Chronic care management
Monthly care coordination for patients with two or more chronic conditions, including CCM and principal care management.
cpcReach care-coordination software
Care-coordination software for the programs you actually run.
cpcReach is built for CCM, PCM, BHI, CoCM, RPM, advanced primary care, and ACO work. It connects patients, enrollment, care plans, notes, quality, billing readiness, and device inventory in one place.
For practices, ACOs, health systems, and provider groups.
cpcReach monthly dashboard. Patient and staff details are blurred.
Programs
One platform for care coordination, not a stack of point tools.
Run every care program your organization supports on the same workflow, with the same visibility for every role.
Behavioral health
Behavioral health integration and collaborative care so psychiatric and primary-care work stay on one record.
Remote patient monitoring
Device readings, inventory control, and support for financing and ordering home monitoring devices.
Advanced primary care
Advanced primary care management for practices that want a monthly medical-home path alongside care coordination.
ACOs and value-based care
One operating system for ACO and value-based teams that need the same care-coordination work across a network.
Nursing home and facility care
Facility charting, place-of-service documentation, and a billing handoff for provider groups in skilled nursing and long-term care.
cpcReach is care-coordination software for CCM, PCM, BHI, CoCM, RPM, advanced primary care, and ACO work — plus the inventory and device-ordering support those programs need.
The workflow
One operating path across the month.
cpcReach gives each team a shared view of where patient work stands and what should happen next.
Identify
Find eligible patients and understand where they are in the program.
Enroll
Track consent, program elections, and enrollment history.
Coordinate
Work from care plans, prior notes, alerts, and assigned patient lists.
Review
Route documentation through quality control and correction.
Prepare
Move QC-valid work into billing-ready queues and exports.
See cpcReach
A real platform for real care-program operations.
Explore the views care teams, reviewers, and operational leaders use to manage the work.
Patient and program management
Search and filter the panel by practice, program, status, and date of birth, with programs and status on every row.
Documentation and time tracking
Every note carries its type, codes, minutes, service dates, coordinator, and quality status in one row.
Quality control
Move submitted notes through review, correction, and valid status before anything reaches billing.
Billing readiness
Work a reviewed queue by month, escalate what is not ready, and export the rest to Excel or CSV.
Enrollment tracking
Keep program consent, enrollment dates, and who enrolled each patient in one auditable list.
Remote patient monitoring
Track device readings by month, spot stale or out-of-range results, and export reading days.
Screenshots are from a working cpcReach environment. Patient and staff details are blurred.
Operational outcomes
Turn workflow visibility into better follow-through.
cpcReach helps teams understand where work is held up without promising a financial result the software alone cannot guarantee.
Know what needs attention
See active patients, pending QC, practice goals, and teams behind pace.
Reduce incomplete handoffs
Keep enrollment, care plans, notes, follow-up, and billing status connected.
Support coordinator focus
Give staff assigned work, recent context, and visible monthly progress.
Keep quality in the workflow
Separate documentation from final QC review and surface corrections clearly.
AI assists the coordinator.
cpcReach can draft care plans, summarize prior notes into talking points, suggest goals, and answer product questions from approved help content.
Staff review the output. Clinical judgment and final documentation stay with qualified people.
Access follows responsibility.
Authenticated access, organization data isolation, role and practice scopes, temporary permission controls, and selected operational audit events support accountable work.
Scoped accessReview controls
Choose how you operate
Software for your team, or software shaped around it.
cpcReach platform
Your staff. One operating platform.
For organizations with their own care teams that need a consistent way to manage patient work from eligibility through billing readiness.
- Your organization supplies the staff
- cpcReach supports the operating workflow
- Role and practice-scoped access
Built with GLXY
Your workflow. Extended to fit.
For organizations that need cpcReach connected to the systems they already run, with custom workflows, integrations, and reporting built around their programs.
- Integration with your existing clinical and billing systems
- Custom workflows and reporting for your programs
- Ongoing support from the team that built it
Ready to Elevate Your Healthcare Solutions?
Let's discuss how our platform can help you streamline your healthcare operations and improve patient care.
Location
Medina, OH