Client Snapshot
Organization Type
Early-stage telehealth company delivering:
• Chronic Care Management (CCM)
• Remote Patient Monitoring (RPM)
• Behavioral Health Integration (BHI)
Target Market
Physician groups serving discharged patients in skilled nursing facilities (SNFs)
Stage
Commercial readiness with early traction
The Challenge
The company had a strong clinical value proposition and a capable virtual care platform. However, it faced significant obstacles:
• Inconsistent workflows for onboarding and service delivery inside nursing homes
• Limited insight into how SNF-based physician groups operate day to day
• Lack of CMS-aligned billing protocols for RPM and CCM
• Difficulty engaging providers who were skeptical of tech-driven care models
The founder needed to translate policy and potential into operational practice that would work at the bedside.
Our Role: Translating Policy into Practice
Kaizenleap was brought in to design the operational foundation and go-to-market strategy required to scale responsibly in post-acute care. Our work focused on the intersection of clinical compliance, physician engagement, and delivery efficiency.
Key contributions included:
• Workflow Engineering
Mapped daily routines of physician groups in SNFs to define implementable care delivery protocols
• Compliance and Billing Alignment
Designed end-to-end processes to support CPT 99490 and 99457 with proper documentation and audit integrity
• Clinical-led Go-to-Market Strategy
Shifted positioning from feature-centric to outcome-focused, enabling more meaningful physician engagement
• Pilot Structuring and Introductions
Identified and initiated conversations with early adopter SNF groups through trusted industry relationships
What We Delivered
| Deliverable | Impact |
|---|---|
| Enrollment and documentation workflows | Simplified rollout and reduced friction |
| CPT-specific billing protocol | Improved billing confidence and payer readiness |
| SNF-aligned implementation playbook | Greater physician buy-in and operational fit |
| Pilot site matchmaking and strategy support | Faster learning cycles and early revenue generation |
Results
• Refined GTM model grounded in clinical outcomes and shared financial alignment
• CMS-compliant documentation practices that unlocked billable RPM and CCM revenue
• Accelerated traction with SNF-based physician groups who were previously inaccessible
• Stronger commercial narrative to support fundraising and partner development
Why It Worked
Kaizenleap focused on engineering operational fit, not just offering strategic advice. Rather than treat skilled nursing as a channel, we embedded in the workflows and realities of the operators and providers who would be delivering care. This engagement transformed the company from a capable platform into a trusted post-acute care partner.
Services Provided
• Clinical workflow design
• Regulatory compliance alignment
• Billing protocol development
• Pilot structuring
• Operator and provider relationship development