One Patient Population. Multiple Revenue Opportunities.
Your Medicare patient population may qualify for multiple reimbursable care programs. Clinii helps identify which opportunities may exist across your population and what they could mean for your organization.
APCM
Advanced Primary Care Management
$45–$150 / patient / month
RTM
Remote Therapeutic Monitoring
$60–$90 / patient / month
CHI
Community Health Integration
$66–$166 / patient / month
CCM
Chronic Care Management
$66–$166 / patient / month
BHI
Behavioral Health Integration
$77–$95 / patient / month
PCM
Principal Care Management
$83–$143 / patient / month
Your Revenue Opportunity Assessment helps identify which programs may apply to your patient population and quantify potential monthly and annual revenue opportunities.
See the Revenue Opportunity You're Not Capturing
Your team may already have the patients. The challenge is understanding where opportunities exist across your population and which patients may qualify for each program.
Clinii’s Revenue Opportunity Assessment gives your organization a clearer view of potential opportunities without requiring your team to manually review patient records one by one.
Your assessment can uncover:
- Eligible Medicare patients
- Opportunities across CCM, PCM, BHI, APCM, CHI and other applicable care programs
- Potential monthly and annual recurring revenue
- Patients who may be eligible but are not currently enrolled
- Opportunities to expand existing care management programs
- Operational gaps that may be preventing eligible care from becoming reimbursable
How Your Revenue Opportunity Assessment Works
Provide a Patient Export
Provide a limited patient data export so Clinii can assess your population, including patient ID, insurance type, and needed diagnosis information.
Clinii Analyzes Your Population
Clinii utilizes AI to evaluate your data and identify potential patient eligibility and opportunities across applicable reimbursable care programs.
Review Your Revenue Opportunity
Receive an assessment of eligible patients, care programs, and potential monthly and annual revenue with our team guiding you through the findings.
No EHR integration or BAA is required to get started.
What Your Assessment Can Show You
Eligible Patients
See how many patients within your existing population may qualify for reimbursable care programs.
Program Opportunities
Identify potential opportunities across CCM, PCM, BHI, APCM, CHI and other applicable programs.
Revenue Potential
Estimate the potential monthly and annual recurring revenue associated with identified opportunities.
Enrollment Gaps
See the difference between patients who may qualify and patients currently participating in applicable programs.
Identifying the Opportunity Is Only the Beginning
Finding eligible patients doesn’t automatically create revenue. Organizations still need a scalable way to enroll patients, create care plans, capture qualifying activity, maintain compliant documentation, and prepare services for billing. Clinii connects that workflow from opportunity identification through billing-ready documentation.
ASSESSMENT
Quantify potential opportunity
ELIGIBILITY
Identify eligible patients
ENROLLMENT
Automate outreach and consent
CARE PLANS
Create personalized care plans
COMPLIANCE
Capture qualifying activity and documentation
Billing
Generate billing-ready documentation
Clinii helps organizations turn identified opportunities into scalable care programs using their existing teams and workflows.
Schedule Your Revenue Assessment
Your Health Grew Monthly CCM Revenue From $3M to $16M With the Same Staff and Patient Population
Read the Your Health Customer SpotlightFrequently Asked Questions
What is a Revenue Opportunity Assessment?
Clinii’s Revenue Opportunity Assessment analyzes your patient population to identify potential eligibility for reimbursable Medicare care programs and quantify potential monthly and annual revenue opportunities.
What information does Clinii need for the assessment?
The assessment begins with a limited patient data export containing information such as patient ID, insurance type, and applicable diagnosis information. Clinii uses this data to evaluate potential eligibility and program opportunities.
Do we need to integrate Clinii with our EHR first?
No. An EHR integration is not required to begin your Revenue Opportunity Assessment.
Which care programs can Clinii evaluate?
Clinii can evaluate opportunities across programs including Chronic Care Management (CCM), Principal Care Management (PCM), Behavioral Health Integration (BHI), Advanced Primary Care Management (APCM), Community Health Integration (CHI), and other applicable reimbursable care programs.
What will we receive from the assessment?
Your organization receives a personalized view of potential eligible patients, applicable programs, enrollment opportunities, and estimated monthly and annual revenue potential.
What happens after the assessment?
Clinii walks your team through the findings and helps you understand where opportunities exist. If you choose to move forward, Clinii can help operationalize those opportunities through patient eligibility, outreach and enrollment, care plan creation, activity capture, compliant documentation, and billing-ready workflows.