MODERNUS HEALTH TECHNOLOGIES PRIVATE LIMITED COMPANY | Patient Care & Tech Services | India and the United States Healthcare | CPO, CCM, RPM, Hospital, Home Health, DME, Home Health, Hospice, HHA, PreAuth and More } eSignature of Patient Documents | Hospital and MD Solutions to improve the patient care in the United States

Your Hospital, Practice/Physician Group, Pharmacy, DME Company, Registered Organization Name/Name of MD*

Name of the contact person (can be MD, nurse, assistant, or any other office staff)*

Official email (registered company/MD/Physician Group email)*

Direct Phone or Mobile Number*

NPI or Company Registration Number*

Are you a Sender or a Signer?*

Patient Documents Sender (HHA, Hospice, Other Companies)

Signer (MD, DO, other doctors, practitioners). Signers can also add documents and additional documents for patients as needed on the patient portal

State*

Patient Care & Services Required Description*

Care Plan Oversight (CPO); 485 Certification and 30 Minutes Capture Support Every Month

eSignature of Patient Documents by MD and other Approved Doctors/Practitioners

Chronic Care Management (CCM)

Remote Patient Monitoring (RPM) and Management; with Devices

DME & Medications Pre-Authorizations

All Patient Care Improvement Services

Any Other Services (include in your message below)

Message*