Services

Comprehensive Services to Modernize Your Practice

Introduction

At The PrimeVital, we handle the technical and operational complexity so your clinical team can focus on what they do best: delivering exceptional patient care. We partner with you to implement proactive care models that improve patient outcomes and practice efficiency.

Remote Therapeutic & Patient Monitoring (RTM/RPM)

We help practices implement remote therapeutic and patient monitoring services with a focus on simplicity, engagement, and operational support.

We simplify the entire RTM/RPM lifecycle. Our end-to-end support includes:

• Technology & Device Logistics: Sourcing, distributing, and providing patient support for compliant monitoring hardware.

• Workflow Optimization: Standardizing enrollment processes and integrating monitoring data seamlessly into your existing practice workflows.

• Actionable Data Insights: We don’t just deliver data; we provide tools that help you identify and prioritize high-risk patients who need proactive intervention.

Chronic Care Management (CCM)

We offer chronic care management solutions for organizations that want stronger outreach and coordination support.

Scaling a CCM program is challenging without dedicated resources. The Prime Vital helps your practice consistent outreach and coordination without stretching your current staff too thin. We offer:

• Outreach Support: Structured engagement and follow-up support to maintain consistent patient contact.

• Care Plan Documentation: Streamlining care plan creation, updates, and maintenance to ensure billing compliance and seamless continuity of care.

• Performance Tracking: Regular reporting on program enrollment, engagement, and operational metrics.

Principal Care Management (PCM)

We help practices support patients with a single complex chronic condition that needs more focused attention than general chronic care management provides. 

For patients managing one high-risk condition — like uncontrolled diabetes, CKD, or heart failure — PCM offers a more targeted level of monthly support. We handle: 

• Condition-specific care plan development and updates. 

• Monthly outreach focused on the qualifying condition. 

• Documentation aligned to PCM billing requirements.

Transitional Care Management (TCM)

We support practices in reducing readmissions with structured follow-up in the critical 30 days after a hospital or facility discharge. 

TCM works best when follow-up happens fast and consistently. We help with: 

• Timely post-discharge outreach and scheduling. 

• Medication reconciliation coordination. 

• Documentation that meets TCM’s specific timing requirements.

Behavioral Health Integration (BHI)

We help practices bring behavioral health support into the primary care visit, rather than relying solely on outside referrals.

Our support includes: 

• Screening and follow-up coordination. 

• Care plan documentation for behavioral health goals. 

• Ongoing outreach to keep patients engaged in treatment.

Advanced Primary Care Management (APCM)

For practices ready to consolidate multiple care coordination activities into a single, simplified monthly structure, we help manage the operational side of APCM enrollment and delivery.

We support: 

• Risk-tier assessment and enrollment workflows. 

• Care coordination documentation across the full scope of the program. 

• Reporting aligned to APCM requirements.

Implementation & Clinical Support

We recognize that successful care transformation requires strategic support beyond technology. Our services include focused consultation on:

• Program & Billing Setup: Guide your practice through the regulatory requirements and billing codes necessary to launch new services sustainably.

• Workflow Design: Creating customized implementation roadmaps that reflect the unique needs and staffing structure of your practice.

• Staff Training & Change Management: Equipping your team with the tools and knowledge needed to fully adopt new proactive care protocols.

Primary care clinic benefits

For primary care clinics, RPM/RTM can become a practical extension of care rather than a separate program. The clinic gains a more proactive way to monitor chronic conditions, improve adherence, and create a structured follow-up rhythm.

How we can help clinics:

• Reduce staff burnout by removing repetitive admin tasks.

• Improve patient communication and continuity.

• Create clearer workflows for enrollment and follow-up.

• Increase the chance that billed work is documented correctly.

• Make the program easier to scale across providers or locations.

Pharmacy benefits

Pharmacies often deal with claim complexity and reimbursement pressure, so any service that helps streamline workflows, reduce denials, and improve process consistency can be valuable.

How we can help pharmacies:

• Workflow setup for new care services.

• Reimbursement process organization.

• Administrative support for service expansion.

• Communication workflows that reduce back-and-forth.

• Documentation and follow-up processes that help protect revenue.