FairPath for Practices

Bring remote-care revenue home.

FairPath gives your team one place to identify the right patients, enroll them, route daily work, document care, and see what is ready for billing across APCM, RPM, CCM, and RTM.

Run the program with your own team, or use a FairPath operator when you do not want to staff the complete day-to-day operation internally.

Your practice keeps the patient relationship, clinical decisions, operating visibility, and choice of delivery model.

Prefer operator support? Talk to a FairPath operator.
Sample patient dataSanitized FairPath patient enrollment and consent workflow
Enrollment evidence in one operating view. The interface keeps outreach, consent status, and the next required action visible to practice staff.
No revenue share. Keep 100% of program collections.FairPath charges for the operating platform and agreed support, not a percentage of the revenue your practice produces.
Trusted by 200+ Practices & MSOs | 100% Data Sovereignty | Bootstrapped by Operators, Not PE

You already have the patients and the clinical relationship.

The practice does not need to buy a patient relationship from an outside operator. It needs a reliable way to identify which patients fit which programs, put the work in front of the right person, and keep the evidence and billing requirements visible during the month.

Patient relationships

Build around patients and care teams that already know the practice rather than handing the relationship to another operator.

Clinical capability

Use existing clinical judgment for escalation, care planning, and review while the operating system organizes repeatable work.

Practical control

Keep program activity, staff responsibilities, patient data, and economic decisions visible as the work becomes part of the practice.

What changed for practices using FairPath

Tumi Medical

"The custom platform has completely transformed the way we operate-streamlining workflows and improving patient communication."

Rachel Agusti
COO/CFO, Tumi Medical Corp

192 patients

Independent family practice

Across the measured Medicare panel, total readings increased 12%, population readings improved approximately 17%, and 61.8% of patients improved month to month.

Read the practice result
45 to under 5 minutes

Eligibility workflow

In the documented deployment, eligibility work that required approximately 45 minutes per patient was reduced to under five minutes, increasing onboarding capacity.

See operating context

See the economics before you scale.

We model eligible patients, expected collections, staff hours, devices, billing, technology, and management. You can see what is likely to remain after direct costs and decide whether the program is worth expanding.

The decision becomes specific: which program, which initial cohort, which roles, and which operating assumptions can produce acceptable contribution, staff capacity, and clinical quality?

1Patients who may fit a programProgram fit, payer requirements, and patient consent
2Expected collected revenueAllowed reimbursement adjusted for collection performance
3Staff and direct operating costsLabor, logistics, billing, technology, and management
4What remains after direct costsThe operating contribution available for a practice decision
Talk Through My Practice

Bring your patient count, current programs, staffing, billing arrangement, and systems. We will use those inputs to make the conversation specific.

Panel strategy

Build the panel around program fit, not around one code family.

APCM can provide a stable base for eligible primary-care panels. RPM, CCM, and RTM add different clinical and operating layers where the patient, payer, and workflow support them. FairPath keeps those programs on one operating spine instead of creating separate silos.

ProgramBest fitMain operating requirementEconomic role
APCMEligible primary-care Medicare panelRequired service elements and continuityStable panel base
RPMPhysiologic monitoring needDevice data and management workflowAdditional clinical and revenue layer
CCMTwo or more chronic conditionsQualifying care-management timeLongitudinal coordination
RTMTherapeutic adherence or treatment responseTherapeutic data and managementSpecialty and therapy layer

Who does what

Bringing the program in-house does not mean asking clinicians to become software integrators or asking managers to move work between spreadsheets all day.

FairPath

Identifies program fit and keeps the work organized.

  • Patient and program qualification
  • Role-based work queues
  • Communication and documentation
  • Requirement and billing-readiness visibility
  • APCM, RPM, CCM, and RTM in one workflow

FairPath Advanced AI

Moves data, handles configured repeatable steps, connects systems, and prepares exceptions.

  • Eligibility and enrollment workflows
  • Outreach, intake, and routing
  • Connections across existing systems
  • Reports, portals, and automation
  • Missing reports, workflows, and tools

Your practice

Makes the clinical, eligibility, enrollment, and business decisions that require judgment.

  • Patient relationships and clinical decisions
  • Staff oversight and escalation
  • Patient-facing clinical work
  • Billing review
  • Staffing and growth decisions

A secondary operating path

When your practice does not want to staff the full operation

An operator-supported launch is scoped separately from the in-house model. The operator performs agreed day-to-day work through FairPath while the practice retains the patient relationship, clinical authority, and visibility into program activity.

The no-FairPath-revenue-share statement describes the internally operated model. Operator-supported economics depend on the operator and responsibilities selected.

Operator work

Agreed intake, routine outreach, work routing, documentation support, and billing preparation.

Practice control

Clinical appropriateness, escalation, patient decisions, and access to completed work and outstanding requirements.

Visible activity

Enrollment, work completed, exceptions, documentation, and billing readiness remain reviewable in FairPath.

Defined escalation

Clinical and ambiguous eligibility questions return to the designated practice role for approval.

Discuss operator support

Inside the platform

Follow the work from panel review to billing readiness.

Built by operators who ran national remote-care programs before they built the software.

Qualification and panel view

Bring program fit, payer requirements, missing fields, and exceptions into one reviewable starting point.

See qualification

PriorityQ and ReviewQ

Route routine work and clinical exceptions to the role that can resolve them.

See daily work routing

BillingQ

See ready and blocked records, required evidence, and the reason review is still needed.

See billing readiness

How the month actually runs

Each step produces visible evidence for the next role instead of depending on memory, spreadsheets, or month-end reconstruction.

01

Import the patient panel

Bring the source data and existing program information into one view.

Output: Source and import record
02

Find the right patients

Identify program fit, payer requirements, missing information, and exceptions.

Output: Qualified patient work queue
03

Assign the roles

Give enrollment, clinical, operations, and billing staff clear responsibility.

Output: Role and queue assignment
04

Work the queue

Bring the next patient and reason forward based on urgency, risk, program status, and monthly requirements.

Output: Prioritized daily work
05

Record the work as it happens

Keep calls, texts, consent, time, and documentation attached to the patient record.

Output: Timestamped work record
06

Review what is ready

Show billing review what is complete, what is blocked, and why.

Output: Billing-readiness status
07

Review the month

Compare collections, staff hours, direct costs, exceptions, and capacity before adding the next cohort.

Output: Practice operating review

Make enrollment status and the next action visible.

Structured outreach and consent status help the team move an approved patient into the program without reconstructing prior activity.

Sample patient dataSanitized FairPath enrollment and consent workflow
Enrollment workflow showing outreach, consent status, and the next required action.

FairPath Advanced AI

From a patient export to a working queue

A patient export is not a program. FairPath prepares the records, finds missing information, applies configured program and payer rules, and sends ambiguous cases to staff before creating the daily work queue.

Input

Patient and program records

Patient export, demographics, diagnoses, payer information, and current program status.

Advanced AI actions
  1. Normalize incoming records.
  2. Identify missing or inconsistent fields.
  3. Apply configured program and payer requirements.
  4. Route exceptions for staff review.
  5. Create the qualified FairPath work queue.
  6. Preserve the import, decision, and review record.
Human control

Judgment remains with the practice

Practice staff approve ambiguous eligibility, clinical appropriateness, and final enrollment decisions.

Result

A qualified, reviewable cohort

The team begins with routed work instead of a spreadsheet that staff must inspect patient by patient.

Powered by Buffaly, Intelligence Factory's AI operations platform.

You do not have to rip out what already works.

FairPath does not require every practice to begin at the same point or replace every useful system at once.

Current state

No current remote-care program

First step

Start with one service and 25 to 50 eligible patients.

Guardrail

Keep staffing, documentation, billing review, and patient communication under control.

Current state

Software without an operating model

First step

Map current tools, queues, roles, and handoffs into one FairPath workflow.

Guardrail

Keep useful systems while replacing disconnected manual coordination.

Current state

Full-service or percentage arrangement

First step

Document the current patient, data, workflow, and contract boundaries.

Guardrail

Plan a controlled transition that protects patient care and billing continuity.

Current state

Multi-program operation

First step

Choose one recurring bottleneck across APCM, RPM, CCM, or RTM.

Guardrail

Standardize one operating spine rather than adding another isolated tool.

The second cohort should be easier than the first.

The first cohort creates more than collections. Your staff learns the work, the patient and payer patterns become clearer, and the workflows become easier to repeat. The next cohort should begin with better information and less setup.

FairPath keeps that operating knowledge and workflow visible whether your own team runs the program or a FairPath operator supports the day-to-day work.

  • Staff knowledge remains inside the practice.
  • Patient and payer patterns improve future targeting.
  • Existing workflows can be reused across additional programs.
  • Configured automation remains available to the operation.
  • The next cohort should require less setup than the first.

Start with 25 to 50 patients and answer four practical questions.

Use one focused cohort to validate patient selection, role assignments, daily work, communication evidence, billing review, staffing demand, and the transition into a repeatable monthly operation.

  • Choose one program and an eligible cohort.
  • Assign clinical, operational, and billing-review responsibilities.
  • Run the workflow through one complete operating cycle.
  • Review exceptions, staffing, direct costs, collected revenue, and estimated contribution before expanding.