Remote Care Management

Care. No Matter Where

Whether you run a practice, manage your own health, or have served our country, KaiCare Ai meets you where you are.

For providers

Keep patients healthier between visits while your practice grows.

Run RPM, CCM, RTM, PCM, and APCM on one platform, with our in-house clinical team handling the day-to-day work and every minute documented to CMS requirements.

  • A dedicated in-house clinical team
  • AI-powered triage and alerts
  • Audit-ready documentation and billing reports

For patients

Stay connected to your care team from home.

Monitor your vitals with easy-to-use devices, stay on track between visits, and hear from a care team who knows you when it matters. Your doctor sees your progress and guides your care.

  • A friendly voice who knows your story
  • Devices that are ready to use right away
  • Your doctor informed every step of the way

For veterans

Support that honors your service.

Working alongside the doctors you already see, our care team helps you stay healthy and supported between visits, caring for both body and mind.

  • Coordinated with your current providers
  • Whole-person support for physical and mental well-being
  • Your family and caregivers kept in the loop
For providers

Remote care management for physician practices and health systems

KaiCare Ai keeps patients engaged between visits. Our care team monitors readings every day, reaches out when something changes or a reading is missed, and escalates abnormal readings to your providers based on protocols you set. We handle enrollment, devices, documentation, and billing reports, so your practice can launch in as little as 7 days, while your providers make every clinical decision.

  • HIPAA-compliant platform
  • SOC 2 audited
  • No upfront cost
Why remote care matters

Most chronic care happens between visits

Your patients manage their conditions every day at home, yet care is built around a few office visits a year. Medicare pays practices to support patients in between, and most eligible patients still aren’t enrolled.

8 / 10

adults 65 and older live with two or more chronic conditions

CDC, Preventing Chronic Disease, 2025 (2023 data)

6 / 10

adult emergency department visits are made by patients with at least one chronic condition

CDC National Center for Health Statistics (2017 to 2019 data)

43%

of Medicare remote monitoring patients did not receive all three parts of the service

HHS Office of Inspector General, 2024

Medicare keeps expanding what it pays for

CMS added Advanced Primary Care Management in 2025 and new remote monitoring codes for shorter monitoring periods in 2026. Oversight has grown alongside it, which makes a compliant partner more important than ever.

What we do

A care management platform with a clinical team behind it

KaiCare Ai gives your practice the platform to run chronic care programs, with the option of our clinical team to run them for you. Either way, patients stay supported between visits and your providers make every clinical decision.

Technology platform

Platform Only

Your staff runs the program on the KaiCare Ai platform, with our training and support behind them.

  • HIPAA-compliant portal and patient app
  • Real-time alerts and patient dashboards
  • Automatic time tracking for every program
  • Monthly billing reports and compliance tools
  • Staff training and onboarding

A fit for practices that already have care management staff

Full service

Platform + KaiCare Ai Care Team

Our NP-led clinical team runs day-to-day operations under your providers’ supervision, so your staff doesn’t take on new work.

  • Eligibility review and patient enrollment
  • Device setup, shipping, and patient onboarding
  • Ongoing monitoring and patient outreach
  • Care plan updates and documentation
  • Escalation to your providers when action is needed
  • Monthly billing reports for your team

A fit for practices that want to launch without hiring

Programs

Care management programs, all in one place

Each program has its own eligibility rules, time requirements, and billing codes. KaiCare Ai runs them together on one platform and tracks time separately for each, so nothing is double counted.

clinician with a clipboard and a digital-health data overlay

Chronic Care Management

Patients managing two or more chronic conditions get a dedicated care coordinator who reviews their medications, keeps appointments and specialists aligned, and keeps your providers informed between visits.

patient on a laptop video visit, holding medication bottles

Principal Care Management

When one serious condition, like cancer or advanced kidney disease, needs closer attention, PCM delivers focused monthly management, timely medication adjustments, and care plan updates tied to that diagnosis.

patient at home on a tablet telehealth call with a pulse oximeter and BP cuff

Remote Patient Monitoring

Connected devices capture blood pressure, glucose, weight, and oxygen from home every day. Our team reviews each reading, and abnormal results are escalated to your providers based on protocols you set.

Patient using therapeutic monitoring at home

Remote Therapeutic Monitoring

Ideal for respiratory and musculoskeletal therapy, RTM tracks adherence, pain levels, and recovery milestones between sessions, so your providers can see what’s working and adjust care early.

physician showing an older patient a tablet at a clinic desk while a nurse looks on

Advanced Primary Care Management

For primary care practices that want a monthly bundled care management model with no minimum time requirements, billed in three tiers based on patient complexity.

Not sure which programs fit?

We’ll review your patient list and show you how many patients qualify for each program before you commit.

How it works

From patient list to first billing cycle

Launching with KaiCare Ai doesn’t require new hires or new software for your staff to learn. Here’s what happens after you sign on.

  1. Enrollment & Onboarding

    We screen your EMR for eligible patients, obtain consent, educate them, and handle device logistics and setup.

  2. Patient Monitoring

    Our in-house care team monitors patients, responds to alerts, and escalates concerns to your team, so issues are caught early.

  3. Detailed Documentation

    Every interaction is documented and audit-ready, tied to the care plan and time requirements for each code.

  4. Billing Reporting

    Monthly reports show exactly which patients qualified and what is billable. Provider retains clinical oversight.

7 days

Typical time from a signed agreement to your first enrolled patients.

Why KaiCare Ai

Built around compliance and service

Practices, including many switching from other vendors, choose KaiCare Ai for a portal that keeps every program audit-ready and a service team that stays close to their patients and staff.

Compliance in every minute

Time is tracked by CPT code according to CMS rules, and no minute is ever counted toward more than one program. Billing thresholds, consent, and documentation requirements are enforced automatically.

A person behind every alert

AI sorts incoming readings and flags what needs attention, and a trained member of our clinical team reviews every flag. Concerns reach your providers based on protocols you set, and every clinical decision stays with them.

Documentation that lives in your EMR

Every call, reading, and care plan update is documented in detail. Two-way EMR integration pulls patient data in and writes documentation back, so providers see everything in the chart they already use.

One company, not a patchwork

Our platform, engineers, and clinical team are all in-house. When your practice needs a change, our engineers build it, and our multilingual care team supports patients in the language they’re most comfortable with.

Start small, scale when ready

Begin with a small group of patients and expand at your own pace, with no minimum enrollment.

Results you can measure

We publish our clinical outcomes along with the methodology behind them, so you can see what the program does for patients, not just for revenue.

Outcomes

Results from patients in KaiCare Ai programs

Measured over the trailing 12 months across KaiCare Ai full-service client organizations, using patients with enough readings to compare their first and most recent 30 days.

62%

of patients in the blood pressure cohort improved their systolic reading

KaiCare Ai outcomes report, blood pressure cohort

9 in 10

monitored patients kept their heart rate in the normal range throughout

KaiCare Ai outcomes report, heart rate cohort

1,181

critical readings caught at home, preventing hospitalizations

KaiCare Ai outcomes report, critical events

−7.1 mmHg

mean systolic reduction in diagnosed hypertensive patients

KaiCare Ai outcomes analysis, blood pressure cohort

Observational cohorts of patients under active remote monitoring and clinical management in KaiCare Ai full-service programs. Critical readings are emergency-range readings caught at home: systolic ≥180 or ≤80 mmHg, glucose ≥400 or ≤54 mg/dL, or oxygen ≤88%. This is not a controlled study.

Billing

How billing works

Services are billed under the providers’ NPI, and reimbursement goes directly to the practice. KaiCare Ai documents every minute and every interaction to CMS requirements, then hands your billing team a detailed report showing exactly what qualified and why, so claims go out accurate and supported.

  1. We document every service

    Time, activities, consent, and readings are captured in the portal as the work happens, tied to each patient’s care plan and each code’s requirements.

  2. You get a detailed billing report

    Each month, your billing team receives a report organized by patient, program, and code, with the supporting time and activity behind every line.

  3. Your team submits with confidence

    Your billing staff or billing service submits claims under your NPI, with documentation already organized to support each code if a payer asks.

  4. Reimbursement goes to your practice

    Payments from Medicare and other payers come straight to your practice. KaiCare Ai never bills payers or patients.

Billing codes supported by program
ProgramCodes supported
CCM
  • 99490
  • 99439
  • 99487
  • 99489
PCM
  • 99424
  • 99425
  • 99426
  • 99427
RPM
  • 99453
  • 99454
  • 99445
  • 99457
  • 99458
  • 99470
RTM
  • 98975
  • 98976
  • 98984
  • 98977
  • 98985
  • 98980
  • 98981
  • 98979
APCM
  • G0556
  • G0557
  • G0558

Billing rules the portal enforces

  • No minute is counted toward more than one program
  • Timed thresholds are met before a code appears on a report
  • RPM and RTM are never billed for the same patient in the same month
  • APCM is never billed alongside CCM or PCM in the same month
  • Consent is recorded before any service begins
Security and compliance

Built to protect patient data

Your practice is a HIPAA covered entity, and KaiCare Ai works as your business associate. We hold ourselves to the standards your compliance team expects from any vendor that handles patient information.

HIPAA-Compliant Platform

HIPAA-compliant

Our platform, workflows, and documentation follow HIPAA privacy and security requirements, and every client agreement includes a business associate agreement.

SOC 2 Type 2 Seal

SOC 2 audited

An independent CPA firm has audited our security controls. A Type 1 report reviews how controls are designed, and a Type 2 report tests how they operate over time.

Documentation for your review

Security documentation and questionnaires are available through our trust center to support your vendor review.

FAQ

Frequently Asked Questions

KaiCare Ai is a care management partner for physician practices and health systems. We combine a HIPAA-compliant platform with a clinical care team to run Medicare programs like CCM, PCM, RPM, RTM, and APCM, while your providers keep every clinical decision.

Your providers do. Our care team monitors readings, reaches out to patients, and documents every interaction, then escalates concerns to your providers based on protocols you set. Every clinical decision stays with them.

Services are billed under your providers’ NPI, and reimbursement goes directly to your practice. KaiCare Ai never bills payers or patients.

We support Chronic Care Management (CCM), Principal Care Management (PCM), Remote Patient Monitoring (RPM), Remote Therapeutic Monitoring (RTM), and Advanced Primary Care Management (APCM), all on one platform with time tracked separately for each program.

Yes, when they qualify. Time is tracked separately for each program, so no minute is counted twice. Some combinations can’t be billed together: RPM and RTM can’t be billed for the same patient in the same month, and APCM can’t be billed alongside CCM or PCM. The portal enforces these rules automatically.

Typically about 7 days from a signed agreement to your first enrolled patients. We handle eligibility review, patient consent, and device setup, and you can start with a small group of patients and expand at your own pace.

Not with our full-service model. Our NP-led clinical team handles enrollment, devices, monitoring, outreach, documentation, and billing reports under your providers’ supervision. If you already have care management staff, our Platform Only option gives them the portal, training, and support to run the programs themselves.

KaiCare Ai works as your business associate, and every client agreement includes a business associate agreement. Our platform and workflows follow HIPAA privacy and security requirements, our security controls have been audited by an independent CPA firm under SOC 2, and security documentation is available through our trust center for your vendor review.

See what care management could look like for your practice

We’ll review your patient list, show you how many patients qualify for each program, and walk you through both service models.