Patient Selection Enrollment Daily Monitoring Clinical Outreach Escalation Documentation Weekly Report First 30 Days Risk Index Do / Don't What Changes What We Don't Do

How Carevo Supports
Your Practice

From patient enrollment to weekly physician reports, Carevo becomes your between-visit nursing team — handling the clinical work required to successfully operate Remote Patient Monitoring while your physicians stay focused on caring for patients.

What Happens After You Say Yes?

Becoming a Carevo partner is designed to be simple. Most practices begin with a small pilot of 10–20 eligible Medicare patients, allowing your team to experience the workflow before expanding.

Your physicians continue practicing medicine exactly as they do today while Carevo becomes the nurse-led team supporting patients between office visits.

There is no complicated implementation, no workflow disruption, and no need to hire additional staff.

Below is exactly how Carevo supports your practice — from identifying eligible patients to delivering structured weekly physician reports.

1
Step One
Where It Starts

Identify Eligible Patients

We work alongside your practice to identify Medicare patients with qualifying chronic conditions who are appropriate candidates for Remote Patient Monitoring. Your physicians remain in complete control of patient selection — Carevo supports the process, not replaces the clinical judgment behind it.

Most independent practices have more eligible patients than they realize. Heart failure, hypertension, diabetes, and other qualifying conditions are common in Medicare panels, and RPM can begin with as few as 10–20 patients while your practice evaluates the model.

Your role: Review and approve the patient list. Carevo handles the outreach, logistics, and onboarding from there.
2
Step Two
Getting Patients Started

Patient Enrollment

Carevo guides eligible patients through enrollment — obtaining required consent, explaining the program clearly, coordinating device delivery, and ensuring every patient understands how monitoring works before participation begins.

Patients speak directly with a Carevo nurse during onboarding. This is not an automated process or a portal form. It is a clinical conversation that sets expectations and builds patient confidence from day one.

  • Consent documentation handled by Carevo
  • Device shipped directly to patient's home
  • Nurse-led onboarding call to confirm setup and answer questions
  • Baseline readings established before formal monitoring begins
Your role: Order RPM. Carevo manages everything after the order is placed.
Your Timeline

What Your First
30 Days Look Like.

Most practices are onboarded and actively monitoring patients within 2–3 weeks. Here's exactly what to expect.

Week 1
Assessment & Setup
  • 15-min call with Eric to confirm practice fit
  • Identify your first 10–20 eligible patients
  • Sign service agreement, confirm escalation preferences
Week 2
Patient Onboarding
  • Devices shipped directly to enrolled patients
  • Carevo calls each patient for device setup & education
  • Consent documented, baseline vitals established
Weeks 3–4
Active Monitoring
  • Daily data review begins for all enrolled patients
  • Structured check-in calls per monitoring protocol
  • Any escalations delivered to your team immediately
End of Month 1
First Report & Review
  • Weekly report delivered with full patient summary
  • Billing documentation ready for your claims team
  • Brief debrief call — what worked, what to adjust

Your team's involvement during onboarding is minimal — patient identification and a 15-minute setup call. We handle the rest.

3
Step Three
The Core Service

Daily Between-Visit Monitoring

Our nurse-led team reviews transmitted physiological data, watches for meaningful clinical trends, and proactively monitors patient health between office visits — every day, not just when something goes wrong.

Patients are monitored by experienced nurses — not simply connected to technology. The devices transmit data. Carevo nurses interpret it, identify emerging patterns, and act on what they find before a problem becomes a crisis.

  • Daily data review for all enrolled patients
  • Trend tracking across weight, blood pressure, oxygen saturation, and glucose
  • Risk stratification updated weekly using Carevo's Continuity Index
  • All monitoring logged to support billing documentation requirements
What your practice sees: A structured weekly report — not raw device data to sort through.
How We Classify Patients

The Carevo
Continuity Index.

Every enrolled patient is classified weekly into one of three risk levels. This tells your team exactly who needs attention — and who doesn't.

🟢 STABLE & ENGAGED
Patient is connected and on track

Vitals within range, readings consistent, patient responsive. Routine monitoring continues — no action required from your team.

  • Vitals within target range
  • Device readings consistent
  • Patient responding to check-ins
🟡 EMERGING VULNERABILITY
Early warning signals detected

Subtle changes emerging. Carevo increases monitoring frequency and attempts re-engagement before deterioration accelerates.

  • Weight gain 2–3 lbs over 2–3 days
  • O₂ saturation trending downward
  • Response time slowing to 24–48 hrs
🔴 HIGH INSTABILITY
Immediate clinical review needed

Multiple risk signals present. Your team receives a structured escalation alert with full context so you can intervene before a hospitalization.

  • Weight gain 4+ lbs, O₂ below threshold
  • No device readings for 3+ days
  • Patient-reported symptom escalation
4
Step Four
Active Patient Engagement

Clinical Outreach

When appropriate, our nurses contact patients directly to reinforce the care plan, assess symptoms, answer clinical questions, and identify any barriers that may be affecting adherence or health status.

This is structured clinical communication — not a check-in script read by a call center. Every interaction is logged, documented, and available to your physicians as part of the weekly summary.

  • Reinforce physician care plans between visits
  • Assess symptoms and changes in patient status
  • Answer patient questions within clinical scope
  • Encourage medication adherence and healthy behaviors
  • Identify barriers to treatment and communicate them to your team
Every interaction is documented and feeds into the billing-ready record maintained for your practice.
5
Step Five
When Physicians Need to Know

Clinical Escalation

When physician attention is required, Carevo prepares a concise clinical summary — not a raw alert, not a device notification. Your team receives structured information that tells them exactly what changed, what we observed, what we have already done, and why physician review is recommended.

Your practice focuses on medicine. Carevo handles the monitoring. When those two intersect, the handoff is clean and clinical.

  • What changed — specific vital trends and observations
  • Clinical context — timeline of recent data
  • Interventions completed — what Carevo has already done
  • Recommended next step — what physician review should address
Physicians receive meaningful clinical information — not raw device alerts. Your team decides what action to take. Carevo provides the clinical picture.
6
Step Six
Supporting Compliant Billing

Billing-Ready Documentation

Every patient interaction is documented to support compliant Medicare RPM billing under your practice's NPI. Documentation is organized, complete, and structured to meet the requirements of established CPT codes including 99454, 99457, and 99458.

Your practice submits claims and receives reimbursement directly. Carevo invoices you as the clinical service partner. You retain full billing control — Carevo provides structured documentation to support the practice's billing workflow.

  • All clinical contact time logged per patient per month
  • Documentation organized by CPT code requirements
  • Delivered monthly in a format your billing team can use
  • Your practice bills under your NPI — Carevo never bills directly
No software implementation required. Carevo delivers documentation in whatever format integrates with your existing workflow.
7
Step Seven
Closing the Loop

Weekly Practice Summary

Each week, Carevo delivers a structured physician report summarizing patient activity, clinical outreach, escalations, and patients requiring follow-up.

Your practice gains visibility without reviewing raw RPM data or adding administrative work.

Sample Weekly Report

This is what your physicians receive from Carevo each week — organized by patient risk level so your team knows exactly who needs attention.

Weekly Reporting in Action

See what your physicians
receive each week.

Every enrolled patient is summarized in a structured weekly report — organized by risk level so your team knows exactly who needs attention and who doesn't.

Carevo Health — Weekly Continuity Report
Westside Internal Medicine
Reporting period
Week of Jun 9 – Jun 15, 2026
24
Total Enrolled
17
Stable
5
Watch
2
Escalated
Patient
Condition
Status
Key Signal
Action
J. Alvarez
Heart Failure
🔴 ESCALATED
+6.2 lbs in 3 days
Call today
M. Washington
Hypertension
🔴 ESCALATED
BP 178/104 — 2 readings
Call today
R. Hendricks
Heart Failure
🟡 WATCH
+2.8 lbs, slower responses
Monitoring ↑
T. Nguyen
Diabetes
🟡 WATCH
Glucose trending high 4d
Monitoring ↑
D. Okafor
Heart Failure
🟢 STABLE
All readings on target
Routine
C. Rodriguez
Hypertension
🟢 STABLE
BP 122/78, stable
Routine
+ 18 additional stable patients
All readings within target range
No action
🔴 Carevo RN Recommendation — J. Alvarez
Observed this week
+6.2 lb weight gain over 3 days
Increased dyspnea reported
BP trending upward (148/92)
Actions taken
Contacted patient twice
Confirmed medication adherence
Reinforced sodium restriction
Repeat weight scheduled tomorrow
Recommended for physician

Sample report — patient names are illustrative. Actual reports reflect your enrolled patient panel.

How is this report created each week?

→ See Carevo's complete monitoring process

Sample report — patient names are illustrative. Actual reports reflect your enrolled patient panel.

Clear Boundaries

An extension of your clinical team — not home health and not another software-only tool.

Carevo sits between your practice and your highest-risk patients — handling the between-visit clinical work that your staff doesn't have capacity to manage. Structured, documented, and reimbursable through established Medicare codes.

Carevo does
Structured nurse-led phone and messaging check-ins
Review and document patient device data daily
Alert your team when data signals a clinical concern
Handle device delivery and patient onboarding
Generate documentation your practice needs to bill
Carevo does not
Make home visits or provide hands-on care
Replace your clinical staff or physician oversight
Require software installation or IT projects
Bill Medicare directly — your practice retains billing
Require long-term contracts to get started
For Your Practice

What Changes When
Carevo Joins Your Team?

Very little — and that's intentional.

What stays exactly the same
  • Your physicians practice medicine as they always have
  • Your EHR and existing systems remain unchanged
  • Your clinical staff focus on in-office care
  • Your practice retains full control over patient care decisions
  • No software to install or IT projects to manage
  • No new hiring, payroll, or HR obligations
What your practice gains
  • + A dedicated nursing team monitoring patients between visits
  • + Structured weekly reports on every enrolled patient
  • + Clinical escalations when physician attention is needed
  • + Billing-ready documentation each month
  • + Medicare RPM reimbursement for care already being provided
  • + Earlier visibility into concerning changes between office visits
Clear Boundaries

What Carevo
Does Not Do

Understanding what Carevo is not is just as important as understanding what it is.

Carevo does not replace
  • Your physicians or their clinical judgment
  • Emergency care or acute intervention
  • Home health services or in-person care
  • Your EHR or existing clinical systems
  • Your existing nurses or in-office staff
  • The patient-physician relationship
Instead, Carevo extends
  • Your clinical reach between office visits
  • Your capacity to monitor more patients consistently
  • Your team's ability to catch deterioration earlier
  • Your practice's ability to generate RPM reimbursement
  • Additional between-visit clinical capacity without another full-time hire

Ready to See If Carevo
Fits Your Practice?

If your practice is exploring Remote Patient Monitoring but lacks the staffing required to operate it successfully, we'd be happy to discuss whether Carevo is the right fit.

Schedule a Practice Capacity Assessment
No long-term commitment · Ohio-based · Founded and led by an RN

Questions first? We're happy to walk through your current workflow
before discussing implementation.