Program fit
Map conditions, patient context, and configured program rules across APCM, RPM, CCM, and RTM.
The FairPath platform
One operating spine from patient opportunity through billing review.
Support APCM, RPM, CCM, and RTM with visible work, role-based queues, integrated communication, clinical workflows, and billing readiness.
The operating loop
Every role works from the same patient and requirement context.
PaneltoQualificationtoEnrollmenttoDaily worktoClinical reviewtoEvidencetoBillingQtoClaims reviewtoOperating review
Operational staff, clinicians, billing reviewers, supervisors, and authorized clinic users see the part of the loop assigned to their roles.
Patient opportunity
Qualify the panel before staff time is committed.
Bring demographics, diagnoses, payer information, current program status, and available payer history into one reviewable starting point.
Payer context
Use available source and payer information to bring requirements and exceptions forward.
Missing information
Show incomplete fields before they become enrollment or billing problems.
Human review
Route ambiguous eligibility and clinical appropriateness to designated practice roles.
Enrollment and intake
Keep every attempt, consent, assignment, and next action together.
OutreachClick-to-call, messages, scripts, attempts, and patient education
ConsentProgram discussion, consent status, and supporting documents
AssignmentResponsible role, status, next action, and escalation path
Device logisticsAssignment and serial context where the program requires a device
PriorityQ and ReviewQ
Put the next patient and the reason in front of the correct role.
PriorityQ
Routes routine work using program timing, required actions, patient context, and configured urgency so staff do not hunt through patient lists.
- Program deadlines and scheduled work
- No-data and follow-up patterns
- Integrated calls and messages
- Timestamped operating evidence
ReviewQ
Separates clinical exceptions and ambiguous cases from routine administrative work.
- Readings or patterns requiring review
- Clinical and eligibility exceptions
- Role routing and supervisor visibility
- Recorded review and escalation state
Clinical workspace
Organize the evidence without replacing clinical judgment.
Readings, trends, care plans, structured pathways, recurring events, notes, communications, reminders, surveys, and escalation context remain connected to the patient record.
FairPath can prepare
Configured summaries, draft material, transcription, reminders, requirement checks, and routed exceptions.
Clinical staff decide
Appropriateness, interpretation, care-plan decisions, escalation, diagnosis, treatment, and final clinical documentation.
BillingQ
See what is ready, what is blocked, and why.
Billing review begins with visible requirements and evidence, not a month-end reconstruction exercise.
Readiness
Separate ready records from work that still has an unresolved requirement.
Blocking reason
Show the missing time, component, documentation, or review that needs attention.
Cross-program context
Bring timing, program components, and configured conflicts into the review process.
Billing handoff
Prepare reviewable evidence and exports for the practice or its selected billing workflow.
One multi-program spine
Design the panel around fit, not an RPM-only assumption.
| Program | Patient fit | Operating model | Role in the panel |
|---|---|---|---|
| APCM | Eligible primary-care Medicare panel | Required service elements and continuity across the month | Stable primary-care base |
| RPM | Physiologic monitoring need | Device data, monitoring, and management workflow | Physiologic data layer |
| CCM | Two or more chronic conditions | Longitudinal, time-based care-management work | Coordination layer |
| RTM | Therapeutic adherence or response | Therapeutic data and management workflow | Specialty and therapy layer |
Devices and communications
Use supported device data where clinically appropriate without defining the entire platform around hardware.
- Device assignment and available inventory context
- Returns and troubleshooting workflow
- Integrated phone and messaging
- Patient reminders and outreach evidence
Integrations and data exchange
FairPath works with major EHR and practice-management environments through standard integrations, file exchange, APIs, and configured customer-specific workflows.
Integration depth varies by system, access, source data, and deployment.
Discuss a system connectionFairPath Advanced AI
Controlled operational work around the program.
Most healthcare AI stops at a draft or suggestion. FairPath Advanced AI can perform configured preparation, checks, routing, and system work while preserving human approval boundaries.
Patient file to qualified queue
- Import and normalize configured fields.
- Identify missing or inconsistent information.
- Apply program and payer requirements.
- Route exceptions to staff review.
- Create the qualified work queue and decision record.
Exception to resolved work
- Detect a configured missing requirement.
- Assign it to the responsible role.
- Carry the patient and program context forward.
- Record the resolution or escalation.
- Recalculate the work or billing state.
Powered by Buffaly, Intelligence Factory's AI operations platform. Clinical judgment and ambiguous eligibility remain with authorized people.
Operator infrastructure
Separate clinic workspaces, authorized shared staffing, supervisor views, client visibility, and repeatable clinic setup support organizations running programs for multiple practices.
See the operator modelTrust and practical control
Role-based access, client data segregation, reviewable actions, documented exports, and explicit clinical approval boundaries keep the operation understandable.
Security, exchange, and deployment details are confirmed for the systems and engagement being scoped.
Implementation
Begin with one cohort and one complete operating month.
Kickoff, instance provisioning, roles, first-cohort import, training, operating support, metrics, and expansion decisions follow a measured rollout.
- Define roles and programAgree on responsibilities, source data, and first-cohort criteria.
- Provision and prepareConfigure access, import the cohort, and train each role.
- Run one monthUse real work to expose exceptions, capacity needs, and close state.
- Review before expandingMeasure workflow, staffing, collected revenue, direct costs, and readiness.