---
title: Compliance | Telecare USA
description: We follow federal laws and use a compliant flat-fee RPM model to keep your practice safe.
---

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VETERAN-OWNED & OPERATED TeleCARE USA 

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Before You Go

## Ready to Simplify Remote Care?

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- Support from onboarding through reimbursement
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## Access Your TeleCARE Platform

Select the platform connected to your monitoring device. Most TeleCARE patients and practices use FORA.

Most Common

### Login with Fora

Choose this option if your monitoring device or welcome materials say FORA.

[Log in to FORA](https://telehealth.foracare.com/NewLogin.aspx)

### Kangaroo Health

Choose this option if your welcome materials or TeleCARE team directed you to Kangaroo Health.

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 Not sure which platform to use? Check your device or welcome email, or contact [support@telecare-usa.com](mailto:support@telecare-usa.com)

# Why We Don’t Offer Percentage-Based or “No-Pay-if-Denied” RPM Service Models?

### 1. Federal Law Prohibits Outcome-Based Compensation Tied to Medicare Claims

Federal laws like the Anti-Kickback Statute (42 U.S.C. §1320a–7b(b)) and the Stark Law (42 U.S.C. §1395nn) prohibit arrangements where compensation is tied to the value or volume of Medicare-reimbursed services. This includes RPM services billed under CPT codes such as 99453, 99454, and 99457.

### 2. Percentage-Based Fees Raise Kickback and Referral Concerns

Charging a percentage of what the doctor receives from Medicare or Medicare Advantage plans is considered ‘remuneration.’ Regulators view this as a potential inducement to refer services, which violates federal law even if the service itself is legitimate.

### 3. ‘No-Pay-if-Denied’ Models Are Risky and Potentially Illegal

Waiving our fees when a provider doesn’t get paid may seem helpful, but it legally constitutes a form of financial incentive that undermines fair market value requirements and creates risk under AKS and Stark Law.

### 4. CMS and OIG Require Fair Market Value (FMV) Compensation

The Office of Inspector General (OIG) has clearly stated that compensation must be set in advance, commercially reasonable, and not tied to reimbursement. We only offer flat-fee RPM agreements that comply with this standard.

### 5. Protecting You (and Us) from Regulatory Audits and Penalties

Improper compensation models can trigger investigations, audits, and severe penalties for both the provider and the service company. We prioritize compliance to protect your practice from avoidable legal risk.

### 6. Our Flat-Fee Model Is Compliant and Transparent

We charge a fixed monthly fee per enrolled patient for RPM services if we achieve a billing code for you. If we do not get a billing code, then we did not deserve to be paid as we did not perform the services you are expecting. This ensures transparency, compliance, and peace of mind — while letting you retain 100% of your reimbursements.

**Don Self, CMCS, CPC, CASA**  
**President, TELECARE-USA**

# SCHEDULE A DEMO

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Founded in 2019 by Don Self, a Medical Billing and Coding expert with 40+ years of experience, TeleCARE was created to fill a crucial gap in healthcare by providing exceptional Remote Physiologic Monitoring (RPM) services.

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