AI-Powered Health Tech Platform

Care
Management,
Fully Automated.

CareNexa empowers practices, ACOs, and health systems to launch scalable CCM, RPM, and specialty care programs across Rheumatology, Cardiology, Neurology, and more — with zero setup burden and built-in revenue automation.

Start Your Program → See How It Works

Combined Annual Revenue Potential

$360K+

CCM + RPM combined programs

CCM Program

$145K+

per year

RPM Program

$218K

per year

Operational Overhead

Zero

No setup, staffing, or admin burden

Process

Launch in Days, Not Months

Our MD-supervised clinical team handles everything end-to-end. You perform a single hand-off — we manage the rest.

Patient Identification

We identify eligible chronic care patients in your panel and initiate outreach on your behalf.

Enrollment & Consent

Our team handles enrollment workflows, consent acquisition, and initial patient assessments.

Care Plan & Monitoring

Automated care plans are developed, managed, and updated with continuous remote monitoring.

Billing & Revenue

CMS-compliant documentation auto-exports to your billing system or we manage claims in-house.

Programs

Choose Your Care Model

Standalone programs or a fully integrated CCM + RPM solution built around your patient population.

🩺

Chronic Care Management (CCM)

End-to-end coordination for patients with two or more chronic conditions. Managed monthly touchpoints, care plans, and CMS billing.

$145K+avg. annual revenue

Monthly 20-min care management calls
Comprehensive care plan creation
99490 / 99487 CPT code billing
Zero device or setup cost

📡

Remote Patient Monitoring (RPM)

Continuous monitoring of vitals — blood pressure, glucose, weight, SpO2 — with clinical escalation protocols and automated alerts.

$218Kavg. annual revenue

FDA-cleared monitoring devices
Daily data review by clinical staff
99453–99458 CPT code billing
No device cost to practice

⚡

CCM + RPM Combined

Maximum revenue, maximum outcomes. Integrate both programs with a unified clinical team and single billing workflow.

$360K+avg. annual revenue

Unified care management platform
Single point of contact team
Combined EHR integration
Highest ROI program available

Specialty Care Programs

One Platform; Across Specialties.

CareNexa extends its end-to-end care management model across high-complexity specialty tracks — same zero-burden operational model, applied to the conditions that need it most.

Rheumatology

Rheumatologic conditions are among the most undertreated chronic diseases. CareNexa bridges the gap between specialist visits with continuous monitoring, proactive coordination, and AI-assisted clinical support, keeping patients stable between appointments.

Conditions Covered

Rheumatoid Arthritis

Lupus (SLE)

Psoriatic Arthritis

Ankylosing Spondylitis

Gout and Hyperuricemia

Sjogren Syndrome

Fibromyalgia

Osteoporosis

Across All Specialties

What We Provide

The same five pillars of clinical support, adapted to the protocols, medications, and monitoring needs of each specialty track.

Continuous Disease Monitoring

Remote symptom tracking, lab trend alerts, and clinical escalation between specialist visits.

Medication Adherence & Education

Therapy reminders, side-effect monitoring, and condition-specific patient education programs.

Specialist-Aligned Care Plans

Care plans built around each specialty clinical protocol, updated at every touchpoint.

Lab, Imaging & Procedure Coordination

Pre-authorization, scheduling, and follow-up across labs, imaging, and infusion therapies.

Patient Engagement & Coaching

Chronic disease coaching, lifestyle intervention programs, and mental wellness check-ins.

Billing & Revenue Automation

All specialty programs qualify under CCM, RPM, TCM, and behavioral health integration codes.

✅

CMS-Billable Across All Specialty TracksAll specialty programs qualify under CCM, RPM, TCM, and behavioral health integration billing codes — with zero additional administrative burden on your practice.

Full-Service Support

Everything Your Practice Needs to Scale

From front-desk workflows to revenue cycle management — we handle the full operational stack.

Front Office Support

Patient scheduling, eligibility verification, prior authorizations, referral coordination, and annual wellness visit support.

Revenue Cycle Management

Medical coding (ICD-10, CPT, HCPCS), claims submission, denial management, and AR follow-up.

AI-Powered Platform

Proprietary care management software with automated care plans, EHR integrations, and billing data exports.

Clinical Documentation

CMS-compliant documentation, audit-ready workflows, code compliance reviews, and fax & record handling.

Capabilities at a Glance

SchedulingCall center & booking

EligibilityBenefits verification

AuthPrior authorization

ReferralsCoordination & tracking

ICD-10Medical coding

ClaimsSubmission & tracking

DenialsManagement & appeals

AnalyticsRCM reporting

EHRFull integrations

BillingAutomated or managed

AuditsCompliance review

AWVAnnual wellness visits

Why CareNexa

Built for Providers Who Want Results, Not Complexity

Zero Operational Burden

No hiring, no training, no administrative overhead. CareNexa provides the full staffing layer from clinical care managers to billers.

No Device Cost

We supply FDA-cleared monitoring devices to patients at no cost to your practice. You earn revenue from day one.

CMS-Compliant, Always

Our documentation workflows are built for CMS audit readiness. Every note, care plan, and billing record is standardized.

Seamless EHR Integration

Our proprietary platform integrates directly with your existing EHR. Billing exports or full managed billing available.

Recurring Revenue Engine

Generate $145K–$360K+ in additional annual revenue through CMS-reimbursed programs you are likely already eligible to offer.

Better Patient Outcomes

Continuous monitoring, proactive coordination, and clinical oversight reduce hospitalizations and improve disease management.

Care
Management,
Fully Automated.