The highest-risk days happen at home. We're there.
After the first 30 days, patients stay with your clinicians if appropriate via our tech-enabled service like remote patient monitoring (RPM), principal care management (PCM), advanced primary care management (APCM), and behavioral health integration (BHI), delivered through conversational AI, a companion app, connected devices and two-way text, with our medical assistants supporting your clinicians.
The same patient, the same team, after day 30.
Engage. Monitor. Escalate.
A monitoring layer with people behind it. Not standalone hardware, and never a replacement for your judgment.
Patients stay involved
A patient app with the care plan, reminders, education and a direct line to support.
Risks surface early
Real-time vitals and symptoms, medication reconciliation and monthly check-in calls.
Humans step in
Triage pathways that reach your clinicians when intervention is needed.
Remote care, in two minutes.
Devices, the patient app and the care team view behind MayaMD remote monitoring.
Remote Patient Monitoring service, run on Maya.
Our RPM services pay monthly for ongoing care of your Medicare patients. Maya's clinical engine runs the check-ins, care-plan updates and documentation; our medical assistants support your clinicians with everything else that needs a person.
RPM
99445 device, 2–15 days · ~$47
99457 first 20 min · ~$52
99458 each added 20 min · ~$41
99470 10 min · ~$26
PCM
99426 first 30 min, clinical staff · ~$68
99427 added 30 min, clinical staff · ~$54
G0556 one or no chronic conditions · ~$16
G0557 two or more chronic conditions · ~$54
G0558 Qualified Medicare Beneficiaries, two or more conditions · ~$117
99484 general BHI, 20+ min of care management · ~$57
G0570 BHI add-on billed with APCM · ~$58
2026 national average Medicare payments, CMS Physician Fee Schedule. Actual payment varies by locality.
Maya does the routine work
- Monthly AI check-ins by text, voice or app
- Care-plan updates written from what the patient said
- Documentation that maps to the APCM requirements
Our staff supports your clinicians
- Eligibility screening, consent and enrollment
- A dedicated medical assistant for your practice
- Coordination, referrals and medication reviews
Your clinicians stay in charge
- Review care plans and sign off
- Hear from us only when a patient needs you
- Claims prepared for your billing team
You keep the patients. We run the program.
One point of contact on your side. Our staff supports your clinicians with everything else, from the first outreach call to the monthly billing report.
Your practice provides
- One point of contact
- A patient list or panel access
- EHR access for our medical assistants
- Provider review of care plans and escalations
MayaMD provides
- The Maya app, with 24/7 access by app and text
- Enrollment, consent and monthly follow-up by our medical assistants
- Connected devices when they help, triage and EHR documentation
- Monthly program and billing reports
Set up
Pick a starting group of patients, sign the agreement and BAA, and kick off. We agree on success metrics before go-live.
Go live
We enroll patients and deliver every APCM element each month, with reports you can check.
Review at 90 days
We look at the results together and decide whether to expand.
Monitoring, principal care and behavioral health, from the same team.
Each program runs on the same engine, with the same staff supporting your clinicians, so patients never meet a stranger and your staff never juggles vendors.
Remote patient monitoring
FDA-cleared cellular devices for blood pressure, weight, heart rate and oxygen, shipped to the patient. Readings reviewed daily against the care plan.
Principal care management
For specialty practices: monthly management of one complex chronic condition, such as kidney disease or heart failure.
Behavioral health integration
Depression and anxiety screening, care planning and follow-up alongside medical care, because mental health drives readmissions too.
Questions practices ask
Which programs fit my practice?
Primary care practices usually lead with APCM and add RPM and BHI where they fit. Specialty practices often use PCM for one complex condition, plus RPM. We check eligibility and billing rules for each patient.
Do patients need devices?
Not for APCM, PCM or BHI. Devices are part of RPM, and we provide and support them.
What does my team do?
Review care plans and act on escalations. Our staff does the enrollment, outreach, documentation and claims prep.
Who qualifies?
Most Medicare patients who receive ongoing care from your practice. We screen your panel for you.
Is it compliant?
HIPAA compliant with a signed BAA, and workflows built around CMS program requirements.
Every remote-care patient starts with a safe discharge.
See how the first 30 days work, from guided discharge to the day-30 report.
Keep patients well at home. Add no staff.
A 20-minute call to see which of your patients qualify for APCM, RPM, PCM and BHI.