Signal CGM ingests your Brightree or WellSky CSV export, calculates coverage expiry per patient using CMS wear-day rules, and delivers a prioritized worklist — so your team can act before a denial condition exists.
CGM coverage gaps don't announce themselves. By the time a claim denies, your staff is in reactive mode — appeals, re-submissions, and lost reimbursement time.
CGM claims fail at one of the highest rates in DMEPOS — most due to preventable coverage gaps.
HME platforms weren't built for CGM's device-specific wear-day rules or PA workflows.
CMS is bringing CGM into competitive bidding. Small suppliers without clean billing records are at risk.
Since February 2026, the nationwide moratorium means suppliers can't grow their way out of billing problems.
Signal CGM works alongside your existing HME platform — not instead of it. Import what you already have, get a prioritized action list back.
Export your shipment data from Brightree, WellSky, or any HME platform in CSV format. Signal CGM ingests: patient_id, device type, shipment date, quantity, and payer. No PHI required — your patient_id is the only crosswalk key.
Signal CGM applies CMS wear-day rules per device type (Dexcom G7, FreeStyle Libre 3, Omnipod 5, and others) to calculate exact coverage expiry per patient. PA requirements and payer rules are cross-referenced automatically.
Signal CGM delivers a ranked worklist — highest-risk patients first — every 24 hours. Your team initiates outreach before coverage gaps emerge. Appeals volume drops. Proactive outreach stays flat and predictable.
Signal CGM never stores patient names, dates of birth, Social Security numbers, or contact information. The sole crosswalk key is your internal patient_id (MRN or account number). Your staff maintains the patient_id ↔ identity mapping locally, in your existing system. Signal CGM sees: device type, shipment date, quantity, and payer. Nothing else.
See Signal CGM with your own CSV data. We'll walk through coverage calculations, the priority scoring model, and fit for your billing workflow.