PuraLink Medical Service
Chronic Care Management support for providers

Keep every chronic-care patient visible, supported, and documented.

PuraLink helps physicians and care teams sustain monthly CCM touchpoints, monitor patient status, and receive clear, audit-ready reports that support high-quality care and reimbursement workflows.

Monthly
Patient touchpoints maintained
MD
Reports reviewed before delivery
1
Monthly record for every patient
Chronic status trend — Case 0442 6-month view
flagged, month 4
Stable trend Problem note raised

Less administrative chasing. More consistent chronic care.

PuraLink extends your care team with a structured CCM workflow for patients who need continued monitoring between visits.

Continuous patient tracking

We organize each patient's chronic conditions, daily measurements, medications, and monthly status so important changes are easier to see and act on.

Audit-ready reporting

Receive comprehensive monthly patient status reports with documented touchpoints, trends, care activity, and issues requiring attention, prepared for physician review and reimbursement documentation.

Proactive care coordination

When a patient trends away from plan, PuraLink surfaces a specific, dated note so your team can follow up before the patient disengages or a concern is missed.

How PuraLink works: the CCM care cycle

A repeatable workflow that turns ongoing patient contact into organized clinical insight and defensible documentation.

1

Build the care profile

We organize the patient's conditions, medications, measurements, goals, and relevant baseline information.

2

Maintain patient touchpoints

Daily measurements and monthly monitoring activity are captured and organized around the patient's chronic-care plan.

3

Identify care gaps

Changes, missed follow-up, medication concerns, and other signals are documented for the care team.

4

Review the monthly report

Your physician receives a clear summary of patient status, completed work, open concerns, and recommended follow-up.

5

Support reimbursement documentation

Use the completed report as part of your clinical record and internal process for eligible CCM reimbursement submissions.

A problem note looks like this

Short, dated, specific — written so a nurse or physician can act on it in the time it takes to read it, not interpret it.

  • Dated and case-specific. Tied to a single month and a single chronic condition, never a general summary.
  • States the change, not just the number. What moved, from what, to what, and over what period.
  • Physician-reviewed before delivery. Never sent to a facility without clinical sign-off.
Monthly report — Case 0442 · Month 4 Reviewed by attending physician
Watch
Fasting glucose trending upward for the second consecutive month. Diabetes management · flagged for medication review
Stable
Blood pressure within target range, consistent with prior month. Hypertension management · no action needed
Stable
No new respiratory symptoms reported since last check-in. COPD management · continue current plan

Make every eligible CCM month count

Tell us about your practice, patient population, and current workflow. We will show you where PuraLink can reduce administrative burden and strengthen documentation.

Request a Consultation