Medicare Programs

All Care Management Programs

CareStream manages 8 Medicare care management programs end-to-end. From enrollment and documentation to billing and compliance - your team stays focused on care while we handle the rest.

APCM

Advanced Primary Care Management

A modern alternative to CCM with no time tracking, tiered reimbursement based on patient complexity, and simplified monthly billing.

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No time tracking required
CCM

Chronic Care Management

Monthly care coordination for patients with two or more chronic conditions. The foundation of care management for most practices.

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20 min minimum per month
RPM

Remote Patient Monitoring

Physiological monitoring using connected devices. Real-time data from BP monitors, glucose meters, and scales for clinical decisions.

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16 days of readings required
RTM

Remote Therapeutic Monitoring

Therapy-focused monitoring for musculoskeletal, respiratory, and behavioral health conditions through patient-reported outcomes.

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No device prescription needed
PCM

Principal Care Management

Focused management for patients with a single high-risk chronic condition requiring intensive, specialty-specific care pathways.

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Single condition focus
TCM

Transitional Care Management

Post-discharge follow-up within 2 business days to reduce readmissions through medication reconciliation and care gap closure.

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Contact within 2 business days
AWV

Annual Wellness Visit

Comprehensive preventive visits that close care gaps, complete health risk assessments, and generate substantial preventive revenue.

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Once per calendar year
BHI

Behavioral Health Integration

Formal billing for behavioral health conditions managed in primary care: depression, anxiety, PTSD, and substance use disorders.

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Psychiatric consultant required

Not sure which programs fit your practice?

Most practices qualify for 3 to 5 programs simultaneously. Our team will assess your patient panel and recommend the right combination.

Talk to Our Team