Choose Your Journey
Remote care can improve outcomes but only if workflows are manageable.
DirectCare AI reduces documentation friction, organizes intake data, and supports billing logic, while preserving your authority at every step.
We assist. You decide.
Have your patients visit www.directcare.ai/remote-patient-monitoring and fill out the questionaire. Once they complete the form they should be on the look out for a call from one of our health coaches.
They may receive a call from DirectCare AI directly to help them enroll. They may also begin your program by calling 888-298-6718 or visit us at www.directcare.ai/remote-patient-monitoring.
The Direct Care program is flexible and customized for your health needs and includes:
Structured intake and documentation support
Consent capture workflows
Device logistics
Monitoring threshold tracking
Compliance guardrails
Audit-ready reporting
Clinical judgment
Final attestation
Care plan decisions
Billing submission authority
Because remote care should not create operational chaos.
We align with CMS rules, enforce RPM/RTM separation logic, and maintain clear documentation pathways. Without adding cognitive load to your team.
Direct Care industry-leading Remote Patient Monitoring (RPM) platform adds value to your practice by taking a load off your clinical staff, without compromising patient care. Our clinical care team works as an extension of your practice, seamlessly integrating with current protocols to provide an individualized care experience. With a strategy designed to fit your business model, we ensure that all outcomes reflect the unique needs of your patients and your practice. Direct Care handles implementation so you don’t have to, and our experts are always available to provide turn-key solutions.
Innovative Healthcare at its Finest
Transparent care produces optimal outcomes and encourages patient engagement.
Faster enrollment means faster reimbursement.
Ready to go out of the box, no Bluetooth pairing or setup required.
No up-front cost and no long-term commitment to the practice.
Documentation and billing claims are fully integrated into your practice workflow.
We build trust with RN-led clinical teams, monitoring your patients 24/7.
CPT 99453, CPT 99454, CPT 99457
99490, G0511 for FQHC/ RHC and G0506 for
initiation visits.
99484, FQHC/RCH G0511
Simply identify eligible Medicare and Medicare Advantage patients with two or more chronic conditions within your EHR and provide patient-centered care plans. Then we do the rest!
Enroll patients and obtain consent
Distribute/connect health devices or application
Provide device education
Establish patient goals and engagement plan
Set up Direct Care access
Engage patient to provide ongoing measurements though devices and application
Provide customized health content and patient reminders
Monitor patient measures and other alerts
Communicate with patient through Direct Care or by phone
Escalate to provider based on protocols
Document care delivery, measures, and tasks to provider
Generate claims or billing reports for eligible patient services
How to select the right RPM vendor partner for your practice?
Medicare’s remote patient monitoring and chronic care management are better together – that’s what we do best! With a robust, comprehensive platform and clinical support at our core, Direct Care offers these programs and more to address critical gaps in care, optimizing access for your patients while allowing practices to capitalize on expanding Medicare reimbursement.
Specialized Behavioral Health Integration (BHI) programs
Annual Wellness Visits for increased patient engagement
Transitional Care Management (TCM) solutions proven to decrease hospital readmission rates
We do! We know from experience that implementing a successful remote care program is contingent on educating and enrolling patients, efficiently and effectively. Our team leverages built-in EHR workflows to enroll qualified Medicare patients for the practice, prompted by enrollment flags and trigger ordering by service. Practices can see enrollment status real-time in the existing clinical workflow, and patients receive integrated vitals monitoring equipment to their home within 5 days.
Our team of experienced nurses, medical assistants, and health coaches work as an extension of your practice. They review patient data regularly, follow clear escalation protocols for any readings outside target ranges, and notify your practice when patients need attention.
We manage all device storage, fulfillment, shipping and returns, beginning with seamless trigger ordering by service, directly within your EHR. Providers will never need to store or distribute devices to patients. Before the patient receives their RevUp care Hub and one or more prescribed devices, our engagement efforts ensue to guide your patients every step of the way, from SMS messaging to two-way interactions on the RevUp application, to telephonic coaching from our dedicated health coaches.
We believe in offering the easiest experience to providers and your patients. We have found that the most reliable devices are those with built-in cellular chips that avoid the complexity of Bluetooth and instead send data wirelessly to our platform without any patient interaction. Our cellular-connected home hub device provides configuration free device connection, on demand support and emergency response. We offer a wide range of ancillary cellular devices, such as connected blood pressure monitors, weight scales, blood glucose meters, spirometers, and pulse oximeters, requiring no Wi-Fi connection, Bluetooth pairing, or setup.
Have existing wearable devices? Our RevUp application has the ability to connect with these, too. We’ll work with your practice to determine the best device connections for your unique program, designed for long-term compliance with remote care.
Not all integrations are created equal. Logging into another platform is cumbersome and impedes real-time decision making based on real-time data. At MD Revolution, our two-way integrations mean everything is at your fingertips within your EHR, from patient vitals from our devices to automatic claims creation, invoiced alongside your other EHR services. We integrate with the top practice based EHR’s below and are always adding more.
One of the most robust features of our RevUp platform is accurate, automatic claims creation directly within your EHR, eliminating the manual process for each patient, each code, each month. We handle the often-complicated nuances of monthly and timestamped data transmission code adherence, so you can focus on patient care.
Many vendors offer revenue calculators with unrealistic assumptions of profits. We pride ourselves in setting straight-forward, attainable goals for each of our partnerships, customized for your practice’s Medicare population. Contact us today for a picture of sustained program success and a tailored practice pro forma.
Our services are available in all 50 states.
We're continually working to expand our reach to serve you better.
