Prospective Provider Follow Up Form
Care Coordinators, complete this form to send an email to a physician or nurse practitioner whom you've spoken to about potentially joining our provider network.
The following message will be emailed to your prospective provider contact:
Dear Physicians Name,
It was a pleasure connecting with you to discuss how Nurse Practitioners and Physicians like yourself can partner with Advanced Care Tech to deliver high-impact, in-home regenerative therapies to patients in need.
We’re excited to support you in becoming a provider—whether you’re already Medicare-credentialed or just getting started.
Here’s what we’ve included to help you explore this opportunity:
Provider Overview Brochure (PDF)
An overview of our support model, patient care process, and what makes our program different.
Sample Provider Compensation (PDF)
A real-world example of compensation based on Medicare-billable regenerative therapy cases.
What Happens When You Sign Up?
Click here to begin your onboarding form:
www.AdvancedCareTech.com/
Whether you’re Medicare-credentialed or not, here’s what to expect:
- Credential Review – Our team will verify your license and determine whether you’re already set up to see Medicare patients.
- Billing & Setup Support – If you’re not yet Medicare-credentialed, our billing team will guide you step-by-step to help you get everything in place to begin accepting Medicare patients.
- Clinical Training – You’ll receive direct training from our Medical Director, Jessica Maeler, a wound care expert with over 19 years of clinical experience. She’ll walk you through protocols, regenerative therapy administration, documentation best practices, and case navigation.
- Go Live – Once your setup is complete, we’ll begin connecting you with patient referrals in your area. Our care coordination team handles logistics, scheduling, and documentation support so you can focus on patient care.
If you have any questions while reviewing the materials or completing the onboarding form, I’m happy to help.
Looking forward to welcoming you to the Advanced Care Tech network!
Warm regards,
Your Name
Care Coordinator
Advanced Care Tech
youremail@advancecaretech.com
