Grow Revenue
More revenue from your existing patient panel. No new patients required.
Billing done right protects the revenue you’ve earned. These services create revenue you’re not earning yet — recurring program revenue, quality bonuses, and accurate coding — all from the patients already on your schedule.
Care Management Programs
Five programs Medicare already pays for — that most practices aren't running.
Each program below is a distinct, recurring revenue stream with its own billing codes and its own economics. The ranges shown are illustrative Medicare national-average figures; your payer mix and locality determine actuals.
Chronic Care Management (CCM)
≈ $105 – $155 per enrolled patient / month
Monthly non-face-to-face care coordination for patients with two or more chronic conditions. Most practices that bill CCM at all stop at the 20-minute base code — an optimized program captures 40–60 minutes of legitimate care coordination per patient per month (99490 plus 99439 add-ons), roughly doubling per-patient revenue for work your team is often already doing.
Fits: primary care, chronic/complex care, FQHC/RHC — any panel with multimorbid patients.
Remote Patient Monitoring (RPM)
≈ $95 – $120 per enrolled patient / month
Connected devices (blood pressure, glucose, weight) feeding monthly monitoring and management time. Device supply, setup, and clinical management each carry their own codes (99453/99454, 99457/99458) — and RPM stacks with CCM for the same patient when both services are legitimately delivered.
Fits: hypertension, diabetes, CHF, COPD populations — cardiology, nephrology, and pulmonology panels run RPM alongside CCM at especially high rates.
Advanced Primary Care Management (APCM)
≈ $45 – $70 per patient / month (blended across tiers)
Medicare’s newer per-patient-per-month model (G0556–G0558) with no monthly time minimum — and tiers that start at 0–1 chronic conditions, meaning nearly your entire covered panel qualifies for some tier. APCM is an alternative to CCM for a given patient — not additive — so choosing the winning panel strategy is an economics decision we model with you.
Fits: primary care practices that want simpler administration than minute-tracked CCM.
Behavioral Health Integration (BHI)
≈ $50 – $145 per enrolled patient / month
Systematic behavioral health care management inside your practice — from general BHI (99484) to the psychiatric Collaborative Care Model. Depression, anxiety, and substance-use follow-up your clinicians are already shouldering becomes a structured, reimbursed program.
Fits: primary care and any panel with meaningful behavioral health burden.
Annual Wellness Visits (AWV)
≈ $120 – $170 per eligible patient / year
Every Medicare patient is entitled to one per year (G0438/G0439) — and national completion rates remain low. AWVs also open the door: they surface the chronic conditions and care gaps that feed CCM enrollment and quality-measure performance.
Fits: every practice with Medicare patients. This is usually the fastest program to stand up.
Illustrative estimate based on industry benchmarks, not a guarantee. Actual results vary based on payer mix, specialty, contract terms, and current operations.
Beyond the Programs
Three more levers hiding in your existing operation.
Value-based & quality contract optimization
If you’re in a quality incentive contract, unclaimed bonus potential typically runs 2%–10% of contract value. Standardized coding and closed care gaps are how our founding team led a $30K value-based program to over $7 million in bonus revenue.
Documentation & coding optimization
Roughly 60% of office visits nationally are billed at Level 3 — and a documented share of those support Level 4. Capturing complexity that’s already in the chart, accurately and compliantly, is usually the largest single revenue lever a practice has.
Patient recall, reminders & care-gap outreach
An opportunity estimate only becomes revenue when the patient shows up. Our virtual support teams find who’s due — the unbooked AWV, the missed follow-up, the no-show never rescheduled — and put them back on your schedule. It’s the engine that turns every lever above into collected dollars, and it feeds your quality measures at the same time.
Three Ways to Get There
Choose the operating model that fits your practice.
Every path starts from the same free revenue assessment: your eligible patient counts, program by program, the revenue on the table, and an honest, high-level view of what capturing it costs — dedicated staffing, a separate care team, and real ramp time. Where you take that analysis is the decision below, and we’ll help you compare all three honestly.
Path 1
Build it yourself
Run it in-house, on your own team. The assessment gives you the opportunity and the cost picture; the build — hiring, workflows, enrollment operations — is yours to lead. Want hands-on guidance along the way? That’s available as a paid consulting engagement.
Path 2
Have it delivered for you
We connect your practice with Hospital in Your Home, an experienced chronic care management delivery organization, to run the program for your patients — you capture the revenue with no hiring, no separate team to manage, and no ramp.
Path 3
License the operating system
Want it in-house without inventing it from scratch? License the proven operating system — workflows, staffing model, training, and enrollment methodology — with implementation support included. This is where the complete playbook lives.
What the free assessment includes — and doesn’t. Included: eligible patient analysis by program, your estimated revenue opportunity, and the high-level economics of each path (in-house staffing costs vs. delivered vs. licensed). Not included: implementation plans, workflows, staffing models, or enrollment methodology — that operational playbook is precisely what the licensing and delivered-service paths provide.
Find out what your panel is worth.
Two minutes with the Revenue Opportunity Calculator shows you each program’s estimated value for your practice — program by program, in dollars.