Supporting Patients Beyond the Office Visit

Our Chronic Care Management services support patients with multiple chronic conditions through structured, non-face-to-face care coordination.

We assist providers by

• Supporting ongoing patient engagement between visits

• Helping track care plans and clinical goals

• Reinforcing adherence to provider-directed care strategies

• Reducing administrative burden on practice staff

Our CCM services support care coordination, patient engagement, and non-face-to-face management for patients with multiple chronic conditions.

Common CCM codes include

• CPT 99490: At least 20 minutes of clinical staff time per calendar month, directed by a physician or qualified healthcare professional

• CPT 99439: Each additional 20 minutes of clinical staff time per month (add-on code)

Our services are designed to complement existing clinical workflows while maintaining physician oversight.

Consistent Oversight. Actionable Insight.

Remote Therapeutic Monitoring enables providers to gain visibility into patient therapy adherence and progress outside the clinical setting.

Our RTM support focuses on:

• Reliable data collection and monitoring support

• Ongoing patient communication and engagement

• Clear reporting to support clinical decision-making

• Scalable processes that grow with your practice

We emphasize accuracy, consistency, and continuity - so monitoring programs remain dependable over time.

Remote Therapeutic Monitoring allows providers to monitor therapy adherence and patient progress outside the clinical setting. Our RTM support aligns with the following commonly used billing codes:

• CPT 98975: Initial patient setup and education on RTM equipment

• CPT 98985: Device supply with scheduled recordings (musculoskeletal system)

• CPT 98980: First 20 minutes of RTM treatment management per calendar month

• CPT 98981: Each additional 20 minutes of RTM treatment management (add-on code)

Programs are structured to support consistency, data integrity, and ongoing patient communication.

BHI is a CMS backed model that integrates mental, behavioral, and psychiatric care.  Patients may qualify if they have identified mental or behavioral health conditions, including substance use disorder.

Our BHI Support Includes

• Systematic Assessments

• Monitoring of Personalized Plan 

• Continuous Relationship with Care Team Manager 

Common BHI codes include

• CPT 99484: Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified healthcare professional, per calendar month

Our services are designed to complement existing clinical workflows while maintaining physician oversight.

For providers delivering assessment and care planning services related to cognitive impairment or psychological evaluation, we support workflows commonly associated with:

• CPT 96130: Psychological testing evaluation services by physician or qualified healthcare professional (first hour)

• CPT 96132: Neuropsychological testing evaluation services by physician or qualified healthcare professional (first hour)

• CPT 96138: Psychological or neuropsychological test administration and scoring by technician (first 30 minutes for two or more tests)

These services are supported in a manner that prioritizes documentation accuracy and clinical oversight.