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Objective

Provide virtual support for chronic care & remote monitoring programs.

 

Benefits

  • Increased CCM/RPM revenue
  • Better outcomes
  • Reduced staff burden

 

Timeline

Ongoing

 

Checklist

  • Program Setup and Strategic Coordination: Provide comprehensive setup and ongoing strategic coordination for both Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) programs, establishing a compliant and effective structure for long-term patient care.

  • Daily Data & Compliance Monitoring: Proactively monitor patient device data daily, ensuring the minimum 16-day transmission threshold is consistently met each 30-day cycle (CPT 99454) for full compliance and maximum reimbursement.

  • Clinical Alert Management: Track all patient alerts and daily transmissions, promptly escalating abnormal or critical values to the clinical team via secure email and the Electronic Medical Record (EMR) system.

  • Monthly Care Interaction & Documentation: Accurately document a minimum of 20 minutes of qualifying patient or caregiver interaction per month (CPT 99457), assist in required care plan updates, and generate all necessary compliance and management reports.

  • Extended Clinical Support: Offer support for additional qualifying 20-minute patient or caregiver interactions when clinically necessary (CPT 99458), ensuring all complex patient needs are met and billable time is captured.

  • Technical & Operational Support: Troubleshoot and resolve device or connectivity issues to guarantee continuous, uninterrupted patient monitoring and data flow.

  • Billing and Program Optimization Partnership: Collaborate directly with your billing team to ensure accurate coding, timely reimbursement, and provide continuous program feedback for ongoing operational and financial improvement.

Other Services

Phase Service Category Name What We Do (A Summary)
1. Starting a New Medical Practice Starting a new medical practice requires careful planning, compliance, and operational setup. PractiCons provides full-service startup support including licensing, credentialing, billing, compliance, and systems setup—ensuring your practice launches smoothly, efficiently, and revenue-ready from day one.
2. Consulting & Practice Management PractiCons provides expert medical consulting and practice management services to help healthcare providers improve operations, control costs, and increase profitability. We analyze workflows, financial performance, and systems to optimize efficiency, compliance, and long-term practice growth.
3. Credentialing & Contracting PractiCons provides comprehensive credentialing and payer contracting services to ensure providers are properly enrolled, compliant, and reimbursed without delays. We manage CAQH, Medicare, commercial payers, and contract negotiations to optimize reimbursement and maintain uninterrupted revenue flow.
4. HR & Payroll PractiCons provides comprehensive HR and payroll services designed for medical practices. We manage hiring support, employee documentation, compliance training, payroll setup, and ongoing processing—helping practices reduce risk, support staff performance, and maintain full state and federal compliance.
5. Marketing & Digital Growth PractiCons delivers data-driven marketing and digital growth services for medical practices. We help providers attract new patients, strengthen brand visibility, and grow online through SEO, websites, paid advertising, reputation management, and ongoing performance-driven digital strategy.
6. Virtual Call Center PractiCons provides virtual call center services for medical practices, delivering reliable front-office and administrative support. We manage patient calls, scheduling, authorizations, documentation, and RPM/CCM coordination to reduce staff burden, improve efficiency, and enhance patient experience.
7. Revenue Cycle Management PractiCons delivers end-to-end Revenue Cycle Management services that optimize billing, reduce denials, and accelerate payments. We design compliant workflows, manage claims and collections, and provide financial oversight to help medical practices improve cash flow and long-term revenue performance.
8. Compliance PractiCons provides comprehensive compliance and licensing management services to help medical practices meet all state and federal requirements. We manage provider credentials, licenses, permits, renewals, and documentation to prevent penalties, reduce risk, and ensure uninterrupted operations—so providers can focus on patient care.
9. Closing a Medical Practice (Retirement, Relocation, Disability) PractiCons provides end-to-end medical practice closure services to ensure a smooth, compliant, and well-managed transition. We handle regulatory notifications, patient communication, records retention, financial closeout, and HIPAA compliance—reducing risk, protecting patients, and easing the administrative burden for physicians.
10. Special Projects PractiCons Special Projects provide expert support for high-value, non-routine compliance, IT, and administrative initiatives. We manage audits, coding transitions, HIPAA programs, reporting, and technology coordination—reducing risk, strengthening documentation, and ensuring projects are completed accurately and on time.
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Disclaimer

Disclaimer: PractiCons Inc. is not a law firm and does not provide legal advice. All materials and communications are for informational purposes only. Please consult your attorney for advice specific to your situation.

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