ExpressAgainFor physician practices
See what happens between visits, and document the care you already give.
Families and the home care team log meals, medications, vitals, glucose, bathroom, sleep and falls every day. Your practice reads it on one panel, gets alerts against your own targets, and the time your staff spends becomes a monthly billing support report.
30 minutes on Zoom with our founder. Nothing to prepare.
The gap
Your patients go home. The picture stops.
Home is a blind spot
Between visits you hear about the fall, the missed doses or the high readings weeks later, if you hear at all.
Families call the front desk
Questions, worries and "is this normal?" reach your staff by phone, one call at a time, with nothing written down.
Nothing until the next visit
The glucose log is on paper by the kitchen sink. You see it when someone remembers to bring it.
Care management goes undocumented
The calls, reviews and coordination your staff already does rarely land in a record your biller can use.
The picture between visits
Every day at home, in one place your practice can read.
What she ate, how often she went to the bathroom, her vitals and her glucose, the medications given or missed and by whom, how she slept, whether she fell, how she moved in the shower. A little data every day is enough to see what is happening and what is not.
Loretta Banks, 78 · Sample Family Medicine
Type 2 diabetes · hypertension · one week of the home log
| This week | Mon | Tue | Wed | Thu | Fri | Sat | Sun |
|---|---|---|---|---|---|---|---|
| Glucose, fasting | 118 | 124 | 115 | 131 | 120 | 126 | 117 |
| Glucose, after dinner | 142 | 214 above target | 150 | 228 above target | 138 | 205 above target | 146 |
| Blood pressure, morning | 132/78 | 128/76 | 136/80 | 130/78 | 134/82 | 129/77 | 131/79 |
| Meals logged | 3 · 1,610 cal | 3 · 1,720 cal | 2 · 1,240 cal | 3 · 1,800 cal | 3 · 1,580 cal | 3 · 1,760 cal | 3 · 1,540 cal |
| Evening medications | Given | Missed | Given | Missed | Given | Given | Missed |
| Urination, times | 7 | 7 | 6 | 6 | 5 | 4 | 4 |
| Bowel movements | 1 | 0 | 1 | 1 | 0 | 1 | 0 |
| Sleep and naps | 7.5 h | 6 h + nap | 7 h | 6.5 h | 7 h | 6 h + nap | 7 h |
| Symptoms and falls | None | None | None | None | None | Dizzy spell, 3:40 PM | None |
| Personal care, moving | Shower · steady | Steady | Wash-up · steady | Steady | Steady | Wash-up · weak | Steady |
Every entry in the app carries who logged it and when, for example Given 7:05 PM by Anita (Home health). Readings are typed by the family and the home team.
What you can see, and ask about
Glucose runs high after late dinners
The three readings above 180 all came after dinners at 8:30 PM or later. On the early-dinner days she stayed between 138 and 150.
Ask: What changes on the late-dinner days, and who is cooking?
Three missed evening doses this week
Tuesday, Thursday and Sunday: each entry shows who logged it. Two of them fell on late-dinner days.
Ask: Who is in the home at 7 PM on those days?
Fewer bathroom trips and a new dizzy spell
Urination went from 7 a day to 4 by the weekend, and Saturday brings a dizzy spell and a weak wash-up.
Ask: Is she drinking enough? Anything new on the medication list?
Sample data: an invented patient and invented numbers. ExpressAgain shows the entries and whether each reading is inside the targets your team set; reading the week and asking the questions is the clinician's work. The app does not diagnose or draw conclusions.
See it with one of your own patients in mind.
Request a demo
Better control over patient care while they're at home
See the home log, the care alerts against your targets and the panel with every enrolled patient, using your own patients as the example.
Rather pick a time now? Book a 30-minute demo.
What your practice gets
Everything the home knows, working for your practice.
All of it is live today, except where a line says it is waiting on a vendor.
The organization panel
Every enrolled patient on one screen: last reading, open alerts and how old they are, unread feed and enrollment status. Tap a row to open that patient's whole dashboard. Coverage by provider and staff, and an escalation window per practice.
The organization panel →Care alerts against your targets
Your team gives the family its ranges and when-to-call instructions. Every reading becomes one plain line for your clinicians, and a reading outside the targets goes out at once. The rule is your numbers; it is not a diagnosis.
Targets and care alerts →The family's home log
Glucose, blood pressure and pulse, weight, temperature, oxygen, meals with nutrition, medications given, skipped or refused with who and when, bathroom, sleep and naps, symptoms including falls, swelling and blood in stool, personal care and how she moved.
Health Tracking →Health reports and the weekly doctor summary
Vitals and glucose, medications, symptoms and alerts, the visit flow sheet, and a weekly home summary with the medication adherence grid and charts. 7, 30 or 90 days, Print and CSV, the same report the family reads.
Health reports →Appointments
Every clinical visit with where to go, what to bring, who is driving and who goes along. It is on the patient's schedule and your care dashboard the moment it is booked, and the family writes down what happened.
Appointments →The daily note to the family
Every evening the app writes up the day from the log, by fixed rules, for the family feed; the family reviews it before it posts. The circle hears how the day went without calling your office.
The daily note →Insurance & Devices
Primary and secondary coverage with member IDs sealed, and the home monitors on file with who provided them. Your billing report shows the payer and plan, never a member ID.
Insurance & Devices →Billing support and the estimated reimbursement opportunity
Your staff logs time on the dashboard. Each month the report shows whose time counts for your practice, runs the program checks (CCM, PCM, TCM, APCM and more) with consent, and labels every figure an estimate, from Medicare's national rates or your own payer rates. It never picks a code.
Billing support →The contacts log
Calls, video, office and home visits, caregiver training and discharge dates, with the day, time, minutes and who was involved. A clinician's timed contact is also a time entry, so the two never disagree.
Contacts and encounters →The medical necessity draft
Plain sentences built from the month's records and nothing else, never written by a model, for the billing practitioner to finish, sign and print.
The medical necessity draft →The Partner API and HL7
The Partner API reads what families shared with your organization and pushes readings and documents back, with every call logged; keys are issued after a signed BAA. The HL7 v2 feed is built and pending activation.
Partner API documentation →Chart connections: Epic and eClinicalWorks
Read-only connections, authorized by the patient or their proxy, are built. Each one activates as the vendor approves the app; until then the weekly home summary prints and shares as a PDF.
Doctor's Records →Packages and onboarding
Start with the Founding Practice Launch: 90 days with setup and staff training. Ongoing plans are sized by your patients and users, with add-ons for more patients, users and locations, and professional services from roster import to custom reporting. After the agreement and BAA, our team sets up your organization and invites your first admin.
How onboarding works →
Request a demo
Coordinate with the families and the home care team
See how the family, the aides and your clinicians share one record, one feed and one set of targets, so fewer calls land at the front desk.
Rather pick a time now? Book a 30-minute demo.
Potential reimbursement
See your practice's potential.
Chronic care management, principal care management and transitional care management pay for work many practices already do and never document. Move the numbers to match your panel.
Estimated reimbursement opportunity
$1,524a month
$18,284a year
- Enrolled Medicare patients
- 36
- TCM episodes a month
- 2
- Allowed reference a month
- $2,381
Not in the dollars yet: 99495. Rate varies: load your payer rates in the app. The estimate above counts only codes with a verified or CMS-loaded national rate, so it is on the low side.
Estimated reimbursement opportunity. National Medicare non-facility rates; your MAC locality, payer mix, coinsurance and documentation determine what is paid. Eligibility, coverage, coding and payment remain subject to payer rules and claim adjudication.
The breakdown
Chronic care management (CCM), clinical staff time
In the total36 enrolled Medicare patients · 99490 × 36 at $66.13
- Allowed reference
- $2,381 / mo
- Medicare pays 80%
- $1,905 / mo
- Estimated
- $1,524 / mo · $18,284 / yr
20 minutes for the first code, each further 20 minutes an add-on unit. Two or more chronic conditions, consent, a care plan.
Complex CCM
Comparison only36 enrolled Medicare patients
Not at this many minutes
Needs 60 minutes or more of clinical staff time a month and moderate or high complexity decision making.
Principal care management (PCM)
Comparison only36 enrolled Medicare patients
Not at this many minutes
Needs 30 minutes or more of clinical staff time a month, for one serious chronic condition.
Transitional care management (TCM)
In the total2 discharges a month · 99495 × 2
Rate varies: load your payer rates in the app
Contact within 2 business days and a visit within 14 days of discharge (99495); a visit within 7 days with high complexity is 99496. CMS allows CCM during the TCM period (MLN909188).
How it is worked out
- 200 patients with two or more chronic conditions × 30% who enroll × 60% on Medicare = 36 enrolled Medicare patients.
- At 20 minutes of clinical staff time a month, each reaches 99490 for CCM.
- 4 discharges a month × 60% on Medicare = 2 TCM episodes a month (99495, the 14-day level).
- Units × the national non-facility allowed amount = the allowed reference. Medicare pays 80% of it (the patient owes the 20% coinsurance after the Part B deductible), × 0.8, the "likely" planning assumption the app's billing reports use = the estimated reimbursement opportunity. Yearly = monthly × 12.
- The total counts CCM plus TCM. Complex CCM and PCM are shown for comparison: a patient gets one of them instead of CCM in a month. A code without a verified or CMS-loaded rate adds nothing to the dollars.
Where the rates come from
CY 2026 Medicare Physician Fee Schedule, national non-facility amounts (MAC locality 0000000). 99490 was checked against the CMS PFS dataset on 2026-09-27: 1.98 total RVUs × the $33.4009 conversion factor = $66.13. Codes without a verified rate show that the rate varies until the CMS rows are loaded.
Medicare's national non-facility reference; your MAC's locality differs — verify with your biller.
Code numbers are shown; every description here is ExpressAgain's own plain wording. CPT is AMA-licensed content and its descriptors are not reproduced.
Readings in ExpressAgain are typed by people, so remote physiologic monitoring is not part of this estimate.
We will run it with your practice's own numbers.
Request a demo
Capture the care management you already provide
Walk through the monthly billing support report with your numbers: the time your staff logs, the contacts, consent and the estimated reimbursement opportunity it documents.
Rather pick a time now? Book a 30-minute demo.
What clinicians say
From the pilot practice.
This is very helpful.
This is all in one. Convenience is everything, and this is super convenient.
How onboarding works
From a demo to your first enrolled patient.
A 30-minute demo
We walk through the panel, the home log and the billing report, and run the calculator with your numbers.
Founding launch, agreement and BAA
We agree on your Founding Practice Launch, a 90-day founding deployment starting at 1 location, 10 users and 50 patients, and sign the agreement. We sign a Business Associate Agreement with partner organizations once our vendor agreements are complete; that is in progress now, so ask us for the timeline.
We set up your practice and train your staff
Our team creates your organization, sets your package, sends your first admin an invitation to sign in and trains your staff.
Invite your team, enroll patients
Your admin invites providers and staff. You enroll patients by email or text; the family accepts, and the patient appears on your panel. After the 90 days you continue on an ongoing plan sized by your patients and users.
Ways to work with us
Founding Practice Launch
A 90-day founding deployment with setup and staff training, starting at 1 location, 10 users and 50 patients.
Ongoing plans
Sized by patients and users, from a solo practice up to multi-provider and multi-site practices.
Enterprise
For practices with 500 or more patients.
Add-ons
More patients, more users and more locations, added to your plan.
Professional services
Additional virtual training sessions, custom workflow configuration, a standard patient roster import, custom reporting or export, a dedicated implementation manager, and EHR integration setup scoped by statement of work.
Practice pricing is set with each practice in the demo; it is not published.
Questions
What practices ask us.
See your patients between visits. Start with a 30-minute demo.
Pick a time that suits you, or tell us what you need and we will reach out.
Request a demo
Talk to us
Tell us about your practice and what you are trying to solve. A real person replies within one business day.
Rather pick a time now? Book a 30-minute demo.