In a nurse care management program today.
Before the panel touch. The care manager opens the day's assignment. IntelliNurse™ has already pulled the longitudinal record for each member — encounters, labs, medications, recent care-management touches, RPM data, claims signal where available — into a single working picture. No chart-hunting across the EHR, the case management platform, and the payer portal. No four-tab triangulation before the first call.
During the panel touch. As context changes — a new lab, a new admission, a new concern raised on the call — IntelliNurse™ surfaces the actions already on the patient's plan and the ones worth considering next. Every recommendation cites a protocol, a guideline, or a pathway your program has already adopted. Nothing freelance.
At the close of the touch. The care your nurse delivered — the coordination call, the patient education, the medication reconciliation, the follow-up scheduling, the RPM review — is captured in structured form and mapped to the CCM, PCM, RPM, or RTM code lane it may qualify for. CCM, PCM, RPM, and RTM are ambulatory codes by design. Eligibility, supervision, ordering, and payer-rules review happen where they always happen: with your revenue cycle and program operations team.
That's the surface that lands today, in telephonic case management at MA and Medicaid managed care plans, in chronic care management at primary care groups and FQHC networks, and in care management operations at ACOs and IDNs.