Capture Missed Medicare Revenue With Zero Added Work

Continuum Care Management acts as a seamless extension of your practice. Our locally licensed RNs provide the automated software and clinical labor required to run fully compliant CCM and RPM programs—without expanding your payroll.

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RN-Led Clinical Services

Elevate Patient Outcomes

We provide proactive, high-touch care between office visits. Your vulnerable Medicare patients receive peer-to-peer clinical triage and monthly monitoring directly from locally licensed Registered Nurses—never an overseas, non-clinical call center.

Streamline Operations

Stop leaving compliant Medicare reimbursement on the table. We utilize automated, audit-proof software to guarantee strict adherence to CMS billing guidelines, allowing your practice to capture consistent monthly revenue with total peace of mind.

Risk-Free Revenue Capture

Our team handles the patient outreach, time-tracking, and documentation, pushing completed care plans directly into your existing EHR without adding a single task to your front desk.

Revenue Estimator

Enter your practice's active patient volume to calculate projected net returns.

*Projections automatically apply standard benchmarks: 90% Medicare eligibility, 85% chronic prevalence, and a validated 40% active enrollment rate.
Net Practice Profit (Monthly)
$9,099
Net Practice Profit (Annual)
$109,187

Schedule Your Introduction

Select a time on the calendar below for a brief, zero-pressure conversation. We’ll review your Medicare patient volume, discuss your specific EHR, and see if our RN-led team is the right fit for your practice.

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Frequently Asked Questions

Have a specific question about your clinic's workflow or patient demographics?

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    • RPM focuses on the continuous collection and analysis of physiological data (blood pressure, blood glucose, weight) using FDA-cleared cellular devices.

    • CCM focuses on comprehensive, non-face-to-face clinical care coordination for patients diagnosed with two or more chronic conditions. While both programs are standalone, Medicare-reimbursed services, running them concurrently creates a highly effective clinical safety net for high-risk patients while establishing dual revenue streams for your practice.

  • Medicare Part B and many Medicare Advantage beneficiaries are eligible. For CCM, patients must have two or more chronic conditions expected to last at least 12 months or until the death of the patient. For RPM, patients must require ongoing vital sign tracking to manage an acute or chronic condition.

  • No. RPM and CCM are standard Medicare Fee-for-Service programs available to independent practices, mobile physicians, and clinics regardless of ACO affiliation. However, if you are part of an ACO (such as Aledade), our proactive monitoring actively reduces unnecessary Emergency Department visits, directly improving your shared savings quality metrics.

  • Absolutely zero. We operate on a strict "Zero Staff Burden" model. Continuum provides a dedicated team of US-based Registered Nurses (RNs) who handle patient outreach, onboarding, device setup, daily vital monitoring, and monthly care coordination calls. Your in-house team simply continues their standard day-to-day clinic workflows.

  • Our clinical team monitors incoming biometric transmissions daily. We establish customized alert thresholds aligned with your practice's specific protocols. If a patient’s vitals exceed these safe ranges, our RNs immediately perform clinical triage and escalate the information directly to your designated provider, preventing avoidable escalations.

  • No. Continuum integrates seamlessly alongside your existing workflows. We do not require complex software integrations or disruptive overhauls to your current Electronic Health Record (EHR) system.

  • There are zero upfront hardware or implementation costs for your practice. Continuum supplies all cellular-enabled devices directly to your eligible patients. We operate on a Fair Market Value (FMV) fee-for-service model, meaning our fees are easily covered by the consistent reimbursements your practice captures.

  • Your practice (or your existing RCM billing company) bills Medicare directly using your own NPI. At the end of each calendar month, Continuum provides your billing team with a clean, audit-proof log detailing the exact CPT codes achieved for each patient (such as 99453, 99454, 99457, 99490). You collect the full reimbursement directly from CMS, pay our FMV service fee, and retain the net profit.

    • RPM Core Codes: CPT 99453 (initial device setup), CPT 99454 (monthly device supply and transmissions), CPT 99457 (initial 20 minutes of clinical monitoring), and CPT 99458 (additional 20-minute increments).

    • CCM Core Codes: CPT 99490 (initial 20 minutes of clinical staff time) and CPT 99439 (additional 20-minute increments).

  • Not at all. We purposefully utilize cellular-enabled hardware that works straight out of the box. There is no need for Wi-Fi configurations, smartphone app pairing, or Bluetooth syncing. The patient simply takes their reading (e.g., puts on the blood pressure cuff), and the data automatically transmits securely via cellular networks to our clinical team.

  • CMS enforces rigid documentation rules for non-face-to-face reimbursements. Our clinical infrastructure tracks and time-stamps every single second of chart review, phone coordination, and biometric analysis. We provide comprehensive, audit-proof documentation for every claim, ensuring your revenue is completely secure and compliant.

  • Participation is entirely voluntary, and explicit patient consent is always obtained prior to enrollment. Our RNs are highly trained in educating patients on the direct health benefits of having continuous clinical oversight between their standard office visits, leading to exceptionally high opt-in and retention rates.