Get Paid to Monitor Patients Between Visits
MemberCare automates all four CMS care management programs -- CCM, RPM, PCM, and RTM -- with connected devices, AI-assisted care plans, and automated billing so your practice generates new revenue without adding staff.
The Revenue You're Leaving on the Table
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, Zero Complexity
From patient enrollment to monthly billing submission, MemberCare automates the entire care management workflow -- including time tracking, CPT code selection, and claims generation.
Automated Billing 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 CPT code selection.
Connected Device Ecosystem
Dexcom CGM, Withings scales and BP monitors, Terra API (Fitbit, Apple Health, Garmin, Oura), Tenovi fall detection, and Hero/Livo smart pill dispensers -- all in one platform.
AI-Assisted Care Plans
Care Plan Designer AI creates comprehensive, personalized care plans with goals, activities, and barriers. AI pre-stages clinical decisions and reduces manual tasks.
Scalable Care Management
AI assistance enables 2-3x more patients per coordinator. 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.
The Math Behind Care Management Revenue
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.
| Specialty | Key RPM/CCM Use Cases | Devices |
|---|---|---|
| Primary Care / Family Medicine | Hypertension, diabetes, weight management, multi-chronic CCM | BP monitors, scales, CGM, pill dispensers |
| Internal Medicine | Complex chronic disease coordination, medication management | Full device ecosystem |
| Geriatrics | Fall detection, multi-condition CCM, caregiver coordination | Tenovi fall sensors, pill dispensers, Oura |
| Behavioral Health | PCM for complex behavioral conditions, distress screening, medication adherence | Wearables, pill dispensers |
| Pain Management | Symptom tracking, medication adherence, functional assessment | Activity trackers, pill dispensers |
| Rheumatology | Biologic medication adherence, disease activity monitoring, symptom tracking | Wearables, activity trackers |
| Orthopedics / Physical Therapy | RTM for post-surgical recovery, home exercise adherence, outcome tracking | Activity trackers, wearables |
CPT Codes Automated by MemberCare
| Program | CPT Codes | MemberCare Automation |
|---|---|---|
| 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 |
“We unlocked $180K in new CCM revenue in the first year -- with the same staff.”
Primary Care Practice Manager
Ready to Unlock Care Management Revenue?
See how automated CCM, RPM, PCM, and RTM billing can generate new revenue from your existing patient panel -- without adding staff.
Or call us: 214.226.5319