Care Between Visits, Documented and Billable
MemberCare supports all four CMS care management programs -- CCM, RPM, PCM, and RTM -- with connected devices, AI-assisted care plans, and billing documentation. Eligible care work is timed, attributed and documented as it occurs -- with the team you already have.
Why Eligible Care Work Goes Unrecorded
Available But Uncaptured
CCM and RPM reimbursement is available for every practice with chronic condition patients, but most lack the operational infrastructure to capture it.
Documentation Burden
Care managers are overwhelmed with manual documentation. Time spent on paperwork is time not spent on patient care -- and billable minutes go uncaptured.
Fragmented Tools
Separate systems for RPM devices, CCM documentation, patient communication, and billing create inefficiency and data silos that slow care delivery.
Difficulty Scaling
Adding more patients to care management programs means hiring more staff. Without technology, the economics of scaling CCM/RPM don't work.
All Four CMS Programs, One Platform
From patient enrollment to monthly billing summary, MemberCare supports the entire care management workflow -- time tracking, CPT documentation, and claims preparation for your billing team.
Billing Documentation for All 4 Programs
CCM (99490/99491), RPM (99453-99458), PCM (99424-99427), and RTM (98975-98981) -- all with automated time tracking, monthly billing summaries, and supporting documentation assembled for your existing billing workflow.
Connected Device Ecosystem
CGM, connected scales and blood-pressure monitors, wearables and activity trackers, fall-detection sensors, and smart pill dispensers -- all in one platform.
AI-Assisted Care Plans
Care Plan Designer AI drafts comprehensive, personalized care plans with goals, activities, and barriers. Every draft is staged for clinician review, reducing manual tasks.
Scalable Care Management
AI assistance gives you more panel capacity from the team you already have. Automated workflows handle the administrative burden so care managers focus on clinical judgment.
Patient Engagement Portal
Personalized patient dashboard with messaging, education, task tracking, appointment scheduling, and AI chat. Keep patients engaged between visits.
Automated Time Tracking
Every care management activity is timestamped and categorized. Monthly reports show exactly which CPT thresholds have been met for each patient.
Care Work, Documented as It Happens
Eligible care work is timed, attributed and documented as it occurs -- helping your billing team capture work that might otherwise go unrecorded.
One Platform for Every Specialty
MemberCare's RPM and CCM capabilities serve any practice with chronic condition patients. Here are some of the specialties already using the platform.
Primary Care / Family Medicine
Hypertension, diabetes, weight management, multi-chronic CCM
Internal Medicine
Complex chronic disease coordination, medication management
Geriatrics
Fall detection, multi-condition CCM, caregiver coordination
Behavioral Health
PCM for complex behavioral conditions, distress screening, medication adherence
Pain Management
Symptom tracking, medication adherence, functional assessment
Rheumatology
Biologic medication adherence, disease activity monitoring, symptom tracking
Orthopedics / Physical Therapy
RTM for post-surgical recovery, home exercise adherence, outcome tracking
CPT Codes Supported by MemberCare
CCM
99490, 99491
Time tracking, care plan documentation, monthly billing
RPM
99453, 99454, 99457, 99458
Device setup, data transmission, clinical review, billing
PCM
99424, 99425, 99426, 99427
Single-condition care management with time tracking
RTM
98975, 98977, 98980, 98981
Post-acute monitoring with automated 30-day programs
Ready to Document Care Between Visits?
See how documented CCM, RPM, PCM, and RTM workflows help your billing team capture eligible care work from your existing patient panel -- with the team you already have.
Or call us: 214.226.5319