Chronic Care Management (CCM): Consistent Care For Your Patients With Chronic Illnesses
Improve patient outcomes and increase CMS reimbursement with our Virtual Nurse Services
Virtual nurse services that deliver monthly care management, remote monitoring, and ongoing patient support so nothing falls through the cracks between visits.
Regular Check-Ins
Medication Reminders
Care Coordination
The future of healthcare reimbursement is shifting. CMS is moving aggressively toward Value-Based Care, quality scoring, risk adjustment accuracy, and real-time patient oversight outside clinic walls.
Care Axis Health sits at the intersection of clinical care, operations, and real-world patient needs. We don’t just teach regulations, we help you design workflows, train your team, and improve documentation so every interaction between visits truly counts.
Care Axis Health also provides fully managed chronic care management and remote patient monitoring services, delivering monthly outreach, clinical documentation, and device monitoring on your behalf so your team can focus on patient care
Patient Support Between Visits
Our care models and templates help your team support patients where they struggle most: at home, between appointments, and after discharge.
We provide structured check-ins, symptom monitoring, medication reminders, and health coaching to keep patients engaged and on-plan, improving outcomes and quality measure performance. We keep patients from “slipping through the cracks”
The CareAxis Solution for Chronic Care Support
Monthly check-ins with eligible patients
Medication tracking, care coordination, and symptom monitoring
Fully documented and CMS compliant
No up-front costs to your practice
We integrate directly into your workflow
We help reinforce care plans, identify red flags, and track progress, improving compliance with CCM workflows.
Readmission Reduction & Preventive Care Monitoring
Daily patient oversight → early detection → early intervention → fewer avoidable ED visits.
Built for Value-Based Care
Align care plans, outreach, and documentation with quality measures, risk adjustment, care gap closure, and maximize your reimbursement while increasing the quality of care provided to your patients
Improve patient outcomes and increase CMS reimbursement with our Virtual Nurse Services
Virtual nurse services that deliver monthly care management, remote monitoring, and ongoing patient support so nothing falls through the cracks between visits.
Regular Check-Ins
Medication Reminders
Care Coordination
The future of healthcare reimbursement is shifting. CMS is moving aggressively toward Value-Based Care, quality scoring, risk adjustment accuracy, and real-time patient oversight outside clinic walls.
Care Axis Health sits at the intersection of clinical care, operations, and real-world patient needs. We don’t just teach regulations, we help you design workflows, train your team, and improve documentation so every interaction between visits truly counts.
Care Axis Health also provides fully managed chronic care management and remote patient monitoring services, delivering monthly outreach, clinical documentation, and device monitoring on your behalf so your team can focus on patient care
Patient Support Between Visits
Our care models and templates help your team support patients where they struggle most: at home, between appointments, and after discharge.
We provide structured check-ins, symptom monitoring, medication reminders, and health coaching to keep patients engaged and on-plan, improving outcomes and quality measure performance. We keep patients from “slipping through the cracks”
The CareAxis Solution for Chronic Care Support
Monthly check-ins with eligible patients
Medication tracking, care coordination, and symptom monitoring
Fully documented and CMS compliant
No up-front costs to your practice
We integrate directly into your workflow
We help reinforce care plans, identify red flags, and track progress, improving compliance with CCM workflows.
Readmission Reduction & Preventive Care Monitoring
Daily patient oversight → early detection → early intervention → fewer avoidable ED visits.
Built for Value-Based Care
Align care plans, outreach, and documentation with quality measures, risk adjustment, care gap closure, and maximize your reimbursement while increasing the quality of care provided to your patients