For Providers โ€” DirectCare AI
For physicians

Refer your patients for the care between visits

Your patients leave your office, and then life happens. DirectCare AI is the extra layer of support between appointments. We monitor, coach and flag, while you stay their physician and stay in control. We extend your care, we never replace it.

All 50 states HIPAA aware Medicare benefit
Between visits
24/7
Monitoring & support
An extra layer, never a replacement

Built to support you, not replace you

DirectCare AI fills the gap between office visits with monitoring and coaching, while you remain the patient's doctor and keep the relationship.

Your patients stay yours

They remain your patients. We support them between visits and route everything straight back to you.

You stay in control

Every clinical decision, attestation and care plan stays with you. We never diagnose or prescribe, we support.

You see everything

Daily readings, trends and alerts flow to your team, so problems surface earlier, not at the next visit.

What we handle

We carry the operational load

The DirectCare AI program is flexible and customized, handling the parts that slow your team down.

  • Structured intake and documentation support
  • Consent capture workflows
  • Device logistics
  • Monitoring threshold tracking
  • Compliance guardrails and audit ready reporting
What you maintain

You keep clinical control

DirectCare AI never makes clinical decisions. Your judgment and authority stay exactly where they belong.

  • Clinical judgment
  • Final attestation
  • Care plan decisions
  • Billing submission authority
Built for reimbursement

Relevant CPT codes

Remote patient monitoring and chronic care management are covered Medicare benefits. Identify eligible Medicare and Medicare Advantage patients with two or more chronic conditions, and we handle the rest. Little effort, big return.

Remote patient monitoring (RPM)

99453

Setup & education

One time remote monitoring setup and patient education.

99454

Device & readings

Device supply with daily recordings, each 30 days.

99457

First 20 minutes

Treatment management, first 20 minutes per month.

99458

Each +20 minutes

Treatment management, each additional 20 minutes.

Chronic & behavioral care (CCM / BHI)

99490

Chronic care mgmt

Twenty minutes of clinical staff time per month.

G0511

FQHC / RHC

General care management for FQHCs and RHCs.

G0506

Care planning

Comprehensive assessment and planning at initiation.

99484

Behavioral health

Behavioral health integration, twenty minutes per month.

Codes shown for reference. Eligibility, documentation and billing remain the responsibility of the rendering clinician.
Refer a patient

Refer a patient now

Send us a patient for between-visit care. Enter their details below and our team takes it from there, reporting everything back to you.