Programs How It Works Rheumatology Services Why Us Get Started →
AI-Powered Health Tech Platform

Care Management,
Fully Automated.

CareNexa empowers practices, ACOs, and health systems to launch scalable CCM, RPM, and Wellness Rheumatology programs — with zero setup burden and built-in revenue automation.

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
Trusted by
ACOs Health Systems Private Practices Physician Groups FQHCs

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.

01

Patient Identification

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

02

Enrollment & Consent

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

03

Care Plan & Monitoring

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

04

Billing & Revenue

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

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

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

Wellness Rheumatology

A dedicated, tech-enabled rheumatology care program — extending CareNexa's proven care management model to inflammatory and autoimmune conditions.

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

Rheumatoid Arthritis
Lupus (SLE)
Psoriatic Arthritis
Ankylosing Spondylitis
Gout & Hyperuricemia
Sjögren's Syndrome
Fibromyalgia
Osteoporosis

🦴 What We Provide

📊
Disease Activity Monitoring

Remote tracking of flare symptoms, joint pain scores, and lab trend alerts between clinic visits.

💊
Medication Adherence & Education

DMARD and biologic therapy reminders, side-effect monitoring, and patient education programs.

📋
Care Plan Coordination

Specialist-aligned care plans updated continuously with outcomes tracked at every touchpoint.

🔬
Lab & Infusion Coordination

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

💬
Patient Engagement & Support

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

CMS-Billable Under CCM & TCM Codes Rheumatology care management qualifies for CCM, TCM, and behavioral health integration billing.

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

SchedulingPatient call center & booking
EligibilityBenefits verification
AuthPrior authorization mgmt
ReferralsCoordination & tracking
ICD-10Medical coding
ClaimsSubmission & tracking
DenialsManagement & appeals
AnalyticsRCM reporting dashboard
EHRFull integrations
BillingAutomated or managed
AuditsCode & compliance review
AWVAnnual wellness visits

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 — no rip-and-replace. Billing exports or full managed billing available.

📈

Recurring Revenue Engine

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

🩻

Better Patient Outcomes

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

Ready to Launch Your Care Management Program?

Join hundreds of practices generating recurring revenue while improving outcomes for their most complex patients. Getting started takes one conversation.

✓ No setup fees ✓ Launch in days info@carenexasolutions.us