Our Services

The new APCM billing codes incorporate elements based on current CPT codes for chronic care monitoring (CCM), transitional care management (TCM), and principal care management (PCM) and will be divided into three levels based on the number of chronic conditions and whether the beneficiary is enrolled as a Qualified Medicare Beneficiary. This service is a value-based initiative that pulls in requirements for risk stratification and population health management.  

Proactively manage chronic conditions with Chronic Care Management services. Our CCM program offers ongoing care coordination for patients with two or more chronic conditions, helping to prevent complications and improve quality of life. Through regular check-ins, care planning, and coordination with healthcare providers, CCM ensures patients stay on track with their health goals.

Empower patients and providers with real-time health insights through Remote Patient Monitoring. Using advanced digital devices, we track key health metrics like blood pressure, heart rate, or weight. RPM enhances patient engagement, reduces hospitalizations, and enables timely interventions by keeping providers connected to their patients remotely.

Promote preventive care with Annual Wellness Visits. This Medicare-covered service focuses on personalized health risk assessments and prevention planning. AWVs help identify potential health issues early, create tailored health strategies, and improve overall patient well-being.

Ensure a smooth transition from hospital to home with Transitional Care Management. Our TCM program provides follow-up care and coordination during the critical period after discharge, reducing the risk of readmission and supporting recovery. Services include medication reconciliation, follow-up appointments, and personalized care plans.

Optimize medication effectiveness with our Comprehensive Medication Review service. Our experienced clinical pharmacists complete this essential benefit which drives quality scores for prescribers and health plans.

Take diabetes management to the next level with Continuous Glucose Monitoring. CGM devices provide real-time glucose readings, trends, and alerts, enabling patients and providers to make informed decisions. This innovative approach enhances glucose control and reduces the risk of complications for individuals with diabetes.

Support therapy success with Remote Therapeutic Monitoring. RTM leverages technology to track patient adherence and response to treatment for musculoskeletal, respiratory, or rehabilitation needs. By monitoring therapy remotely, providers can make adjustments in real time, ensuring patients stay on track with their recovery.