Clinical fit
The patient needs appropriate care, the treating professional is eligible, and the work can inform or support treatment.
Talk with us CARE PROGRAMS
See what care between visits could look like.
Choose a program to understand who it helps, what patients and clinicians do, what your practice needs, and how payment and costs work.
NINE PATHWAYS
Plain-language guides with practical examples.
Each guide includes a patient journey, sample plan, your involvement, launch checks, payment route, adjustable financial example, and detailed code reference.
RPM · Remote Physiologic Monitoring
A patient uses a connected device at home. It sends readings to the care team. The team checks whether the patient’s care needs attention.
See the patient example and full guideCCM · Chronic Care Management
One team helps keep a patient’s long-term health problems, medicines, and appointments connected between doctor visits.
See the patient example and full guidePCM · Principal Care Management
A care team gives extra attention to one serious health problem that needs a complicated treatment plan.
See the patient example and full guideTCM · Transitional Care Management
After a qualifying hospital or facility stay, the care team helps a patient get safely settled, understand medicine changes, and see the right clinician.
See the patient example and full guideBHI · Behavioral Health Integration
The medical team helps follow a patient’s mental-health needs alongside their other care, so questions and treatment changes reach the right clinician.
See the patient example and full guideAPCM · Advanced Primary Care Management
A patient’s primary-care team keeps the whole care plan connected over time, including questions, medicines, referrals, and changes after hospital visits.
See the patient example and full guideMTM · Medication Therapy Management
A medication expert reviews a patient’s medicines, helps the patient understand them, and sends important questions back to the prescriber.
See the patient example and full guidePIN · Principal Illness Navigation
A navigator helps a patient with a serious illness understand the care plan, reach needed services, and solve practical barriers.
See the patient example and full guideRTM · Remote Therapeutic Monitoring
The care team checks how a treatment is going at home—for example, whether a patient can follow a therapy plan and whether movement is improving.
See the patient example and full guideHOW TO CHOOSE
Start with the care need, then verify the pathway.
Operating readiness
Your clinician and PrimeVital agree on the plan, qualified team, applicable devices, service hours, escalation, records, and billing handoffs.
Financial viability
Verify the payer and patient responsibility. Compare collections from actual qualifying services with all delivery and oversight costs.
Programs are not an automatic bundle of claimsCCM and APCM are alternatives to evaluate for the relevant model. Medicare does not permit RPM and RTM together for the same patient. Other combinations require distinct, independently qualifying work and current payer review. MTM uses a Part D sponsor arrangement; psychiatric CoCM requires its full clinical model.
FIND YOUR STARTING POINT
Which of these fits your patients and practice?
Choose your practice type for relevant use cases, responsibilities, payment boundaries, and readiness requirements.
DESIGN A PRACTICAL STARTING POINT
Tell us where the workflow is breaking. We’ll show you where to begin.
Send us a message
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