For Medicare provider groups

AI care between visits.

Our AI calls every patient on your panel and escalates anyone who needs a clinician. Medicare pays for this care, and you bill it under your own NPI.

A refill not picked up. Weight climbing. Blood pressure drifting.

Systolic pressure, by callSynthetic patient · illustrative
Personal

It knows the conditions, the medications, and what they said last time.

Early

A refill not picked up. Weight climbing. Blood pressure drifting.

Documented

The care plan, the measures, the contact record. Written as the call happens.

Every call covers the same ground.

Medications: filled, taken, and the reason when they’re not. Blood pressure, weight, glucose. Symptoms, condition by condition. The ED visit nobody told you about. Whether they can get to the pharmacy. Then their own goals, read back, and what happens next.

There’s a code for this, and it pays per patient, not per minute.

APCM pays a flat monthly fee for every chronic patient on your panel. If you’re not their primary care home, ACCESS is the other way in. It’s Medicare’s outcome-based model, and we prepare that application with you.

Your patients

Care that keeps up with them, not just care they show up for.

Your nurses

Their time goes to the patients who need them.

Your P&L

Recurring revenue from patients you already have.

We don’t test on patients. We built them.

Rotations is our synthetic patient population of 10,000, built with agents. They push back, change the subject, and forget what they took this morning.

  1. 01

    Build the synthetic panel

    Conditions, medications, hearing loss, a daughter who answers the phone.

  2. 02

    Run the calls

    Our AI calls every one of them, the way it would call yours.

  3. 03

    Grade and gate

    Nothing ships until every call passes, and every patient we build stays in.

Sleep medicine was the first rotation: four months of live patient calls, still running. Before we call anyone on your panel, you get the report. Dated, in writing.

From your records to your patients.

  1. 01

    We connect to your records

    However they already move. A spreadsheet export is enough to begin.

  2. 02

    You approve who we call

    Nobody is contacted until you do.

  3. 03

    We start calling your patients

    Between visits, as often as each patient needs.

Every clinical decision stays with your clinician. You bill under your own NPI, and the care plan stays in your chart.

Tell us how many patients you can’t get to.

founders@aprovohealth.com
FAQ

What happens when the agent isn’t sure?

It routes to your clinician. Conservative by design: any doubt, and a person takes it.

What do you need from us to start?

Access to your records, and a clinician who takes escalations.

Are you HIPAA compliant, and will you sign a BAA?

Yes, and yes. We sign a Business Associate Agreement with every group we work with.

Who bills Medicare?

You do, under your own NPI. The claim is yours, and so is the patient.

Do we have to apply for anything?

Not for APCM. It’s billable today. ACCESS takes an application, and we prepare it with you.

Does the patient pay anything?

The standard 20% Part B coinsurance applies, as it would for any covered service. Patients whose Medicaid covers their cost-sharing pay nothing.

What if a patient wants to stop?

They stop, whenever they say so.