We handle everything: patient outreach, monitoring, documentation, compliance, and billing workflows, so your practice can capture care management revenue without hiring dedicated staff.
Most practices know care management programs like CCM, RPM, and APCM represent significant revenue opportunities. But finding, training, and managing care coordinators is expensive and time-consuming. Staff turnover creates gaps in patient care and revenue. And compliance complexity makes many practices hesitant to start.
CareStream Fully Managed service eliminates these barriers. We operate your care management programs end-to-end, using our AI-powered platform and trained care management team to handle everything from patient identification to billing, while your physicians stay focused on what they do best.
The result: Your practice captures care management revenue with minimal physician time investment, no additional headcount, and zero audit anxiety.
Our comprehensive approach covers every aspect of care management operations:
We continuously analyze your EHR data to identify patients eligible for care management programs based on diagnoses, utilization patterns, and payer rules. No manual chart review required.
Our team conducts compliant outreach via phone and SMS to educate patients about their care management benefits and collect required consent. We handle follow-up for patients who don't respond initially.
Enrolled patients receive regular check-ins, medication reminders, health education, and support through AI-assisted conversations. Our team handles everything from routine wellness calls to complex care coordination.
For patients on RPM or RTM, we handle complete device logistics: ordering, shipping, setup support, troubleshooting, and replacement. Cellular-enabled devices transmit data automatically.
Our platform identifies concerning trends and critical readings. Urgent issues are escalated immediately to your clinical team. Non-urgent items are queued for convenient review. You decide the workflow.
Every patient interaction is documented automatically in compliant format. Care plans are created and updated based on patient status. Notes sync back to your EHR.
Before any service is billed, our platform validates that all Medicare requirements have been met: time thresholds, documentation completeness, appropriate coding, and patient consent.
Compliant claims are generated with proper code selection and supporting documentation. Ready for your billing team or our optional billing service to submit.
While we manage day-to-day operations, your involvement ensures clinical quality and patient trust:
Shared enrollment: Enrollment works best when practices participate directly. While we handle bulk outreach, patients enroll faster and stay engaged longer when their provider introduces the program. This shared approach maximizes revenue without increasing staff burden.
Our Fully Managed service supports the complete suite of Medicare care management programs:
Avoid the cost and complexity of recruiting care coordinators.
Enroll hundreds of patients without building internal capacity.
Every service validated before billing. Zero audit anxiety.
Consistent monthly Medicare reimbursement you can count on.
Patients receive consistent, proactive care between visits.
Your providers stay focused on clinical care, not paperwork.
Every CareStream engagement covers the full operational layer — nothing is left to your team to figure out.
| Capability | Fully Managed |
|---|---|
| Patient identification | |
| Enrollment outreach | |
| Ongoing patient engagement | |
| Device management (RPM/RTM) | |
| Documentation & care plans | |
| Compliance validation | |
| Billing workflow support | |
| Dedicated care team |
Join practices capturing predictable monthly Medicare revenue with CareStream Fully Managed service.
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