Comprehensive Chronic Care Management (CCM)

Empowering patients with serious chronic conditions through personalized, proactive care coordination. Our CCM service offers regular check-ins, medication oversight, and tailored health support to help you live healthier and with greater peace of mind.

Remote Patient Monitoring (RPM)

Stay connected to your health—our RPM service uses FDA‑approved devices to record your vital signs (BP, glucose, weight, oxygen) daily, delivering real-time alerts and professional oversight. We ship the equipment, monitor readings, and notify you of any concern for early intervention and better chronic disease management.

Annual Wellness Visit (AWV)

Take charge of your health with our Medicare-covered Annual Wellness Visit. We conduct comprehensive assessments, preventive screenings, and personalized care planning to help you stay ahead—keeping you well today and for years to come.

Who We Help

Helping physicians, clinics, and care facilities deliver better outcomes and proactive care through smart technology and personalized service.

What We Do

 At Citi wide Health, we help healthcare providers deliver better care through:

Our Services

What Service We Provide

Chronic Care Management (CCM)

  • Supports patients with 2+ chronic conditions
  • Monthly care coordination and follow-ups
  • Customized care plans and goal tracking
  • 24/7 nurse support for patients
  • CMS-compliant documentation and billing
  • Improves outcomes and boosts practice revenue

Remote Patient Monitoring (RPM)

  • Real-time tracking of vitals like BP, glucose, and weight
  • Easy-to-use devices shipped directly to patients
  • Daily data review and alerts for abnormal readings
  • Early intervention to reduce hospitalizations
  • Provider dashboard with actionable insights
  • Improves adherence and patient safety

Annual Wellness Visit (AWV) Support

  • Full support for Medicare-required annual visits
  • Patient outreach, scheduling, and reminders
  • Health risk assessments and screenings
  • Personalized prevention plans generated
  • CMS-compliant templates and documentation
  • Saves time while increasing preventive care revenue

Our Services

What Service We Provide

Chronic Care Management (CCM)

Remote Patient Monitoring (RPM)

Annual Wellness Visit (AWV) Support

F.A.Q.

Citi Wide Health offers comprehensive virtual care solutions including Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Annual Wellness Visit (AWV) support to help healthcare providers improve patient outcomes and increase practice revenue.

Our CCM program involves monthly patient outreach, personalized care plans, and detailed reporting to ensure patients with multiple chronic conditions stay engaged and compliant with their treatment plans.

We provide FDA-approved devices such as blood pressure monitors, glucose meters, weight scales, and pulse oximeters that integrate seamlessly into our HIPAA-compliant platform for real-time monitoring.

Yes. Our technology and operational processes fully comply with HIPAA regulations to ensure patient data security and privacy at every step.

Implementation timelines vary depending on practice size but typically take between 1-3 weeks, including onboarding, integration, and staff training.

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