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.
Revenue bleeding, typical 3-MD practice
Every second without Continuum RM costs your practice money
CCM, uncaptured patients
RPM, unmonitored patients
AWV, overdue patients
TCM, missed discharges
Avg annual revenue uncaptured
Typical 2,000-patient, 3-MD practice with 40% Medicare
Added clinical overhead
No new clinical workflow required
Days to first billing cycle
From integration kickoff to first billing documentation
Revenue modules included
CCM, RPM, AWV, TCM, Pre-Visit, Prior Auth, Referral, Intake, MedSafe, Population, ConsentTrack, CS Monitor
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
CMS pays for patients with 2+ chronic conditions. 25% of your Medicare patients likely qualify. Most practices capture less than 15%.
$62–$130 per patient per month
Remote Patient Monitoring
Connected devices generate billable data every day. Without infrastructure to track 16-day compliance, this revenue disappears.
$113–$128 per enrolled patient per month
Annual Wellness Visits
Average practice completes AWVs for only 35% of eligible Medicare patients, leaving 65% uncaptured due to scheduling and documentation gaps.
$185 (initial) · $117 (subsequent)
Transitional Care Management
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.
$239 (7-day) · $167 (14-day)
$312,000
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.
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
Automates eligibility, consent, monthly care tracking, and billing documentation for chronic care management.
RPM Engine
Device data aggregation, 16-day CMS compliance tracking, clinical alerts, and full CPT billing documentation.
AWV Engine
Daily eligibility scanning, automated patient outreach, pre-populated HRA from HealthFlow, and CMS-compliant visit documentation.
TCM Engine
Real-time discharge detection via HealthFlow, countdown workflow automation, contact and visit documentation, and billing package generation.
Pre-Visit Intelligence
AI-generated clinical brief from the patient's full longitudinal record. Delivered 2 hours before every appointment.
Prior Auth Intelligence
Clinical documentation assembled automatically from HealthFlow at point of ordering. Staff time per PA request drops from 45+ minutes to under 10.
DentalSync
The first platform to connect dental and medical longitudinal records. Surfaces diabetic-periodontal disease correlation and cross-prescriber drug safety.
MedSafe
Cross-prescriber medication reconciliation from HealthFlow. Drug interaction screening across all providers. Beers Criteria for patients 65+.
The cost of doing nothing
Every day without Continuum RM is a day your practice pays the price.
$854.79
Lost today · Typical 3-physician practice
This is not a projection. CMS has already allocated this reimbursement for your patients.
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.
© 2026 Alphiniti, Inc. CMS reimbursement rates: 2024 MPFS national average. Results vary by practice.
This is one of three ways Alphiniti strengthens your organization.
Your organization is an employer, a care delivery system, and a revenue cycle, all at once. Continuum RM is the revenue side of that relationship. Here is the rest of it.
"Every dollar you spend on Alphiniti works in three directions simultaneously."
Cost of care delivered. Cost of insuring your own employees. Revenue from patient loyalty.
Annual US spend on avoidable duplicate lab work
Of hospital readmissions considered preventable
Avg. physician time on history-taking per encounter
Avg. employer cost per employee per year in healthcare
Your Workforce
Give your own employees one benefit experience instead of a stack of vendors, while the Wellness Program (Continuum + Vitalis) helps them get healthier, lowering what you pay for their care. Modeled at $2,140–$5,820 per employee per year for a self-insured employer.
- $3.27 saved in healthcare costs per $1 invested in wellness
- $2.73 saved in absenteeism costs per $1 invested in wellness
- Automated enrollment and compliance, not a seasonal scramble
- Less administrative burden delivering benefits to your own staff
Your Patients
Coordinate care across your whole organization: fewer gaps, faster handoffs, and a lower cost to deliver the same or better care. Modeled at $892–$3,120 per patient per year for a community hospital.
- Avoidable readmission reduction, 30% of readmissions are considered preventable
- Duplicate testing elimination, $8B+ is spent annually on avoidable duplicate lab work nationally
- Faster intake, physicians spend 6–8 min per encounter on history-taking a complete record removes
- HRRP & VBP penalty avoidance built into the same longitudinal record
Your Revenue Cycle
Recover CMS revenue you're already earning through care coordination but not billing for, with documentation built to hold up under audit.
- Automated CCM & RPM time-based documentation
- AWV & TCM claims routed correctly the first time
- An estimated $180,000–$400,000 in annual uncaptured revenue per practice
One relationship. Three sources of return.
Most organizations manage a benefits broker, a care-coordination vendor, and a billing consultant as three separate relationships: three contracts, three onboarding processes, three places data lives. Alphiniti brings workforce benefits, patient care coordination, and revenue-cycle recovery under one relationship, on one underlying record.
See what this could look like for your organization
Tell us a bit about your organization and where you'd like to start: workforce, patients, revenue cycle, or all three.