For Providers
Streamlined ACCESS support for your Medicare patients
New York Pulmonary Care ACCESS Model helps practices manage chronic-condition follow-up with patient outreach, reminders, device support, medication-adherence communication, monitoring visibility, and transparent updates back to the referring provider.
ACCESS care support
Device visibility, outreach, and clinician coordination between visits
Care Team
800-745-1444Office hours: Monday - Friday, 8:00 AM - 5:00 PM
ACCESS Model accepted applicant. Final participation remains subject to CMS requirements and Participation Agreement execution.
Why providers work with us
Less administrative burden for your office. More organized follow-through for your patients.
Primary-care practices are already stretched. New York Pulmonary Care ACCESS Model provides a physician-directed workflow that helps reduce reminder calls, missed-reading follow-up, patient outreach, device questions, medication-adherence communication, and documentation tracking. Patients receive ongoing support from a professional care team, while providers keep visibility into what happened, what is pending, and when clinical attention may be needed.
Reduced Staff Burden
We help absorb reminder calls, missing-reading follow-up, questionnaire outreach, device questions, and enrollment steps so office staff can spend less time managing routine follow-through.
Medication Adherence Support
Regular communication, reminders, and follow-up are designed to help patients stay more consistent with medication regimens and care-plan expectations.
Patient Follow-Up Between Visits
Patients receive human support, device help when needed, plain-language education, and organized follow-up from a professional care team between regular office visits.
Transparent Monitoring Visibility
Remote readings, missing data, patient tasks, adherence outreach, and follow-up status are organized into a smooth workflow so the care team can see what needs attention.
Clear Documentation Trail
Outreach, readings, medication-related communication, enrollment steps, and care-update readiness are tracked so teams can answer what happened, when, and why.
Physician-Directed Oversight
The workflow is guided by experienced physicians who understand primary-practice realities, clinical escalation, documentation discipline, and the need for clear communication.
What makes us different
Built by experienced physicians who understand primary-care practice realities.
New York Pulmonary Care ACCESS Model is guided by experienced physicians who understand what primary practices need: fewer loose ends, clear escalation pathways, reliable patient follow-up, stronger adherence communication, and documentation that makes the patient's status easy to understand.
More patient confidence because a care team is helping them through each step.
More consistent follow-up because reminders, missing data, and outreach are visible.
More trust from referring clinicians because updates, documentation, and monitoring are built into the workflow.
Why choose us over a large group provider
Protect the referring relationship with organized follow-through.
When patients have questions, miss readings, need reminders, or struggle to stay engaged, the referring practice often becomes the default call. Our team helps absorb that operational burden with clear patient communication, documented outreach, medication-adherence follow-up, and transparent updates to the practice.
Protect the Referring Relationship
When patients have questions, miss readings, or need help staying engaged, the referring practice often becomes the default call. Our workflow helps reduce that avoidable burden.
Support Patients Can Feel
Patients receive clear instructions, device help, reminders, and follow-up from a professional team that understands how communication affects adherence and engagement.
Physician-to-Physician Understanding
Experienced doctors understand that primary practices need fewer loose ends, clear updates, clinical visibility, and a reliable partner after the referral is made.
Accountability With Transparency
The practice should be able to see who contacted the patient, what was missing, what needs attention, and when provider review or escalation may be needed.
Real examples from daily office life
We help manage the small follow-up tasks that become big burdens for the doctor's office.
The goal is simple: fewer avoidable calls to the practice, stronger patient engagement, better medication follow-through, well-organized documentation, and full visibility into what is happening after the referral.
Patient cannot connect a device
Our response
We walk the patient through setup, confirm what is not working, document the issue, and coordinate the next step instead of sending the patient back to the doctor's front desk.
Transparent to the practice
The practice can see device status, outreach attempts, unresolved issues, and whether follow-up is still open.
Readings stop coming in
Our response
We identify the missing data, contact the patient, document the result, and keep the follow-up active until the status is clear.
Transparent to the practice
The practice can see whether the patient is active, disconnected, unreachable, or needs clinician attention.
Patient misses medications or does not understand the regimen
Our response
We reinforce the care plan in plain language, provide reminders, document communication, and notify the practice when an adherence concern needs clinical review.
Transparent to the practice
The practice can see adherence-related outreach, patient response, unresolved barriers, and whether provider review is needed.
Forms or baseline details are incomplete
Our response
We chase missing information, organize what is received, and flag what still needs review so the practice is not managing paperwork loops.
Transparent to the practice
The practice can see what was collected, what is missing, and what is waiting on patient or clinician review.
Patient reports a concern
Our response
We do not replace the treating clinician. We follow documented escalation instructions, direct urgent issues appropriately, and notify the right clinical contact when required.
Transparent to the practice
The practice can see the concern, the action taken, the time of outreach, and the follow-up status.
Doctor wants a clean status update
Our response
We organize the operational story: who was contacted, what happened, what changed, what is pending, and what needs the provider's attention.
Transparent to the practice
The practice receives a clear picture instead of scattered calls, messages, and disconnected patient updates.
Fully transparent means the practice is never blind.
Referral status, patient contact status, device setup status, missing readings, medication-adherence outreach, unresolved issues, escalation needs, and care-update readiness are organized so the practice knows what was done, what is pending, and what needs clinical attention.
Referral Options
Submit Online Referral
Use the enrollment and referral form to start a secure intake request.
Call Care Team
Clinicians may call the care team at 800-745-1444 for referral support. Non-urgent requests are reviewed during business hours. The care team will contact the patient or referring clinician about next steps.
Secure Fax
Providers may use the secure fax workflow for referral support and care-team coordination.
Who to Refer
Referral review includes Original Medicare status, qualifying condition or track, patient contact information, service area, and patient consent or authorization as applicable.
Referral Information Needed
Patient name, date of birth, phone, ZIP code, condition or track, referring clinician, practice name, phone/fax, secure email or contact route, and reason for referral.
After Referral
- 1
Referral is received and reviewed.
- 2
The care team contacts the patient.
- 3
Eligibility and program fit are confirmed.
- 4
Baseline information, device needs, medication-support needs, and follow-up requirements are organized.
- 5
The practice receives transparent updates when appropriate and permitted.