Who we serve · Neurology Practices
Scale dementia care without scaling headcount.
A fully managed clinical operations model for the CMS GUIDE program. We handle coordination, monitoring and compliance, so your providers can focus on diagnosis and treatment.
Built for GUIDE
Common pressures
Sound familiar?
The GUIDE Model asks practices to deliver continuous support that most teams are not staffed for.
Coordination and support
Continuous care for patients and caregivers.
The day-to-day work that keeps GUIDE patients enrolled, supported and safe.
Dementia Care Coordination
Enrollment and care plans coordinated with your neurologists.
- Patient intake and GUIDE enrollment
- Care plan creation and updates
- Ongoing tracking and adherence monitoring
24/7 Clinical Support Line
Round-the-clock RN support for patients and caregivers.
- RN triage and caregiver support
- Behavioral escalation management
- Crisis intervention and physician escalation
Caregiver Education and Support
Help families understand and manage what comes next.
- Dementia progression education
- Behavioral management strategies
- Stress monitoring and referrals
Engagement and monitoring
No patient falls through the cracks.
Outreach and remote monitoring that keep patients in care between visits.
Patient Outreach and Engagement
Calls and reminders that keep patients on schedule.
- Enrollment and follow-up calls
- Appointment reminders
- Missed visit outreach and annual reassessments
Remote Patient Monitoring
Early signals your team can act on.
- Cognitive decline tracking
- Behavioral monitoring
- Fall risk and medication adherence
GUIDE Documentation and Reporting
Compliance handled from day one.
- CMS GUIDE documentation
- Care plan maintenance
- Quality metrics and audit readiness
Who does what
Your clinicians lead. We handle the rest.
- Diagnosis
- Treatment
- Clinical decisions
- Complex cases
- Care coordination
- Monitoring and outreach
- GUIDE documentation
- Caregiver support
- 24/7 RN support line
FAQ
GUIDE questions, answered.
Have a question we did not cover? Add it to your support plan request above, or call us at (833) 335-6270.
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