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For Providers

Better Outcomes for Patients.
Less Burden for Providers.

We partner with you to deliver in-home chronic edema management that improves quality of life, reduces hospitalizations, supports your quality scores, and eases the burden on your practice — backed by measurable outcomes.

Refer a Patient

Who to Refer & When

As a general guideline, patients should be referred when they present with:

Our Care Pathways

We deliver evidence-based, pathway-driven programs that address the underlying cause of edema. Each pathway is designed to reduce complications, improve functional outcomes, and support value-based measures of care.

Lymphatic Pathway
When to Refer:

  • Persistent, non-pitting swelling in limbs or trunk
  • Heaviness, tightness, or reduced mobility
  • Recurrent cellulitis or skin changes
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Venous / Phlebolymphedema Pathway
When to Refer:

  • Chronic leg swelling, worse at end of day
  • Varicosities, skin discoloration, or venous ulcers
  • History of venous insufficiency or DVT
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Cardio-Metabolic Pathway When to Refer:

  • Edema with CHF, diabetes, or renal disease
  • Recurrent fluid overload despite medication
  • Swelling impacting mobility or function
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Neurogenic Pathway
When to Refer:

  • Swelling after stroke, spinal cord injury, or MS
  • Reduced mobility and muscle pump function
  • Skin breakdown due to immobility
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Oncology Pathway
When to Refer:

  • Swelling after cancer treatment (surgery, node removal, radiation)
  • Arm, leg, or abdominal swelling that persists
  • At risk for cellulitis or wound complications
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Lipedema Pathway When to Refer:

  • Symmetric swelling in legs (feet spared)
  • Painful or tender fat tissue
  • Easy bruising or disproportionate lower body fat
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Post-Trauma Pathway
When to Refer:

  • Swelling after fractures, sprains, or injuries
  • Persistent swelling despite healing
  • Pain, stiffness, or reduced range of motion
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Post-Surgical Pathway
When to Refer:

  • Post-op swelling after orthopedic, vascular, or abdominal surgery
  • Limited motion or slow wound healing
  • Need for discharge-to-home edema support
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Palliative Pathway
When to Refer:

  • Advanced or end-stage disease with swelling
  • Recurrent cellulitis, wounds, or discomfort from edema
  • Need for supportive care at home
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Download Pathways Guide PDF

Referral Workflow

Electronic
Referral

In-Home
Evaluation

Plan
of Care

Progress Notes to Clinician

Discharge Summary

Results Patients Care About

0 %

Fewer cellulitis episodes

How we calculated this

We track avoidable escalations of care associated with chronic edema and lymphatic disease—especially episodes driven by cellulitis risk, skin breakdown, and uncontrolled swelling. Rates are trended over time for enrolled patients using available utilization notifications and documented clinical events. When additional data feeds are available, results are validated against partner-provided utilization reporting.

How we calculated this

We track avoidable escalations of care associated with chronic edema and lymphatic disease—especially episodes driven by cellulitis risk, skin breakdown, and uncontrolled swelling. Rates are trended over time for enrolled patients using available utilization notifications and documented clinical events. When additional data feeds are available, results are validated against partner-provided utilization reporting.

Outcomes Methods & Data
0 %

Fewer Wound Complications

How we calculated this

We monitor skin integrity at every visit and document changes such as new breakdown, worsening drainage, signs of infection risk, and need for escalation to the referring provider. Complication rates are tracked as documented clinical events over time for the enrolled population. This is paired with adherence to compression, skin care routines, and early identification workflows that reduce preventable deterioration.

How we calculated this

We monitor skin integrity at every visit and document changes such as new breakdown, worsening drainage, signs of infection risk, and need for escalation to the referring provider. Complication rates are tracked as documented clinical events over time for the enrolled population. This is paired with adherence to compression, skin care routines, and early identification workflows that reduce preventable deterioration.

Outcomes Methods & Data
0 Days

Days — Average Time to First Visit

How we calculated this

Time to first visit is calculated as the number of calendar days from receipt of a complete referral (required demographics, clinical indication, and payer information) to the first completed in-home evaluation/visit. We track this across all new-start patients during the measurement window and monitor delays separately (referral completeness, authorization timing, patient scheduling barriers).

How we calculated this

Time to first visit is calculated as the number of calendar days from receipt of a complete referral (required demographics, clinical indication, and payer information) to the first completed in-home evaluation/visit. We track this across all new-start patients during the measurement window and monitor delays separately (referral completeness, authorization timing, patient scheduling barriers).

Outcomes Methods & Data
0 %

Fewer Admissions

How we calculated this

Admissions are tracked during active enrollment using documented patient/caregiver reports, provider updates, and care coordination records. When available, partner utilization reporting is used to validate trends. The reported change reflects admissions during the measurement window, with focus on edema-driven triggers (infection risk, skin breakdown, uncontrolled swelling).

How we calculated this

Admissions are tracked during active enrollment using documented patient/caregiver reports, provider updates, and care coordination records. When available, partner utilization reporting is used to validate trends. The reported change reflects admissions during the measurement window, with focus on edema-driven triggers (infection risk, skin breakdown, uncontrolled swelling).

Outcomes Methods & Data

Ways to Refer

Online referral portal

Fax

Secure email

Phone

Download Referral Referrence Card

(includes referral checklist, sample progress note, “Who to Refer” one-pager, Pathways PDF)

Clinical Tips & Education

Compression selection basics
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Coverage & Authorization

As a general guideline, patients should be referred when they present with:

Referral Checklist:

When submitting a referral, please include:

Accepted Plans (Examples):

We partner with major health plans across Florida, including:

(and many others — full list available)

Essentials at a Glance:

When submitting a referral, please include:

View Full Coverage & Authorization Guide

Downloadable Resources

Coverage & Authorization One-Pager (PDF)

Referral Cover Sheet (PDF)

Sample Progress Note Template (PDF)

Helpful Articles for Clinicians

The Cornerstones of Lymphedema Care

Lymphedema is a chronic and progressive condition characterized by the swelling of a body part, most commonly an arm or leg, due to a buildup of protein-rich fluid called lymph. This accumulation occurs when the lymphatic system—a critical part of the immune system that drains fluid and filters toxins—is damaged or blocked. is.

Telehealth Tips for Managing Edema.

Edema, or chronic swelling, can be a frustrating condition to manage, but thanks to telehealth, you don’t have to face it alone. Telemedicine is transforming how you can monitor and manage your fluid build-up from the comfort of your home, saving you travel time and stress. By leveraging your smartphone or computer, you can partner with your healthcare team to maintain control and spot issues before they escalate.

3 Ways to Prevent Cellulitis

Cellulitis is a potentially serious bacterial skin infection that presents as redness, swelling, and pain, often in the lower legs. It occurs when bacteria, usually Streptococcus or Staphylococcus, enter the deeper layers of the skin through a break in the skin barrier. While it is treatable with antibiotics, preventing the infection in the first place is the best defense. The three key preventative measures focus on protecting the skin, practicing meticulous wound care, and managing underlying health conditions that increase risk.

View All Insights

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Download Referral Referrence Card

Contact Our Clinical Team

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