Outreach and enrollment
Introduce the program, explain participation, and support enrollment under the agreed workflow.
Physician practices · Medical groups
Follow-up handled.
Clinical decisions stay with you.
MySeema navigators make the agreed follow-up calls, coordinate appointments and refill requests, and document the work in your EMR. Your clinicians keep treatment decisions. Your practice bills for eligible services.
Fewer coordination tasks for your practice staff.
Coordination between visits
Follow up on appointments, referrals, refills, care-plan steps, and practical barriers such as transportation.
A clear return to the clinic
Document the work and route clinical concerns to your team under its protocols, with follow-through on the next step.
Who does what
Your practice keeps clinical ownership.
MySeema
The coordination and follow-through
- Patient outreach and enrollment support
- Appointments, referrals, refills, and practical barriers
- Documentation in your EMR
- Escalations and monthly reporting
Your practice
The clinical decisions and oversight
- Patient priorities and care protocols
- Clinical assessment and treatment decisions
- Review of concerns requiring clinical judgment
- Billing for eligible services
What physician partners say
Kyle Bruyninckx, MD
Bruyninckx Medical Clinic · Rayville, Louisiana
“MySeema made initiating a CCM program seamless.”
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“MySeema made initiating a CCM program seamless. … MySeema goes above and beyond to support both my patients and staff.”
Ross Hamic, MD
The Family Doctors · Shreveport, Louisiana
“MySeema has done an exceptional job at initiating and streamlining CCM and integrating with our clinic.”
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“MySeema has done an exceptional job at initiating and streamlining CCM and integrating with our clinic. Patients are excited about the program, and we've already seen an impact in patient care. The team's compassionate approach resonates with our patients, and we've built a strong partnership.”
Individual partner experiences. These testimonials are not a measured population-level estimate of clinical outcomes.
Clear participation. Documented work.
Before outreach begins, we agree who introduces the program, documents consent and cost-sharing information, maintains the care plan, and records the work and time required for the selected service.
Enrollment and billing responsibilities must account for any services already being provided. Your practice retains clinical decisions and responsibility for the claims it submits.
Read the program requirements →Bringing support to a network of practices? See the IntraCare ACO partnership and reporting approach →
Program scope
Choose support around your patients’ needs.
Patients may need ongoing help with chronic conditions, support after a facility stay, or monitoring between visits. We select the appropriate services with your team.
Ongoing conditions
CCM and PCM support care-plan coordination for qualifying patients with multiple conditions or a single high-risk condition.
Primary-care continuity
APCM brings eligible primary-care management activities into a monthly bundle. TCM supports a qualifying transition back to the community.
Additional support
RPM, RTM, BHI, CHI, and PIN can support specific clinical or navigation needs. Eligibility and billing rules apply to each service.
How your practice gets started.
A working conversation
Discuss your patient population, existing workflows, and priorities.
A concrete plan
Agree on the work MySeema handles, the decisions your practice retains, fees, documentation, and billing responsibilities.
EMR access and introductions
Set up access and a patient introduction that makes MySeema’s role clear.
Launch and review
Start patient enrollment and coordination, then review activity and open issues with your team.
Standard programs typically launch within 10 business days of signed agreement and system access.
Questions from practice owners
How is MySeema paid?
Your practice bills eligible services. MySeema charges no software fee; the care-management service scope and fees are set out in your partner agreement. We review fees, any minimums, term, and transition responsibilities with you before you decide.
How much additional work will my clinicians have?
Your team retains patient priorities, care-plan and treatment decisions, and review of clinical escalations. MySeema handles the agreed coordination and documentation. We define the practice’s responsibilities before launch.
Do patients pay anything?
Medicare cost-sharing may apply to covered services, depending on the benefit and the patient’s coverage. Patients receive the relevant participation and cost information during enrollment.
Will patients recognize the outreach?
Navigators work in your clinic’s name under the agreed introduction and calling workflow. We coordinate the launch with your staff so patients understand who is reaching out and why.
Which EMRs do you work in?
Our navigators work through partner-provided access in Epic, athenahealth, eClinicalWorks, NextGen, Oracle Health, Veradigm, Elation, Tebra, and AdvancedMD. We confirm access and workflow requirements with each practice.
Can we partner with MySeema from another state?
Yes. MySeema welcomes partnerships with healthcare companies, health systems, ACOs, provider networks, physician practices, and clinics in all 50 U.S. states. We agree the patient population, services, and workflows with each organization.
Let’s put a working plan around your patients.
Bring your care model and priorities. We’ll discuss the scope, workflow, and next steps.