

lopment of a highly focused electronic care plan that addresses the specific needs and goals of a patient’s single, complex chronic condition.
Enhanced communication between the specialist and the primary care provider to ensure the treatment plan is unified and understood across the care continuum.
Proactive monitoring and patient education to catch symptoms early, specifically designed to prevent emergency room visits and hospital readmissions.
Meticulous documentation of the 30 minutes of clinical staff time required monthly to bill CPT codes 99424 and 99426.
Learn how our specialized PCM platform can help your specialty practice provide superior care while securing significant new revenue streams.
We analyze your patient roster to find high-risk individuals with a single complex condition (such as Cardiology or Endocrinology cases) for enrollment.
We assist in drafting a comprehensive, condition-specific care plan that meets all CMS requirements and focuses on the patient’s primary health threat.
Our team performs the required 30 minutes of specialized monthly monitoring and coordination, providing you with all necessary records for monthly billing.