Maximize Practice and Outpatient Clinic Independence

Coordinated Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) helps enhance your independence by facilitating methodology-driven care management, resulting in sustainable new revenue growth. Learn more about what doctor-led support can do for you.

[Guide] CCM & RPM for Practices & Clinics

Clinical. Personalized. Turn-key.
This is dedicated patient care.

Your teams' directives and clinical methodology guide CCM and RPM coordinated care from end-to-end. We manage the implementation from ongoing evaluation and engagement to patient compliance and enrollment.

Chronic Care Management
without boundaries.

Our doctor-led, clinically-trained VHL Care Coordinators are dedicated to your practice or system and its unique healthcare needs, making our CCM support more profitable and personalized for you without requiring additional investment.

Dedicated Care Coordinators

VHL Care Coordinators are dedicated to your patient panels, your doctors' directives and clinical methodology. They bridge gaps in care. They provide up-to-date assessments of patients' needs and patterns, including quality metrics and social determinants of risk.

How It Works

Through monthly outreach, VHL Care Coordinators provide education and support, supplemental resources, and timely intervention using standardized clinical pathways and guidelines set by the clinic. Learn more about what makes VHL coordinated care special.

Your Unique Advantages

  • Care Coordinators receive detailed clinical training, including methodology and workflows, tailored to your clinic and EMR
  • Care Coordinators dedicated to your patient panels provide consistent, personalized care, supporting your patient engagement
  • Complete, turn-key integrated management enhances care quality, operations, and personnel without disruption or compromise.

Annual Wellness Visit

Advanced Directive/Living Will

Cognitive Assessment

Proprietary HOPE App streamlines CMS required regular dementia screening for early detection.

Intuitive CCM Software

Proprietary turn-key software. Intuitive dashboard features are CMS timer and data tracking compliant.

Chronic Care Management Reimbursement CPT Codes

  • CPT 99490 - Basic CCM Assessment - $62 (Clinical Care Coordinator)
  • CPT 99439 - Additional Assessment - $47 (Clinical Care Coordinator)

Remote Patient Monitoring
without boundaries.

Vital Remote Links RPM supports your whole practice with devices and proven clinical support. We implement your program from enrollment to device onboarding, including VRL blood pressure cuffs, scales, and blood-glucose meters and data monitoring, education, and responsive, coordinated care from doctor-led, clinically-trained Care Coordinators. VRL RPM provides personalized care on your behalf for multiple use cases, including type 2 diabetes, hypertension, cardiovascular disease, heart failure, obesity, and more.

VRL RPM is easy, complete and ready to start—without investing time, resources or developing new technology.

Remote Patient Monitoring (RPM) Reimbursement CPT Codes

  • CPT 99453- Initial Setup (First month only) - $18 (Clinical Care Coordinator)
  • CPT 99454- Data Transmission - $54 (Clinical Care Coordinator)
  • CPT 99457- Treatment Management - $49 (Clinical Care Coordinator)
  • CPT 99458- Subsequent Treatment Management - $40 (Clinical Care Coordinator)

Remote Patient/Physiological Monitoring Devices

Your RPM support includes blood pressure cuffs, scales, and blood-glucose meters that transmit clinical data cellularly (not limited by WiFi availability) to achieve quality measures.

RPM Coordinated Care

VHL Care Coordinators provide next-level, complete care that feels like yours. We handle enrollment, processing cellular patient data, and responsive, clinical patient care based on your physicians' direction.

How to Choose the Right CCM/RPM:
Three Deal-Breakers