Developing and implementing customized clinical programs with financial pro forma analysis to measure growth, ensure strategic expansion, and maintain compliance. For existing programs, we provide assessment and analysis to identify opportunities for improvement and expansion. Clinical programs include, but are not limited to, Cardiac Rhythm Management (CRM), Chronic Care Management (CCM), Principal Care Management (PCM), Remote Physiologic Monitoring (RPM), and Medical Weight Loss.
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- Clinical Program Regulatory Compliance and Protocol Establishment
- Ensuring established clinical programs comply with Medicare, Medicaid, and industry regulations by developing detailed protocols and standard operating procedures (SOPs). This includes implementing best practices to enhance staff adherence, maintain patient compliance, and support audit readiness.
- Cardiac Rhythm Management (CRM)
- Providing structured support for the monitoring and management of patients with implanted cardiac devices including loop recorders, pacemakers, and implantable cardioverter defibrillators (ICDs). This includes implementing remote monitoring operations and/or vendor selection that will best suit the practice; optimizing billing and compliance and ensuring seamless patient connectivity and in-office checks and follow ups.
- Chronic Care Management (CCM)
- Developing and executing comprehensive care plans for patients with multiple chronic conditions, enhancing patient engagement, improving health outcomes, and maximizing reimbursement opportunities. Services include service line development and/or vendor selection, patient enrollment, care coordination, documentation optimization, and compliance with Medicare guidelines.
- Principle Care Management (PCM)
- Establishing structured care management for patients with a single high-risk chronic condition that requires intensive monitoring and treatment. This includes program setup, patient tracking, provider coordination, and reimbursement optimization to ensure effective care delivery
- Remote Physiologic Management (RPM)
- Implementing and managing remote monitoring programs that track patient vitals—such as blood pressure, glucose levels, oxygen saturation, and weight—via connected medical devices. This includes selecting the right technology, integrating it with EHR systems, ensuring billing compliance, and training staff for patient engagement.
- Medical Weight Loss Programs
- Designing and executing physician-supervised weight loss programs, incorporating GLP-1 medications. Services include program structuring, financial modeling, patient adherence strategies, and FDA compliance to maximize clinical and financial outcomes.
