Resources for care teams
A patient may need several kinds of support. The right program depends on the clinical need, provider role, eligibility, and applicable service rules.
Ongoing coordination across multiple chronic conditions.
Support during the transition from a qualifying facility stay back to the community.
Focused management of one high-risk chronic condition.
An ongoing primary-care bundle built around continuity, coordination, and access.
Connected physiological readings that inform the clinical team between visits.
Information about symptoms, adherence, and response to prescribed therapy.
Behavioral-health care connected with the rest of the care plan.
Support when social needs interfere with diagnosis or treatment.
Navigation around a serious, high-risk illness and its care plan.
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.
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.
CCM, TCM, PCM, APCM, and related services have their own Medicare eligibility and billing requirements.
Medication Therapy Management is a Part D plan program. Its structure differs from practitioner billing.
Private-pay remote doctor-appointment support, available per visit or through a monthly membership.
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.
Discuss the population and workflow you want to support, the responsibilities your team would retain, and the next steps for a proposed scope.