The Platform

Automation that works while you do.

Alema connects directly to your EHR and runs continuously in the background — identifying gaps, reaching patients, booking appointments, and writing results back to the chart. Your team focuses on care. Alema handles the rest.

How It Is Organized

Three categories. Eight engines.

Every revenue engine in Alema falls into one of three categories based on how it works — so you always know what Alema is handling automatically, what requires a single action from your team, and where to focus for immediate revenue impact.

Category 01
Fully Automated

Alema handles everything end-to-end. Identifies the gap, sends the outreach, tracks the appointment, and logs the result — zero staff involvement required.

AWV
TCM
Category 02
One-Click Enroll

Alema identifies eligible patients for CCM and APCM and surfaces them for your review. One click sends a consent request via SMS — patients confirm on their phone if applicable, or Alema notifies your team who to contact directly. For established patients, a single enrollment touchpoint is often all that is needed to activate recurring monthly revenue for the year. No new visit required for qualifying APCM patients seen within the last three years.

CCM
APCM
Category 03
Immediate Revenue

Alema surfaces the opportunity with provider-ready action items, validates billing compliance before submission, and tracks payer-specific deadlines. Review, approve, and capture revenue from encounters and contracts already in front of you.

HCC
Undercoding
Denial Prevention
VBC
How It Works

From gap identified
to revenue captured.

For time-sensitive, automatable appointments such as Annual Wellness Visits and Transitional Care Management, Alema handles every step from identification to outreach to scheduling — with no staff involvement required. Every step that does not require a physician is handled automatically.

Alema · Patient Journey · Live
EHR flags revenue gap
AWV overdue · Patient #4821 · 14 months
Alema notifies patient
Automated SMS sent · no staff involved
Patient completes intake
Electronic form · pre-visit questions answered
Intake syncs to EHR
Chart updated before appointment
Patient arrives
Doctor has everything · visit runs smooth
Alema flags the visit
Doctor sees AWV tag on today's schedule · knows exactly what to bill before walking in
Doctor bills · revenue captured
AWV complete · ~$180 recovered · zero extra work
Process by Engine

Every engine. Step by step.

See exactly how Alema works for each revenue category — from initial detection to final billing.

AWV
TCM
CCM
APCM
HCC
Undercoding
VBC
Denial
Panel Scan
Medicare patients 305+ days since last AWV
SMS Sent
Automated outreach · no staff needed
Appointment Booked
Patient self-schedules via link
Intake Collected
Pre-visit form completed electronically
Chart Updated
Intake written back to EHR
Daily Report
Patient appears on daily schedule flagged AWV · practice knows exactly what to bill
Revenue Captured
Doctor sees patient · bills visit · revenue captured
ADT Feed
Hospital discharge detected in real time
Alert Fired
2-day contact window flagged · urgent
Patient Contacted
Automated SMS within the window
Visit Scheduled
7 or 14-day follow-up booked
Daily Report
Patient appears on daily schedule flagged TCM · practice knows exactly what to bill
Revenue Captured
Doctor sees patient · bills visit · revenue captured
Panel Scan
Patients with 2+ chronic conditions identified
Practice Notified
Office sees who qualifies and who needs a face-to-face visit first · AWV, IPPE, or E/M
Outreach Initiated
Office reaches out verbally · or Alema sends automated SMS where applicable
Alema Guides
Step-by-step guidance on enrollment · billing · and coding requirements
Daily Report
Patient appears on daily schedule flagged CCM · practice knows exactly what to bill
Revenue Captured
Doctor sees patient · bills visit · revenue captured
Panel Scan
Patients stratified by complexity tier · G0556 / G0557 / G0558
Practice Notified
Office sees who qualifies · established patients seen within 3 years enroll without new visit
Outreach Initiated
Office reaches out verbally · or Alema sends automated SMS where applicable
Alema Guides
Step-by-step guidance on enrollment · billing · and coding requirements
Daily Report
Patient appears on daily schedule flagged APCM · practice knows exactly what to bill
Revenue Captured
Doctor sees patient · bills visit · revenue captured
Panel Scan
Patient panel mapped against CMS-HCC V28 diagnosis codes
Gaps Surfaced
Unaddressed HCC codes identified · prioritized by RAF score impact
Physician Reviews
Provider sees which patients have undocumented conditions · reviews during visit
Physician Documents
Condition captured in visit notes · submitted with claim
Daily Report
Patient appears on daily schedule flagged HCC · physician knows which gaps to address
Revenue Realized
HCC code captured · RAF score improves · capitation increases
Coding Analysis
E&M distribution vs national benchmarks
Encounters Flagged
Complexity supports higher service level
Physician Reviews
Provider reviews suggestion · confirms appropriate code level
Revenue Captured
Higher service level billed · additional revenue captured per encounter
Contract Uploaded
PDF/CSV payer contract parsed by AI · measures, thresholds, and deadlines extracted
Measures Mapped
Every quality measure in your contract matched against your patient panel
Patients Prioritized
Patients most likely to move your performance score surfaced per measure
Outreach Initiated
Office reaches out verbally · or Alema sends automated SMS where applicable
Daily Report
Patient appears on daily schedule flagged VBC · practice knows which measure to close
Bonus Earned
Quality threshold met · payer bonus captured
Claim Scan
Every pending claim checked against payer-specific rules
Conflicts Flagged
Missing modifiers · code pairs · bundling issues caught
Deadlines Tracked
Payer-specific timely filing countdown · 90 to 365 days
Trends Surfaced
Top denial reasons by volume and dollar amount
Revenue Protected
Clean claims submitted · denials prevented before they happen
Security and Compliance

HIPAA compliant. End to end.

Every piece of patient data that flows through Alema is encrypted in transit and at rest. We never store PHI beyond what is required to deliver the service.

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Encrypted in Transit

All data moving between your EHR, Alema, and your practice is encrypted via TLS 1.3. No unencrypted data ever leaves or enters the system.

🛡
Encrypted at Rest

Patient data stored in Alema is encrypted at rest using AES-256. Access is restricted to authenticated practice accounts only.

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BAA Available

Alema signs a Business Associate Agreement with every practice before any data is accessed. HIPAA compliance is not optional — it is the baseline.

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Minimal Data Access

Alema requests only the athenahealth API scopes necessary to identify revenue gaps. No data is accessed beyond what is required to deliver the service.

athenahealth Marketplace

Alema is built on the official athenahealth Marketplace API. All integrations are reviewed and approved by athenahealth before going live.

No PHI in AI Models

AI features process de-identified data only. No patient PHI is ever sent to any AI model.

Pricing

Flat pricing. No revenue share.

As your revenue grows, you keep all of it. Transparent flat monthly fee — not a percentage of what we recover.

Starter
$199/mo

Core revenue identification for practices getting started with automation.

  • AWV Engine
  • TCM Engine
  • Undercoding Detection
  • Denial Prevention
  • Daily Action Board
Get Started
Pro
$399/mo

Full automation. VBC included. Coming soon.

  • Everything in Growth
  • SMS Automation
  • Appointment Write-Back
  • Intake Collection
  • VBC Command Center free
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