Four CMS Programs. Fully Managed.
Every program runs under your NPI. We handle operations, compliance, and billing.
CCM
Chronic Care Management
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
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
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
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.
Get Your Analysis