The Problems Practices Face
Common friction points that silently drain capacity and delay care.
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Follow‑ups eat provider timeThey pull clinicians from visits, and they rarely pay back the effort with meaningful reimbursement.
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Medication titrations delayedDose changes get pushed out for weeks, leaving patients uncontrolled, frustrated, and more likely to deteriorate.
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Quality gaps persistA1C and blood pressure measures slip, and performance metrics stall without proactive outreach and timely adjustments.
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Missed E/M optimizationVisits stay under‑coded or under‑documented, even when clinical complexity supports higher‑level, compliant billing.
The Solution
Embedded Clinical Pharmacist
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Protocol‑based medication visitsUnder physician supervision.
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Frees up schedule capacitySo providers stay focused on higher‑acuity care.
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Elevates E/M codingWhere appropriate and well‑documented.
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Creates same‑day billable encountersWith real clinical impact.
Implementation is clinic‑specific. We tailor protocols, supervision, scheduling, and documentation to fit your workflow and payer mix.
Core Revenue Streams We Activate
A practical menu of services that convert follow‑ups into structured, billable clinical work.
Physician‑Supervised Medication Clinics
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Incident‑to diabetes titration visitsFrequent, protocol‑driven dose adjustments and CGM review to reach A1C goals faster without repeated provider appointments.
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Hypertension follow‑upsRapid medication titration with home BP review, adherence checks, and documented plans to achieve targets sooner and sustain control.
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Obesity management protocolsStructured lifestyle and medication follow‑ups, access support, and monitoring that keep patients progressing and engaged over time.
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Asthma/COPD medication optimizationInhaler technique coaching, step‑up/step‑down decisions, refill adherence, and action plans to reduce flares and visits.
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Anticoagulation managementINR/DOAC pathways, dose adjustments, interaction reviews, and standardized follow‑ups designed to reduce bleeding and clot risk.
Remote Monitoring Programs (RTM)
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Remote Physiologic Monitoring (RPM)BP, glucose, weight, and other vitals tracked with regular review, outreach, and documented interventions tied to your workflows.
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Remote Therapeutic Monitoring (RTM)Track adherence, symptoms, and therapy response, then intervene quickly when data shows patients are slipping or not improving.
Transitional & Post‑Hospital Revenue
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Transitional Care Management (TCM)Post‑discharge outreach, medication review, and follow‑up coordination that supports timely billing and safer care transitions.
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Medication reconciliationWe reconcile discharge vs outpatient lists, fix duplications and omissions, and communicate changes clearly to patients and prescribers.
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Readmission reductionEarly issue detection, access fixes, and rapid therapy adjustments that prevent bounce‑backs and avoidable emergency visits.
Pharmacogenomics (PGx) Optimization
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Targeted PGx testing for high‑impact medicationsCoordinate clinically appropriate PGx testing when results can change drug choice or dose, focusing on the gene–drug pairs that most often drive adverse events or nonresponse.
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Actionable interpretation and documentationTranslate results into prescriber‑ready recommendations (alternatives, dosing, monitoring) with concise EHR notes and patient counseling that support safe, confident medication changes.
Chronic Care Programs Optional add‑on
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Chronic Care Management (CCM)Monthly touchpoints, care‑plan updates, coordination, and barrier removal for patients managing multiple chronic conditions.
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Principal Care Management (PCM)Deeper support around one high‑risk condition, with frequent check‑ins, care planning, and targeted medication optimization.
What the Pharmacist Actually Runs
- Structured disease‑state follow‑up clinicsRecurring clinics for diabetes, HTN, obesity, asthma/COPD, and anticoag, built on protocols and measurable targets.
- In‑person medication titration visitsShort, focused visits that adjust therapy quickly, address side effects, and avoid waiting weeks for the next provider slot.
- Lab review & therapy adjustmentsWe review labs, assess response and safety, and recommend or implement protocol‑based changes under physician oversight.
- EHR documentation aligned with oversightEvery encounter is documented to support supervision requirements, continuity of care, and accurate E/M or program billing.
- Quality‑driven therapeutic intensificationClose gaps in A1C, BP, and statin measures by escalating therapy appropriately and documenting the clinical rationale.
- Same‑day problem‑focused medication visitsConvert ad‑hoc refill questions and “quick follow‑ups” into scheduled encounters that solve problems and create billable work.
Bottom line: boost E/M revenue and clinical quality — without adding to physician burden.
How It Works
A lightweight rollout that fits real clinic constraints.
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Pick the first clinic line
Start with a high‑impact condition (often diabetes titration or hypertension) and define visit cadence, targets, and escalation rules.
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Align supervision & documentation
Confirm physician oversight model, protocol/CPA structure, scheduling, and note templates that support compliant billing.
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Launch, measure, iterate
Run structured follow‑up clinics, track quality and throughput, and expand to TCM, RPM/RTM, and other service lines.
Contact
If you want a no‑nonsense walk‑through of how this fits your practice, send a note or call.
Reach us directly
Co‑founders
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