Question 1

Will this disrupt our office workflow?

Accepted Answer

No. The practice does two things: the provider writes the RPM or CCM order, and the patient signs consent at checkout. TOCA handles enrollment, devices, monitoring, documentation, and CPT-ready billing summaries.

Question 2

Do TOCA care managers make clinical decisions?

Accepted Answer

No. Care managers work under your name and your protocols — ACC/AHA, ADA, KDIGO, GOLD, and NKF as indicated. Red-flag readings escalate to the prescribing physician. You remain the clinician of record.

Question 3

What if a claim is denied?

Accepted Answer

TOCA credits any charge insurance does not reimburse. Net-30 terms mean you collect before you pay. No setup fees and no long-term lock-in.

Question 4

How fast can a practice go live?

Accepted Answer

Most practices are live in as little as one day after contract execution. TOCA specialists map your checkout workflow so staff burden stays near zero.

Question 5

What if a device fails or a patient cannot use it?

Accepted Answer

Devices are cellular — no Wi-Fi, Bluetooth, or smartphone pairing. TOCA owns technical support, warranty, and replacement. The front desk does not take device calls.

Question 6

Does TOCA bill insurance for us?

Accepted Answer

The practice bills. TOCA AI tracks billable time and generates CMS-aligned CPT documentation (99453–99458, 99490 and add-on codes) for your biller, including audit-ready reports.

Question 7

We already have an RPM vendor. Is switching disruptive?

Accepted Answer

TOCA runs the transition: patient re-consent, a cellular device swap shipped to the home, and re-enrollment — with no gap in monitoring or billing. Most practices are live in days. A 30-day trial of up to 25 patients lets you compare without a commitment.

Question 8

Which patients are eligible?

Accepted Answer

RPM and CCM are reimbursed for Medicare, Medicare Advantage, and many managed Medi-Cal patients with qualifying chronic conditions. TOCA identifies eligible patients from the panel you already have.

Question 9

Can we use TOCA AI without the care team?

Accepted Answer

Yes. Software only is free for up to 100 patients. Your staff runs outreach; TOCA AI provides the clinical intelligence layer, time tracking, and CPT-ready documentation. Larger panels and device logistics can be added when you are ready.

Question 10

Is TOCA AI HIPAA-compliant?

Accepted Answer

Yes. TOCA AI is operated under Business Associate Agreements. PHI is encrypted in transit and at rest. The assistant speaks only to the care team, never to the patient, and does not invent findings. Access is logged.

RPM, CCM, and PCM in the news

In the press

Guided by experience: the patient-centered practice of Dr. Dayan Gandhi

TOCA Health on reimagining chronic care through continuous connection

TOCA Health’s mission: extending care beyond the clinic walls

TOCA’s comment to CMS

From major health newsrooms