Challenge
Multi-condition patients need one coherent care plan, not many.
Agnotic approach
We build unified, multi-condition care plans with shared goals and tasks.
Chronic Care Software Solutions
Chronic Care Software Solutions
We build chronic-care software — CCM and RPM programs, care plans, and medication adherence — engineered for long-term management and handled to HIPAA standards.
HIPAA-ReadyFHIR R4SOC 2Interoperable
Trusted by global innovators
Chronic Care software, built for real clinical workflows
Chronic-care software manages the long game across multiple conditions: care plans, remote monitoring, medication adherence, and the CCM/RPM billing that funds the program.
We build the CCM, RPM, and adherence workflow chronic care needs, with device integration and PHI handling engineered in.
Architecture
A chronic care platform — clinical workflow, chronic-care management cpt 99490/99439, and connected integrations — with PHI handled to HIPAA standards at every layer.
The problem
Challenges facing chronic care teams
Off-the-shelf products rarely fit chronic care — here is where they fall short, and how we build around it.
Challenge
CCM/RPM programs need time tracking and billing to be sustainable.
Agnotic approach
We build CCM (99490/99439) and RPM (99453/99454/99457) billing workflows.
Challenge
Adherence drives outcomes but is hard to sustain.
Agnotic approach
We build medication and behavior adherence tooling with reminders and feedback.
What we build for chronic care
A chronic care capability set engineered for its real workflows, codes, and devices.
Multi-condition care plans
Unified care plans across multiple chronic conditions.
Remote monitoring
Device and vitals monitoring with trend detection and escalation.
CCM & RPM billing
CCM (99490/99439) and RPM (99453/99454/99457) billing workflows.
Risk & adherence
Risk stratification and medication-adherence tooling.
Care-team coordination
Coordination across the care team and the patient.
EHR integration
Integration with the EHR and device ecosystem.
Where it fits
Who we build chronic care software for
Chronic-care programs, care-management orgs, and value-based providers.
Practices & health systems
Chronic Care groups modernizing clinical and administrative workflows.
Digital health startups
Chronic Care-focused products going to market.
MedTech & device makers
Chronic Care device companions, data pipelines, and companion apps.
Payers & programs
Chronic Care programs, care management, and value-based initiatives.
Engineered for chronic care
Chronic-care programs, care-management orgs, and value-based providers choose us because we build chronic care software that fits the workflow, not the other way round.
Program-grade
Care plans and billing that make programs last
Interoperable
FHIR R4, HL7 v2, and SMART on FHIR by default
MVP-ready
Core chronic care workflow shipped first, then scaled
Compliance-First Healthcare App Development Services Backed by Global Standards
15-Minute Scoping Call01
HIPAA
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
02
GDPR
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
03
FHIR
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
04
HL7
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
05
HITRUST
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
06
HITECH
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
07
SaMD
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
08
MDR (EU)
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
09
SAMHSA
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Codes, standards & devices
Chronic Care standards baked in
CCM 99490RPM 99454FHIR
Our Process
How we build chronic care software
We prove the core workflow with real users before scaling — clinical fit and adoption decide the outcome.
1.
Discovery & Clinical Design
We map the chronic care workflow, the codes and devices involved, and the core job to be done.
Workflow-shaped
2.
Architecture & Core Build
We build the core workflow with interoperability and PHI handling engineered in from the start.
Compliant
3.
Integrations
EHR, device, and standards integration so the product connects to the systems already in use.
Connected
4.
Launch & Iterate
A measured launch tracking adoption and outcomes, then iteration.
Adoption-tuned
Why Partner With Us
15-Minute Scoping CallWhy chronic care teams build with Agnotic
Healthcare-only focus, standards-based engineering, and delivery you can hold to account.
Chronic Care workflow depth
We understand the chronic care workflow, the codes and devices, and the clinical realities that decide adoption.
Compliance by default
HIPAA, SOC 2, and role-based access designed in from the first commit — not retrofitted before launch.
Interoperable engineering
FHIR R4, HL7 v2, DICOM, and SMART on FHIR so what we build connects to your existing systems.
Delivery you can verify
Clear scope, working software early, and accountability throughout the engagement.
Solutions for this specialty
What we build for chronic care
Purpose-built Chronic Care software across the solutions that matter most.
Custom EHR for Chronic Care
A specialty-configured clinical data model, tuned to chronic care.
Remote Patient Monitoring for Chronic Care
Device and wearable data ingestion, tuned to chronic care.
Telehealth Platform for Chronic Care
Secure video and async visits, tuned to chronic care.
EHR Integration for Chronic Care
FHIR R4 and HL7 v2 interfaces, tuned to chronic care.
Patient Engagement for Chronic Care
Patient portal and secure messaging, tuned to chronic care.
Practice Management for Chronic Care
Scheduling and registration, tuned to chronic care.
Clinical Decision Support for Chronic Care
Guideline and rule engine, tuned to chronic care.
AI Scribe for Chronic Care
Ambient capture and transcription, tuned to chronic care.
Data Analytics for Chronic Care
Specialty data warehouse, tuned to chronic care.
Billing & RCM for Chronic Care
Coding and charge capture, tuned to chronic care.
Frequently Asked Questions
We integrate cellular-connected devices such as blood pressure cuffs, glucometers, and weight scales, timestamp each reading, and track distinct days of transmission per patient. Dashboards show progress toward the 16-day threshold required to bill 99453, 99454, 99457, and 99458.
Ready to build your chronic care software?
Tell us your chronic care workflow and goals. We'll return a plan that's clinically credible, interoperable, and built to ship.
contact@agnotic.com
Partnerships
contact@agnotic.com