Device data pipelines
BLE, cellular, Wi-Fi, LoRa — we've ingested data from blood pressure cuffs to continuous glucose monitors to in-home environmental sensors.
Service · Remote patient monitoring
Connected-device data pipelines, alerting without burnout.
From wearable telemetry to in-home hubs to caregiver dashboards — RPM systems built for the reality of intermittent connectivity, alert fatigue, and CMS reimbursement codes.
How we deliver
03 · RPMAudit
5-day technical + compliance review
- 02
Architect
Diagrams, ADRs, fixed-price plan
- 03
Build
Engineering against the audit findings
- 04
Validate
Conformance suites, security review
- 05
Deploy
Hand-off with the docs your team needs
~6 weeks typical0 / 5 phases
What we build
Six things, in one engagement.
AI alerting + triage
Threshold + ML-based alerting calibrated to your clinical pathway. Caregiver review queues, escalation chains, alert-fatigue metrics.
Caregiver dashboards
Census views, individual patient drill-downs, time-on-task tracking for CCM / RPM billing codes (99453, 99454, 99457, 99458).
Patient mobile companion
iOS / Android apps for medication reminders, daily readings, education, and async messaging with the care team.
Intermittent connectivity handling
Edge buffering, store-and-forward, conflict resolution for late-arriving data. Patients without Wi-Fi still work.
Care plan engines
Configurable per-condition pathways. Diabetes, hypertension, CHF, behavioral health — all without code changes.
Who it's for
Built for these teams.
Hospitals & health systems
Standalone RPM programs or chronic-care extensions of existing service lines.
Read moreDigital health startups
DTC and B2B2C platforms, with the device fleet and reimbursement work figured out.
Read moreMedTech & device companies
Cloud + mobile companions for your hardware, ready for FDA submission.
Read more
Tech we work with
AWS IoT CoreAzure IoT HubMQTTBLEReact NativeNode.jsKafkaFHIR R4PostgreSQLPyTorch
Compliance scope
- HIPAA Security Rule
- CMS RPM billing (99453-99458)
- FDA premarket cybersecurity (for SaMD)
- Apple HealthKit
- Android Health Connect
Our process
Predictable delivery — even when the scope isn't.
015 days
Audit & plan
We review your code, infrastructure, and compliance posture. You get a written report, architecture diagram, gap analysis, and a fixed-price roadmap.
022-week sprints
Rescue or build
Weekly demo. Live dashboard with sprint velocity, open issues, and burndown. Read access to our repo from day one.
03Continuous
QA & compliance
Automated and manual testing, security review, HIPAA-readiness check, optional third-party penetration test.
04Ongoing
Deploy & optimize
Production launch with monitoring, on-call rotation if you want it, continuing development at a steady cadence.
FAQ
Questions we get on the first call.
Can you integrate our existing device, or do we have to use yours?
Yours. We've ingested data from 40+ device makers (Withings, iHealth, Dexcom, BodyTrace, A&D, and more). If it has an SDK or BLE GATT profile, we can integrate.
How do you handle alert fatigue?
Per-clinician alert budgets, learned thresholds based on individual patient baselines, snooze states, and dashboard metrics that flag clinicians approaching saturation.
Do you handle CMS reimbursement coding (CCM / RPM)?
Yes — every dashboard ships with the time-on-task tracking and chart-note workflows required for 99457/99458 billing. Auditable per-month per-patient.
Insights · Read more
Background reading for buyers.
EngineeringApr 17, 2024
Remote patient monitoring without burning out caregivers
Alert fatigue kills RPM programs faster than any technical issue. Here's the framework we use to design alert systems that surface the right thing at the right time — and the metrics that tell you it's working.
Denis Sheremetov · 11 min
AIDec 15, 2025
Building a clinical validation harness for ML in healthcare
Models that work on benchmarks don't always work in your hospital. Here's the validation infrastructure we wish every team had on day one.
Serhii Kholin · 11 min
ComplianceJun 19, 2021
What a HIPAA audit actually looks like — from the inside
Most teams build to a checklist and hope. We've sat across from the auditor — here's what they actually ask, and what surprises engineering teams.
Denis Sheremetov · 8 min
Start with the audit
5 days. Written report. No commitment.
Tell us what you're building or what's not working. We'll come back with a written audit and a fixed-price plan.