Request Demo
Explore What’s Possible With TOCA
Whether you’re looking to launch a new care program, scale an existing operation, improve patient engagement, or optimise financial performance, TOCA can help. Tell us about your organisation, current care model, and priorities, and our team will explore the right combination of technology, devices, care management, and operational support for your needs.
HubSpot Form Embed
Process
How Does It Work?
From enrollment to reimbursement — TOCA handles every step so you don't have to.
Patient Visit
Identify eligible patients and order the appropriate care management programs.
Patient Checkout
Patient is consented, enrolled, and receives everything needed to get started.
TOCA Care Team
Our care team monitors patients, documents services, coordinates care, and escalates issues based on your protocols.
Bill & Get Paid
Each month, we generate billing-ready documentation so your practice can submit claims and get paid.
Reimbursement
CPT Codes Supported
Every TOCA program is built around fully reimbursable Medicare CPT codes.
| CPT Code | Description | Billing Basis | Est. Medicare Rate |
|---|---|---|---|
| 99453 | Initial setup & patient education | One-time | ~$20 |
| 99445 | Device supply for 2-15 days | 30-day | ~$52 |
| 99454 | Device supply for 16-30 days | 30 Days | ~$52 |
| 99457 | First 20 minutes provided by clinical staff | Monthly | ~$50 |
| 99458 | Each additional 20 minutes provided by clinical staff | Monthly | ~$41 |
| CPT Code | Description | Billing Basis | Est. Medicare Rate |
|---|---|---|---|
| G0506 | Initial assessment and care planning | One-time | ~$64 |
| 99490 | First 20 minutes provided by clinical staff | Monthly | ~$61 |
| 99439 | Each additional 20 minutes provided by clinical staff | Monthly | ~$47 |
| 99491 | First 30 minutes provided by QHCP | Monthly | ~$84 |
| 99437 | Each additional 30 minutes provided by QHCP | Monthly add-on | ~$67 |
| CPT Code | Description | Billing Basis | Est. Medicare Rate |
|---|---|---|---|
| 98975 | RTM device setup and patient education | One-time | ~$19 |
| 98976 | RTM for respiratory device supply for 16 days | 30 Days | ~$54 |
| 98977 | RTM for musculoskeletal device supply for 16 days | 30 Days | ~$54 |
| 98980 | First 20 minutes provided by clinical staff | Monthly | ~$51 |
| 98981 | Each additional 20 minutes provided by clinical staff | Monthly | ~$43 |
| CPT Code | Description | Billing Basis | Est. Medicare Rate |
|---|---|---|---|
| 99424 | First 30 minutes provided by QHCP | Monthly | ~$76 |
| 99425 | Each additional 30 minutes provided by QHCP | Monthly | ~$61 |
| 99426 | First 30 minutes provided by clinical staff | Monthly | ~$62 |
| 99427 | Each additional 30 minutes provided by clinical staff | Monthly | ~$47 |
| CPT Code | Description | Billing Basis | Est. Medicare Rate |
|---|---|---|---|
| 99484 | 20 minutes of clinical staff time | Monthly | ~$50 |
| 99492 | First 70 minutes provided by clinical staff | First Month | ~$170 |
| 99493 | First 60 minutes provided by clinical staff | Monthly | ~$136 |
| 99494 | Each additional 30 minutes provided by clinical staff | ~$65 |