99457 only

What changes on the floor

Three things we can state without a footnote.

3.4s
From fall detected to the station showing the room number.
1
Screens a nurse watches, however many residents are enrolled.
0
Readings typed in by hand.

Questions administrators actually ask

The six that come up on every call.

See it running on your own census.

Thirty minutes, your resident numbers, and a real station wall. If it does not earn its place on your floor, you will know inside the first ten.