Improving healthcare one chronic condition at a time. How we can help your medical practice? Let us help reduce hospital readmission rates. We are a nurse owned company who are certified in Case Management as well as Advanced Care Planning, we have many years of case management experience in various settings as well as YEARS of extensive nursing experience. Our services will minimally impact your office’s daily work so you can continue to do what you do best- care for patients. We will provide an extension to your practice and provide necessary communication regarding patient risks, interventions and outcomes. Our mission is to improve patient health and increase practice revenue by building relationships with your patients and their caregivers, while effectively delivering care coordination services through the continuum of care. We provide CCM, TCM, advanced care planning services and offer educational opportunities for your patient population which will assist and empower them to make positive choices in managing their chronic conditions. While optimizing patient outcomes will allow us to assist your practice in meeting quality measures and closing gaps in care as identified by CMS. This will positively impact your MIPS scores, reimbursement and increase potential revenue.