Resources for care teams
By MySeema
Understanding the care-management programs
A patient may need several kinds of support. The right program depends on the clinical need, provider role, eligibility, and applicable service rules.
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CCMTCMPCMAPCMRPMRTMBHICHIPINMTM
Chronic Care Management
Ongoing coordination across multiple chronic conditions.
Transitional Care Management
Support during the transition from a qualifying facility stay back to the community.
Principal Care Management
Focused management of one high-risk chronic condition.
Advanced Primary Care Management
An ongoing primary-care bundle built around continuity, coordination, and access.
Remote Patient Monitoring
Connected physiological readings that inform the clinical team between visits.
Remote Therapeutic Monitoring
Information about symptoms, adherence, and response to prescribed therapy.
Behavioral Health Integration
Behavioral-health care connected with the rest of the care plan.
Community Health Integration
Support when social needs interfere with diagnosis or treatment.
Principal Illness Navigation
Navigation around a serious, high-risk illness and its care plan.
Medication Therapy Management
Medication-review support, including coordination with eligible patients’ Part D plan services.
Eligibility, consent, personnel, documentation, and billing rules differ by service. MTM is a Part D plan program. Services are selected around the patient and the partner agreement, not automatically billed together.
Start with the care plan
Program names describe different services, not a checklist to bill for every patient. An appropriate combination is selected with the supervising clinical team. Some services bundle activities that would otherwise be provided separately, and work must not be counted twice.
Understand the funding distinction
Practitioner-directed services
CCM, TCM, PCM, APCM, and related services have their own Medicare eligibility and billing requirements.
Part D plan services
Medication Therapy Management is a Part D plan program. Its structure differs from practitioner billing.
Direct individual and family support
Private-pay remote doctor-appointment support, available per visit or through a monthly membership.
How MySeema fits
MySeema provides the agreed navigation and care-management work in the partner’s workflow. Clinicians retain treatment decisions and oversight; the organization bills for eligible services under its agreement and applicable rules.
Program information reviewed September 8, 2026. This overview does not replace current CMS guidance or individualized coding and billing review.
Bring your care model. Let’s build the next step.
Discuss the population and workflow you want to support, the responsibilities your team would retain, and the next steps for a proposed scope.