The Operating System for Remote Care
FairPath watches every patient, every touch, and every requirement across CCM, RPM, RTM, and APCM. It actively steers your operation toward billing readiness—preventing revenue leakage and "end-of-month scrambles" before they happen.
Standardize operations across 50+ disparate practices. Get a single "Control Tower" view for compliance, staffing ratios, and risk management across your entire network.
Turn your pharmacists and staff into a billable remote care workforce. We provide the compliant workflows; you provide the relationship and the staff.
Stop losing margin to eligibility drift and unbillable admin work. Automate the evidence trail and make month-end reconciliation instant.
Real partners. Real results. Zero vendor headaches.
The Problem with Passive Software
Passive tools wait for your nurses to find work, creating a "Search Tax" on every hour of labor. FairPath actively routes eligible patients to the top of the queue, locking out unbillable tasks so your team never wastes a minute.
In standard EHRs, nurses spend 25% of their day clicking into charts just to see if a patient needs a call. FairPath eliminates this waste by pushing prioritized, billable patients directly to the nurse's screen.
Patient coverage changes mid-month. If you don't catch it, you do the work but get denied the pay. FairPath runs active eligibility checks and locks the workflow if coverage drops, saving you from unpaid labor.
Don't rely on staff to "remember" to document time. FairPath treats every call, SMS, and chat as a billable artifact, automatically timestamping and logging it for audit defense.
| Operational Stage | Manual Oversight (Typical Toolchain) | Active Management (FairPath) |
|---|---|---|
| Patient Selection |
Hunt and Peck
Staff hunt through alphabetical lists and static dashboards to decide what matters today. Prioritization depends entirely on individual nurse judgement. |
Algorithmic Push
Patients and tasks are ranked by program fit, billing deadlines, and clinical risk. The next best work is already in the queue, removing the "search tax." |
| Eligibility & Requirements |
Silent Drift
Coverage and payer requirements drift silently mid-month until someone catches it manually or a claim fails 45 days later. |
In-Cycle Validation
Requirements are checked in-cycle. If coverage changes or data is missing, the workflow flags it immediately and routes the exception before time is wasted. |
| Evidence & Documentation |
Reconstructed Notes
Notes and time logs are reconstructed after the fact. Detail and accuracy vary by person, creating weak audit chains. |
Automated Proof
Calls and documentation produce defensible proof automatically as the work happens. The artifact exists because the action happened. |
| Billing Readiness |
The Month-End Scramble
Billing is a reactive cleanup project at the end of the month, filled with uncertainty and manual reconciliation. |
Real-Time Visibility
Billing readiness is visible in real time. You can see what is ready, what is blocked, and exactly why—long before month-end. |
| Scale & Quality |
Manager Heavy
More patients means more managers to police consistency. Quality degrades as team size grows. |
Enforced Consistency
Role-based queues and enforced steps keep quality consistent as you add staff. New hires perform like the process, not like their memory. |
| Multi-Program |
Tool Sprawl
Each program adds new screens, new rules, and new failure modes. Conflicts are discovered only after billing. |
One Operating Spine
CCM, RPM, RTM, and APCM run inside one spine. One patient view, one queue, one timing model. Conflicts are prevented, not just detected. |
Designed for scale, not just clinical documentation.
Stats collected on real deployments spanning 200+ practices and 100k+ patients
The Bottleneck: Manual insurance verification requires portal-hopping that takes ~45 minutes per patient.
The Fix: FairPath’s Auto-Eligibility Engine runs these checks instantly (<5 minutes). This allows one intake specialist to process the volume of eight manual staffers, while simultaneously reducing downstream denials.
The Bottleneck: In manual workflows, minutes are often thrown away on patients who are capped on billing units, or work stops just short of a billing threshold.
The Fix: FairPath’s AI Optimization Algorithm prioritizes the queue to ensure you never throw away minutes. It pushes the most important patients first and prevents time leakage, reducing wasted blocks by 53% without compromising care quality.
The Bottleneck: In a manual workflow, nurses spend ~90 seconds between tasks just navigating lists to decide who to call next (the "Search Tax").
The Fix: FairPath’s Priority Queue serves the next patient instantly. No searching, no sorting—just care.
One operating system for APCM, RPM, CCM, and RTM—from eligibility and onboarding to billing, compliance, and scale.
The most common objection to bringing RPM, APCM, RTM, or CCM in-house is bandwidth. FairPath’s queue-based architecture lets you work as little or as much as you want: whether you have 30 minutes a day or a dedicated team, the system prioritizes work so you never waste time, eliminate repetitive manual steps, and keep the focus on patient health first.
Most practices struggle with remote care because they improvise who to enroll. FairPath replaces guesswork with structured, scalable decision-making. We turn the chaos of payer rules, diagnosis codes, and payment history into a single 1–5 Qualification Score for each patient, so you see exactly who is viable for APCM, RPM, CCM, or RTM without manual chart review.
Predictive payer scoring built from your own data. FairPath ingests your 835 (ERA) payment files to learn from your actual claims history, predicting which payers and codes will reimburse and filtering out high-denial plans before you ever start enrollment.
One dashboard maps diagnoses to programs (e.g., HTN, Diabetes, COPD, CKD → APCM, RPM, CCM), showing which chronic conditions qualify for which programs in a single, simple table tuned to your clinical policies.
We automatically update the logic for CMS rules, insurance policy shifts, and ICD code changes (including ICD-11). Your eligibility scores and panel design never go stale as regulations evolve.
The Operational Shift: You never waste time chasing ineligible patients. Every enrollment minute is directed at a clinically appropriate, reimbursable candidate.
Move from “ad-hoc notes” to a structured, browser-based Onboarding Module. FairPath unifies communication, documentation, and hardware logistics in a single flow—staff call patients from the browser, capture verbal consent, and assign device serial numbers without spreadsheets.
Call patients directly from the browser using built-in onboarding scripts. FairPath delivers training materials and automatically records and transcribes verbal consent to the chart while simultaneously kicking off downstream logistics.
Track serial numbers and assignments in one place—no separate trackers. Generate return shipping labels instantly and prevent billing for inactive or lost devices.
Send templated patient letters, save signed forms, and archive all training records in a single, audit-ready profile.
Your operations team lives in PriorityQ and ReviewQ—consolidated queues that sort work by urgency, clinical risk, and code completion. Instead of reviewing every reading, your staff works from a single queue of exceptions: critical vitals, worsening trends, and “no data” patterns. The same interface works for 50 or 5,000 patients; only the queue length changes, with Amy (AI) handling routine nudges and troubleshooting in the background.
Consolidates new readings, APCM service tasks, “Device Problem” events, and exception alerts into one prioritized list so every click advances both patient outcomes and billing progress.
Calls and texts are initiated from the queue. Every interaction is timestamped and attached to the patient record, feeding BillingQ and your audit trail automatically.
Make “Compliance-as-Code” real. BillingQ treats compliance as a systems problem, not a training problem—encoding the rules so risky claims never make it to your billing team.
Don't reinvent the wheel. FairPath includes embedded operational procedures for enrollment, review, and QA, refined over millions of patient interactions.
The same operating model works for 100 patients or 10,000+. Queue-based workflows mean you scale by adding roles, not by rewriting software.
Structured care pathways, AI-assisted drafting, and patient engagement that keeps clinicians in control—even as you scale from a few dozen patients to a multi-thousand panel.
Remote care fails without a roadmap. FairPath provides Ontology-Driven Pathway Schemas that act as the clinical blueprint for your program—ensuring every patient receives consistent, high-quality care. Developed in partnership with leading clinicians and refined over millions of patient interactions.
Amy (AI) analyzes patient history and comorbidities to draft a comprehensive care plan for you. She suggests goals, phases, and interventions based on your clinical guidelines—all within a secure, HIPAA-compliant environment.
Draw from our library of best-practice schemas (HTN, Diabetes, COPD), or encode your own proprietary protocols.
Stop juggling separate plans. Create a single CarePlan that manages multiple chronic conditions at once. The system links documented activities to program requirements and shows progress toward common thresholds; payer rules vary and the practice remains responsible for coding.
Track every development. FairPath audits every change to the care plan, creating an immutable history of patient progress and provider decision-making.
The Priority Q puts the most important patients in front of you first. Instead of reviewing every reading or bouncing between charts, clinicians work from a single queue of exceptions—critical vitals, worsening trends, and “no data” patterns. AI evaluates incoming readings in real time so you decide how hands-on you want to be, and the software absorbs the rest.
Critical alerts jump to the top. Scheduled follow-ups for CCM and APCM appear automatically when due. Filter by event type or let the AI decide what's next so your effort is defined by clinical need, not panel size.
Watch billing codes track in real-time. As you log time or complete tasks, progress bars fill up instantly so you know exactly when thresholds (like CCM 20 mins) are met.
Call or text patients directly from the chart or queue. Every attempt is automatically logged to the audit trail and contributes to time tracking.
Stop typing. FairPath automatically transcribes and summarizes every phone call. You can also dictate your own clinical notes. Both the original audio and transcript are saved in a HIPAA-compliant archive.
Amy (AI) is an embedded capability of FairPath—not a separate product. She handles routine friction so your clinicians can focus on complex care: sending nudges to keep patients on track for RPM requirements (like 16 days of readings), troubleshooting connectivity, and delivering structured symptom surveys via text or voice.
Walks patients through fixing connectivity issues to keep data flowing.
Reminds patients to take readings or complete APCM elements.
Collects structured symptom data and answers common questions.
Recognizes clinical risk and hands off to human staff with context.
The Operational Shift: You choose how little or how much to personally touch; FairPath ensures that whatever reaches your staff is worth their time, defined by exceptions rather than panel size.
Backed by SemDB and OGAR guardrails to ensure HIPAA compliance and minimize hallucinations.
Reimbursement Generated
Paid to our operator clients
Clinical Events Processed
Via active monitoring queues
Patient Lives Managed
On a single operating spine
Integrated with major EMRs:
FairPath is built on operational work, not theory. We publish the playbooks and checklists we use to keep programs compliant and profitable. Use them whether you run FairPath or not.
Browse the Expert Library →The practical 2026 guide to device rules, day thresholds, management time, and audit defensibility for Remote Patient Monitoring.
Read the RPM Guide →How to run Remote Therapeutic Monitoring for MSK, respiratory, and CBT workflows with the correct 9897x and 9898x rules.
Read the RTM Guide →Calendar-month operations for CCM: consent, initiating visit, care plan requirements, time counting, and concurrency rules.
Read the CCM Guide →The operator blueprint for Advanced Primary Care Management: eligibility, G0556–G0558 tiers, and monthly execution.
Read the APCM Playbook →