Accountable care organizations (aco)
- Enhance Your Patients Outcomes
- Increase Patient Satisfaction
- Improve Revenue
- Streamline Workflow
- Partner with Experts in CCM
Health systems, Providers, & Physician groups
- Enhance Your Patients Outcomes
- Increase Patient Satisfaction
- Improve Revenue
- Streamline Workflow
- Partner with Experts in CCM
Patients
- Reduce your annual, out-of-pocket medical expenses
- Dedicated Personal Care Manager
- Comphensive Care Plans
- Health Goal setting
- Medication management and support
- 24/7 support
Chronic Care Management Services
experienced Nursing team
experienced Nursing team
experienced Nursing team
Our Nurses and Care Tea comprised of dedicated and compassionate professionals, deliver personalized and comprehensive care coordination, utilizing advanced technology for seamless communication and enhanced care delivery.
Chronic Care Management
experienced Nursing team
experienced Nursing team
Our complete Chronic Care Management (CCM) service offers an end-to-end solution that encompasses patient eligibility assessment, personalized outreach, comprehensive education, tailored care management, and efficient billing processes.
Billing Optimization
experienced Nursing team
Patient Engagement & Education
Our streamlined automated billing system ensures that providers can effortlessly capture reimbursement for CCM services, making our comprehensive program not only a catalyst for better patient health but also a driver of financial sustainability for your practice.
Patient Engagement & Education
Patient Engagement & Education
Patient Engagement & Education
Our patient engagement and education program is designed to empower individuals with chronic conditions by providing them with the knowledge, tools, and support they need to actively participate in their own care.
Dashboards & Analytics
Patient Engagement & Education
Dashboards & Analytics
By combining data-driven patient health metrics with revenue performance, our reporting empowers providers to make informed decisions, optimize care delivery, and maximize the financial returns of their chronic care management efforts.
Our software capabiltities
Chronic Care Management
+ Our inhouse software has been designed by experienced Chronic Care nurses.
+ Automated record timin to ensure accurate billing code records.
+ Built in calling system and patient portal.
Remote Patient Monitoring
+ Comprehensive Patient Vitals Dashboard.
+ Device integrated patient mobile app that supports devices such as Fitbit, Google Fit, iHealth, Withings, and more.
+ Supports reliable protocols like HTTP(S), FTP(S), and TCP/IP
Behavioral Health Integration
+ Integrated Behavorial Health screening assesmments.
+ Built-in logic automatically scores for alcoholism, smoking, depression, and behavioral health.
+ CAGE, PACK, PHQ-2, PHQ-9,and GAD-2 screeners and provides recommendations.
Transitional Care Management
+ Post-discharge patient services such referrals, medication reconciliation, and evaluation of diagnostic testing.
+ TCM checklists to keep track of the crucial timelines and service needs.
+ Streamline transitional care to reduce readmissions to hospitals and enhance results.
EHR Integrations
