Your practice
is delivering care
you are not getting paid
for.
Alphiniti Continuum RM captures every dollar of CMS reimbursement your EHR leaves on the table, CCM, RPM, AWV, TCM, and more, with zero new clinical workflow, zero added overhead, and a first billing cycle within 30 days.
$180K+
Avg annual revenue uncaptured
Typical 2,000-patient, 3-MD practice with 40% Medicare
$0
Added clinical overhead
No new clinical workflow required
<30
Days to first billing cycle
From integration kickoff to first billing documentation
12
Revenue modules included
CCM, RPM, AWV, TCM, Pre-Visit, Prior Auth, Referral, Intake, MedSafe, Population, ConsentTrack, CS Monitor
Revenue Bleeding, Typical 3-MD Practice
Every second without Continuum RM costs your practice money
CCM, uncaptured patients
$405/day
RPM, unmonitored patients
$258/day
AWV, overdue patients
$115/day
TCM, missed discharges
$77/day
Every one of these programs pays whether or not you capture it.
CMS has already allocated this reimbursement for your patients. The only question is whether it flows to your practice, or evaporates because your EHR was never built to document, track, and bill for it.
Chronic Care Management
$148,000/year
CMS pays for patients with 2+ chronic conditions. 25% of your Medicare patients likely qualify. Most practices capture less than 15%.
CPT/HCPCS Codes
$62–$130 per patient per month
Remote Patient Monitoring
$94,000/year
Connected devices generate billable data every day. Without infrastructure to track 16-day compliance, this revenue disappears.
CPT/HCPCS Codes
$113–$128 per enrolled patient per month
Annual Wellness Visits
$42,000/year
Average practice completes AWVs for only 35% of eligible Medicare patients, leaving 65% uncaptured due to scheduling and documentation gaps.
CPT/HCPCS Codes
$185 (initial) · $117 (subsequent)
Transitional Care Management
$28,000/year
Every hospital discharge gives you a 7–14 day window to bill. National capture rate is under 30% because most practices never know the discharge happened.
CPT/HCPCS Codes
$239 (7-day) · $167 (14-day)
$0
Total Annual Revenue Gap
Typical 2,000-Patient Practice (40% Medicare)
CMS reimbursement already allocated for your patients. Uncaptured only because of documentation infrastructure, not clinical capacity.
Three engines. One platform. Zero new overhead.
Continuum RM layers onto your existing EHR via FHIR. Your clinical workflow does not change. Your billing changes dramatically.
CCM Engine
$62–130
per patient/month
Automates eligibility, consent, monthly care tracking, and billing documentation for chronic care management.
CPT 99490 · 99491 · 99487
RPM Engine
$113–128
per enrolled patient/month
Device data aggregation, 16-day CMS compliance tracking, clinical alerts, and full CPT billing documentation.
CPT 99453 · 99454 · 99457 · 99458
AWV Engine
$117–185
per visit
Daily eligibility scanning, automated patient outreach, pre-populated HRA from HealthFlow, and CMS-compliant visit documentation.
HCPCS G0438 · G0439
TCM Engine
$167–239
per episode
Real-time discharge detection via HealthFlow, countdown workflow automation, contact and visit documentation, and billing package generation.
CPT 99495 · 99496
Pre-Visit Intelligence
90 sec
physician read time
AI-generated clinical brief from the patient's full longitudinal record. Delivered 2 hours before every appointment.
Powered by Alphiniti HealthFlow + Claude AI
Prior Auth Intelligence
<10 min
per PA request (was 45+ min)
Clinical documentation assembled automatically from HealthFlow at point of ordering. Staff time per PA request drops from 45+ minutes to under 10.
2,100+ staff hours recovered annually
DentalSync
1st
dental+medical integration
The first platform to connect dental and medical longitudinal records. Surfaces diabetic-periodontal disease correlation and cross-prescriber drug safety.
Alphiniti HealthFlow dental + medical integration
MedSafe
All-Rx
cross-prescriber visibility
Cross-prescriber medication reconciliation from HealthFlow. Drug interaction screening across all providers. Beers Criteria for patients 65+.
All prescribers · Not just your EHR
Every dollar captured costs you nothing extra to deliver.
The care is already being provided. The clinical time has already been spent. Continuum RM captures the reimbursement for work your practice is already doing.
Without RM
With Continuum RM
Clinical workflow
Unchanged
Unchanged ✓
CCM billing capture
<15% of eligible
40–55% enrolled
TCM capture rate
22% avg (missed)
75–85% captured
AWV completion rate
~35% national avg
60–70% projected
Prior auth time
45+ min per request
<10 min per request
Added clinical FTEs
—
Zero ✓
The fundamental shift
$0
Additional clinical work required to capture CCM, RPM, AWV, and TCM revenue. The care is already being provided. The chronic conditions are already being managed. The discharges are already happening. Continuum RM captures the documentation and billing for work your practice is already doing.
- ⚡
Implementation in 14 days
Staff training totals under 4 hours
- 🔌
Works with your existing EHR
Epic, Cerner, athenahealth via FHIR R4
- 💳
Performance-based pricing
$499/month + 8% of new CMS revenue captured
- 🛡️
HIPAA compliant by architecture
TLS 1.3, AES-256, full audit logging
12 modules. Every revenue stream. One platform.
Every module targets a specific, documented revenue loss or cost inefficiency. Every dollar of value is traceable to a CMS reimbursement code, a CPT billing event, or a staff hour recovered.
CCM Engine
$62–130
per patient/month
Automates eligibility, consent, monthly care tracking, and billing documentation for chronic care management.
CPT 99490 · 99491 · 99487
RPM Engine
$113–128
per enrolled patient/month
Device data aggregation, 16-day CMS compliance tracking, clinical alerts, and full CPT billing documentation.
CPT 99453 · 99454 · 99457 · 99458
AWV Engine
$117–185
per visit
Daily eligibility scanning, automated patient outreach, pre-populated HRA from HealthFlow, and CMS-compliant visit documentation.
HCPCS G0438 · G0439
TCM Engine
$167–239
per episode
Real-time discharge detection via HealthFlow, countdown workflow automation, contact and visit documentation, and billing package generation.
CPT 99495 · 99496
Pre-Visit Intelligence
90 sec
physician read time
AI-generated clinical brief from the patient's full longitudinal record. Delivered 2 hours before every appointment.
Powered by Alphiniti HealthFlow + Claude AI
Prior Auth Intelligence
<10 min
per PA request (was 45+ min)
Clinical documentation assembled automatically from HealthFlow at point of ordering. Staff time per PA request drops from 45+ minutes to under 10.
2,100+ staff hours recovered annually
DentalSync
1st
dental+medical integration
The first platform to connect dental and medical longitudinal records. Surfaces diabetic-periodontal disease correlation and cross-prescriber drug safety.
Alphiniti HealthFlow dental + medical integration
MedSafe
All-Rx
cross-prescriber visibility
Cross-prescriber medication reconciliation from HealthFlow. Drug interaction screening across all providers. Beers Criteria for patients 65+.
All prescribers · Not just your EHR
The revenue is there.
Start capturing it.
A 90-day pilot. Zero platform fee. Performance-based pricing only. First billing cycle within 30 days. If Continuum RM doesn't capture revenue for your practice, you don't pay performance fees.