Programs

Four CMS Programs. Fully Managed.

Every program runs under your NPI. We handle operations, compliance, and billing.

CCM

Chronic Care Management

$62/pt/moCMS 99490

Non-face-to-face care coordination for patients with 2+ chronic conditions. Monthly check-ins, medication reviews, and care plan management.

Who Qualifies

Medicare patients with 2+ chronic conditions expected to last 12+ months (e.g., diabetes + hypertension, COPD + heart failure).

Clinical Outcomes

  • 38% reduction in ER visits
  • 23% fewer hospital readmissions
  • Improved medication adherence

How It Integrates

We access your EHR, identify eligible patients, handle enrollment and consent, then manage all coordination. You sign off on care plans monthly.

RPM

Remote Patient Monitoring

$35/pt/moCMS 99457

FDA-cleared devices track patient vitals (BP, glucose, weight, O2 sat) between visits. Our team monitors data and intervenes as needed.

Who Qualifies

Patients with conditions requiring regular monitoring — hypertension, diabetes, CHF, COPD, post-surgical recovery.

Clinical Outcomes

  • 27% improvement in BP control
  • 34% reduction in A1C for diabetic patients
  • Earlier intervention on critical trends

How It Integrates

We ship devices to patients, train them on usage, and monitor all incoming data. Alerts are escalated per your clinical protocols.

BHI

Behavioral Health Integration

$27/pt/moCMS 99484

Integrated behavioral health services including depression screening, anxiety management, substance use coordination, and psychiatric care planning.

Who Qualifies

Patients with behavioral health conditions — depression, anxiety, PTSD, substance use disorders, eating disorders.

Clinical Outcomes

  • 41% improvement in PHQ-9 scores
  • Reduced psychiatric ER utilization
  • Better medication compliance

How It Integrates

We conduct initial screenings, develop behavioral health care plans, and coordinate with your prescribers. Psychiatric consultations arranged as needed.

CHI

Complex Health Integration

$14/pt/moCMS 99487

Extended care coordination for patients with highly complex medical needs requiring 60+ minutes of clinical staff time per month.

Who Qualifies

Patients with 3+ chronic conditions requiring intensive coordination — multiple specialists, complex medication regimens, social determinants of health.

Clinical Outcomes

  • Reduced care fragmentation
  • Improved specialist communication
  • Lower total cost of care

How It Integrates

We layer CHI on top of existing CCM enrollments for qualifying patients. Additional revenue with minimal additional clinic burden.

Not sure which programs apply?

We'll analyze your patient panel and tell you exactly which programs — and how much revenue — you qualify for.

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