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Your Behind-the-Scenes Partner for Medicare Wellness & Care Management.

We become your extended care team & help you capture missed AWVs and unlock recurring CCM, BHI, and TCM revenue — all with zero extra staff.

Smiling Male Doctor

Turn-Key Solutions For 
Preventative healthcare programs

​The hard facts are:

  • Missed AWVs mean lost revenue.

  • Staff burnout = compliance risk.

  • CCM programs are underutilize

  • Your patients deserve care wherever they are.

Stop Missing AWVs. Start Growing Revenue. With Coosa Care, the AWV becomes a pipeline for CCM, BHI, and TCM — without adding staff.

How we help

Solutions That Work—for People, for Providers, for Everyone.

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1

Enrollment

We identify and engage your Medicare patients who are eligible but often overlooked.

  • Outreach to patients overdue for Annual Wellness Visits (AWVs).

  • Verify Medicare eligibility and last AWV date using clearinghouse tools.

  • Educate patients on the value of CCM, BHI, and TCM.

  • White-labeled communication (all calls/letters come under your practice’s name).

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2

Intake

We collect the clinical and demographic details needed to launch services seamlessly.

  • In-home or telehealth completion of Health Risk Assessments.

  • Vitals, screenings, and social determinants of health gathered by our licensed nurses.

  • Our platform integration for care plan templates.

  • Patient consent for CCM/BHI documented directly in your EMR.

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3

Adherence

 

Guided support ensures patients follow through with care plans, reducing readmissions and improving quality scores.

  • Licensed nurses (W2 RNs, LPNs) manage monthly CCM touchpoints and AWV follow-up.

  • Established care pathways built around CMS requirements.

  • Active gap-closure (labs, referrals, preventive services).

  • Personalized interventions for high-risk patients with escalation to providers when needed.

  • Every interaction logged for audit-ready documentation.

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4

Concierge Care

We go beyond compliance — delivering proactive, white-glove support that strengthens patient loyalty to your practice.

  • Dedicated care coordinators available for ongoing questions.

  • In-home AWV option for patients who struggle with transportation.

  • Urgent issues escalated to providers via telehealth, 7 days a week.

  • Patient satisfaction surveys with feedback loops to your office.

  • Keeps your practice “top of mind” while we handle the heavy lifting.

Happy Doctor

Detection and Adherence: 

Studies show AWVs uncover new conditions or medication issues in roughly 10 % of visits. Completing an AWV also makes patients eligible for CCM services.

CCM Improves Outcomes: 

CCM participation has been associated with a 20–30 % reduction in hospitalizations and emergency‑department visits among chronically ill Medicare patients, along with better medication adherence and care‑plan follow‑through.

CCM Recurring Revenue: 

Medicare pays about $65 per patient per month for 20 minutes of non‑face‑to‑face care management, plus an additional $47 for each extra 20 minutes. Enrolling even 100 patients in CCM can generate roughly $70 000–$80 000 in new annual revenue while delivering better chronic‑care support.

Conversion Potential: 

Research suggests that engaging AWV‑eligible patients can convert around 45 % of those who haven’t had an AWV into CCM enrolment when outreach and consent processes are streamlined.

How we benefit you

Here to Support You Every Step

of  the Way

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Revenue Opportunity Calculator

Reach Practice Profitability

What is your Medicare patient panel?

How many Medicare patients are AWV eligible?

How many Medicare AWV have you completed?

1000 patients

800 AWV-eligible

300 AWVs completed

How many of your Medicare patients are CCM eligible?

How many of your Medicare patients are enrolled under your CCM program?

600 CCM-eligible

200 in CCM

Missed AWV Revenue: $74,460.00/yr

Missed CCM Revenue: $269,904.00/yr

Missed CCM Revenue (45% AWV conversion): $151,821.00/yr

Disclaimer: Estimates only. Medicare reimbursement rates vary by locality and payer policy. Assumptions calibrated for Alabama (non facility AWV $148.92/visit, CCM $56.23/month). Results do not constitute legal, billing, or clinical advice. Results do not include Coosa Care fair market value fees (commercially reasonable, and not tied to the volume or value of referrals). This tool does not collect PHI and is not a guarantee of revenue.

With Coosa Care, you can expect...

A Winning Solution

Turn-Key Service

We take care of everything—from finding the right patients and getting them enrolled, to walking them through onboarding, coordinating their care, and keeping them on track over time. 

Simplified Billing

Coosa Care keeps it simple: our partners enjoy a clear payment structure with a turnaround designed to align with typical reimbursement cycles.

Care Coordination

Our team is here 7 days a week for your patients to act when it matters most.

White-Labe​ling

Your patients won’t see a difference—we operate seamlessly as an extension of your practice, ensuring a smooth and connected experience. Your patient won't view us as a third-party but as their extended care team.

Partner with Coosa Care


Practice Information

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We're excited to learn more about your practice and explore how Coosa Care can support your patients. Fill out the form below and a member of our team will reach out by email with next steps and a link to schedule a time that works best for you.

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