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Physician-led · Medicare-aligned

One enrolled panel.
Every care line.

We help practices run fully managed remote care management programs — clinical execution, billing, and compliance handled end to end. You keep the patient relationship; we do the rest.

We build the program around your existing panel — clinical, billing, and compliance handled end to end.

Care lines, one panel Live model
Chronic Care ManagementCCM
Remote Patient MonitoringRPM
Transitional CareTCM
Behavioral HealthBHI
Advanced Primary CareAPCM
Revenue lines from a single enrollment 5+
Built for the way Medicare pays
MSO compliance backbone
Physician-led billing
Real-time vitals oversight
Dedicated care team

Programs we manage

A full care-management stack, run on your behalf

Every program shares the same enrolled panel — so each patient can support several compliant, reimbursable care lines at once.

Chronic Care Management

For patients with two or more chronic conditions

Monthly non-face-to-face management for patients with two or more chronic conditions — care plans, coordination, and documentation handled for you.

Remote Patient Monitoring

Connected-device monitoring & review

Cellular-connected devices, automated readings, and clinician review — early signal on the patients who need attention before it becomes a visit.

Transitional Care Management

The 30 days after a discharge

Structured 30-day follow-up after discharge to close gaps, reconcile medications, and keep readmissions — and penalties — down.

Behavioral Health Integration

Integrated behavioral health support

Integrated behavioral health support layered onto the primary care relationship — collaborative care without the standup cost.

Advanced Primary Care Mgmt

Complexity-tiered · no time tracking

Complexity-tiered primary care management without time tracking — a lighter documentation chassis for the right panel.

Telehealth Follow-up

Coming soon

Virtual visits wired directly into the monitoring workflow — so a flagged reading becomes a clinical touchpoint the same day.

How partnership works

We stand up the program. You keep the patients.

1

Identify the panel

We review your patient population and map who qualifies for which care lines.

2

Enroll & equip

Patients are enrolled and set up with connected devices — onboarding done for them.

3

We run the clinical work

Our care team monitors, documents, and coordinates every month under your physician of record.

4

You bill, you grow

Compliant claims flow under your practice — multiple reimbursable lines from one enrolled panel.

What it pays

Real Medicare reimbursement — without the time clock

Advanced Primary Care Management replaced the minute-tracking of older programs with simple, complexity-tiered monthly payments. Here's what Medicare pays per enrolled patient, every month:

Level 1 · G0556
~$16
per patient / month
Patients with one or no chronic conditions.
Level 3 · G0558
~$117
per patient / month
Two or more chronic conditions and a Qualified Medicare Beneficiary.

This is where one panel becomes several revenue lines. APCM can be billed alongside Remote Patient Monitoring for the same patient — and with Medicare's new behavioral-health add-ons — compounding the monthly value of every enrolled patient. We handle eligibility, documentation, and billing, so the revenue lands without the admin landing on your staff.

Figures are national non-facility averages under the 2026 Medicare Physician Fee Schedule, rounded; actual local rates vary by region. APCM is billed in place of CCM, PCM, or TCM for a given patient in a given month — not in addition to them.

Why practices partner with us

All of the program. None of the build.

Compliance owned

Documentation, time capture, and audit-ready records are our responsibility, built into every workflow.

Compounding revenue

Layered care lines turn a single enrolled patient into several recurring reimbursable touchpoints.

Your team stays light

No new hires, no new software to learn. We slot into your practice and report back.

5+
Reimbursable care lines from one enrolled panel
End‑to‑end
Clinical, billing & compliance — managed for you
24/7
Connected-device monitoring & alerting
100%
Patient & billing relationship stays yours

About us

Care management, run like part of your practice

Comprehensive Care Monitoring is a physician-led care management organization. Most practices already have the patients for Medicare's remote care programs — what they're missing is the time, staff, and infrastructure to run them well. We provide exactly that.

We handle clinical execution, billing operations, and compliance, while your practice keeps its patients, its physician relationships, and its brand. Care is delivered by a dedicated team and documented to an audit-ready standard every month — so the program feels like an extension of your practice, not a vendor bolted on.

What we manage

  • Clinical execution & monitoring
  • Patient enrollment & devices
  • Billing & claims operations
  • Compliance & documentation

What stays yours

  • Your patients
  • Your physician relationships
  • Your brand & reputation
  • The reimbursement

Let's see if your panel is a fit.

Tell us a little about your practice and we'll come back with a clear picture of which care lines fit your patients — and what a managed program would look like.

Typically reply within one business day.