For families, a patient on Medicare
On Medicare, with the doctor's office in the loop and the family at home.
Your father sees a primary doctor and two specialists, the practice wants to follow the care month to month, and the family is the one at home with the blood pressure cuff and the pill organizer. ExpressAgain is the one record both sides read: the family logs the day, the readings and the doses, the practice logs its time and contacts, and the Medicare papers that let you speak for the patient are on one page.
Free to start, in the browser on any phone, tablet or computer. Nothing to install.
New to ExpressAgain? See the page for families.
The situation
The family at home, the practice in the loop, one record between them.
A practice that follows the care
The practice enrolls the patient; the owner or a caregiver-role account taps Accept on a link that names the practice and the primary doctor. From then on the practice appears under Organizations following the patient's care on the Care Team page, and Manage ends it any time.
The readings taken at home
Blood pressure, glucose, weight and the rest go into Health Tracking as they are taken, each with who logged it. The practice's clinicians read the very same chart on their dashboard, and Copy and Print reproduce the sheet for a visit.
The papers Medicare asks for
Important papers holds the Medicare permission to share (CMS-10106) and the appointment of representative (CMS-1696), with Fill in the official form, a status for each and the signed copy uploaded; the app reminds the family 30 days before the CMS-1696 year ends.
The month, documented for the practice
On the care-team dashboard the practice logs its time and contacts; the Billing support report under Reports shows the month's minutes, contacts, consent and plain requirement checks per program, labeled Estimated reimbursement opportunity, and the practice's coder decides.
The program, in plain words
Medicare Part B may pay a doctor's practice for chronic care management for a person with two or more serious chronic conditions expected to last at least a year: a comprehensive care plan, 24/7 access for urgent needs, support when moving from one setting to another and a review of the medicines; and for transitional care management after a hospital stay, with a contact within two business days of discharge and a visit within 7 or 14 days. The practice bills; the family keeps the record the practice reads.
What you set up now
The record is built around the patient, and the practice reads it.
Create the account, add the patient by name, and the whole app says Walter's Day, Walter's Schedule, Walter's care. Every card below is on the family's side of the app today, or on the practice's dashboard, and links the Help Center article that describes it.
Every doctor, on the Care Team page
Each one is a contact card with a name, a role and a phone number to tap and call: the primary doctor, the cardiologist, the clinic. Log a call or visit records each call, who was on it and what was decided, and Next visit puts the appointment on the calendar with what to bring and who is driving.
The Care Team page →The practice that follows the patient's care
A practice that uses ExpressAgain enrolls the patient and the family gets a link that names the practice and the primary doctor. Accept, and the practice's clinicians read the day plan, the medications, the tracking and the notes; its care management shows under Organizations following the patient's care on the Care Team page, and Manage, then End enrollment, revokes every access it had.
When a practice asks to follow the care →A login for each clinician who should see the record
Give access on a doctor's card, or Add to your home team, mints a single-use code for that discipline: Physician (MD / DO / NP / PA), Nurse (RN / LPN), Physical therapist, Occupational therapist, Speech therapist, Community paramedic / EMS and more. The person joins at the IDC Team sign-in and reads the day plan, the medications, the tracking and the notes.
Invite a clinician with a code →The day plan, named after the patient: Walter's Day
Time blocks for the day as the family wants it run, each with the steps to follow and a how-to video the family records. Whoever is on shift taps each step off, and the log keeps who did it and when. The practice's Billing support report reads the day plan as the care plan on file.
The day plan →Health Tracking, with Copy and Print for every visit
Blood pressure and pulse, temperature, oxygen, the blood-glucose grid laid out like the paper log, weight, meals, sleep, a bathroom log, symptoms such as pain, nausea or a fall, and personal care. Every entry carries who logged it, and the practice's clinicians see the same chart on their Health Tracking tab. Copy and Print reproduce the sheet to hand to the doctor.
Health Tracking →Medications, with every change the doctors order
Each medication keeps its history: started, increased, decreased, paused, resumed or stopped, the day it starts and who ordered it. Times from the label become a dose-due pop-up for whoever is on shift, and a dose nobody logged counts as missed in the Medications report, ready for the doctor's visit.
Medication schedules and the dose-due reminder →Important papers: the Medicare permission to share and the appointment of representative
Important papers lists the Medicare permission to share (CMS-10106), which lets 1-800-MEDICARE talk with the people named on it, and the Medicare appointment of representative (CMS-1696) for a claim or an appeal, which is valid for one year; the app reminds the family 30 days before that year ends. Fill in the official form opens the fillable PDF with the patient's name and address already in. Calling a supplier, insurer or Medicare lists what to have ready and a script to read.
Important papers →Insurance & Devices: the Medicare card, sealed, and the home monitors
Two coverage cards, primary and secondary, with the kind of coverage (Original Medicare, Medicare Advantage and more), the payer, the plan name, the phone on the card and the effective dates. The Medicare number and the member ID are sealed the moment they are saved and show only their last 4; the owner's reveal lasts 60 seconds and is recorded. Devices on file lists the glucose meter, blood pressure cuff, scale or pulse oximeter and who provided each.
Insurance & Devices →Billing support for the practice: the month, documented
On the care-team dashboard the practice's clinicians tap Log time and Log a contact. The Billing support tile under Reports shows the month: whose time counts for which practice, the per-program checks for chronic care management, transitional care management and the rest with consent recorded per program, the flagged-alert trail and a medical necessity draft to finish and sign, every card labeled Estimated reimbursement opportunity. Print, and two CSVs.
Billing support →
The Care Team page and the Medicare papers can be started this afternoon.
At home
The Home Team: every shift, every checklist, every invoice, on the record.
Care Team helps manage the care. Home Team helps the patient at home: the aides, CNAs, LPNs and RNs on shifts, the companions, the household help. Each professional has one profile with the agreements, the documents, the pay and the schedule, and the home team's clocked hours show read-only on the practice's Billing support report under Home team hours.
Find the team
Find a team member sends a questionnaire to anyone the family is considering, and the Marketplace search finds professionals by service and ZIP area. Agencies & Quotes writes a de-identified overview and the proposed schedule, sends one link, and the agencies' quotes land back in the app side by side, with no access to the record.
Find a team member →Agreements, the W-9 and the documents before the first shift
Home Team agreements drafts the Independent Service Agreement from the template, sends it, the professional signs, the family countersigns; an agency's own PDF goes in with its rules. One table shows who has completed the agreement, the W-9, CPR, the license, TB and the skills checklist. A professional fills and signs the W-9 in the app; the family sees it on file with the last four digits, and the owner's reveal for a 1099 is recorded every time.
Home Team agreements →The weekly schedule, with open shifts when someone is out
On Home Team management, the Weekly schedule holds a recurring slot per person with the days it covers, day shifts and overnights that cross midnight, each at its own rate. When someone is out, the shift is offered as an open shift and whoever picks it up is on the schedule for that day.
Home Team management →A checklist at the start and the end of every shift
The family writes the Start of shift and End of shift items. An item can be verified from the day's data, such as vitals logged, medications given or a shower logged, or by a photo the professional takes before it counts. A required item left undone holds that day's pay for the family's review, and hours worked are always owed.
Shift checklists and photo proof →A clock that works only at the house
The family sets the house on Home Team management, and the Home Team clocks in and out only there: the phone's location is checked at the tap. This week shows where every clock happened, and a professional who is somewhere else taps Ask the family to fix my time.
Clock in and out only at the patient's home →Timesheets, invoices and pay, with the year's total
The clock becomes the timesheet. Each professional, or the agency office, sends an invoice for the pay period; the family approves it, and Pay now shows their chosen method: Zelle, Cash App, direct deposit, a check, a bank transfer or a wire. Mark paid records how and with what reference. Year summary lists what the family paid each professional or agency, by the day it was paid, and flags an independent professional paid at or over the IRS reporting threshold with 1099-NEC likely due.
Clock in and out, the time log and pay release →Home Team reports to print or download
Home Team reports has five reports behind a row of tiles: House entry, Comings and goings, Who's been paid, Invoices sent, and Sign-in history, each with a range, Print and Download CSV. The hours clocked, the invoices sent and the payments marked paid are the family's own record of the care given at home.
Home Team reports →Health reports for the next visit
Reports has five reports: Vitals and glucose, Medications, Symptoms and alerts, the Weekly home summary and the Visit flow sheet. Pick 7, 30 or 90 days or a from-to range; Print shows only the report with a header naming the patient and the range, and Download CSV is built from the rows on screen. The clinicians' dashboard shows the very same reports on its Reports tab.
Health reports →
Hiring, agreements and the weekly schedule are ready before the first shift.
One record
The family, the care team and the Home Team read one record, each from their own side.
The family
The owner and caregiver-role accounts run the record from a phone, a tablet or a computer, in the browser. Nothing to install.
Who is who →The care team
Every clinician login opens the care-team dashboard: Today (the checklist, since your last visit, the schedule, the team feed, alerts), the patient's care, the patient, Clinical, My shifts, Paperwork, and Billing & pay. Every discipline reads the day plan.
The care-team dashboard →The Home Team on shift
Clock in at the house, the start-of-shift checklist, the day plan's steps to tap off, the dose-due pop-up for the medications on this shift, the end-of-shift checklist, clock out.
The app during a visit →
Every clinician login, whatever the discipline, reads the day plan.
Create a free accountQuestions
What families in this situation ask us.
Start the record today. The family and the practice read the same page.
Create the free account now, or tell us where things stand and we will set the first pieces up with you.
Talk to us
Tell us where things stand.
Which doctors the patient sees, whether a practice follows the care, and who helps at home. A real person replies within one business day, and we set the first pieces up with you.
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One team, one plan
Built for the interdisciplinary care team
An interdisciplinary care team is a group of different health professionals who work together closely with the patient and family to create a single, shared treatment plan. ExpressAgain is the platform where all of those parties care for one patient together: the same day, the same medications, the same notes, and the same record of who did what and when.
Family
the daughter, the siblings, the friends who show up
Home care
aides hired directly or sent by an agency
Clinicians
nurses, therapists, hospice, palliative, paramedics
Agencies
the office that staffs, schedules and bills