Frequently Asked Questions

General

CarePlus delivers significant value to healthcare organizations by:
  • Enhancing preventive care capabilities: Enables primary care physicians to perform specialist-level screenings—starting with diabetic retinopathy—during routine visits, improving early disease detection.
  • Reducing referrals and delays: Provides remote specialist review within the primary care setting, cutting down the need for separate specialist appointments and speeding up diagnosis and treatment.
  • Lowering overall healthcare costs: Early identification and management of conditions help avoid expensive emergency care and advanced-stage treatments.
  • Improving patient outcomes: Proactive screening and timely intervention lead to better management of chronic diseases and reduced complications.
  • Increasing patient satisfaction and retention: Offering advanced, convenient screenings in familiar settings enhances the patient experience.
  • Streamlining workflows: Integrates smoothly with existing clinical processes, minimizing disruption for providers and staff.
Together, these benefits strengthen organizational care quality, operational efficiency, and financial sustainability.


CarePlus by HealthOcta is a preventative care platform designed to help primary care providers, health systems, and payers close care gaps and improve population health outcomes. Unlike single-purpose screening tools, CarePlus functions as a connected ecosystem that integrates multiple preventative screenings, specialist reviews, and ECDS-ready reporting into one seamless workflow.

CarePlus allows PCPs to perform screenings—like diabetic retinal exams or cardiovascular assessments—directly in the office during routine visits. Results are reviewed asynchronously by specialists, and structured data is sent back into the EHR and payer systems in formats that count toward Star Ratings, HEDIS measures, and other value-based performance metrics.

In short, CarePlus helps healthcare organizations move from reactive care to proactive prevention—delivering better outcomes, higher quality scores, and more efficient workflows without adding complexity for providers.

CarePlus vs Alternatives

Autonomous AI tools can flag possible disease from a retinal image, but they usually stop at the algorithm output. Primary care buyers typically still need:

  • A workflow that fits the visit — capture during the appointment, not a separate tool
  • Licensed eye-specialist interpretation when payers or protocols require a clinical read
  • Structured reports that support HEDIS Diabetes Eye Exam (EED), Medicare Star, and ECDS-ready quality reporting
  • Multi-site deployment — pooled credits, add-on site licenses, optional camera lease

CarePlus by HealthOcta is built for that full clinic workflow: in-office non-mydriatic imaging, secure routing, specialist review, and reportable documentation — not image classification alone.



Point solutions often solve one step — camera, AI, or reading — but leave the clinic to stitch together workflow, billing, quality reporting, and multi-site operations.

CarePlus is designed for easier adoption across primary care sites:

  • Standard Software — $300/month (12 screening credits, one site license) for clinics with existing cameras
  • Enhanced Software — $500/month (20 credits, one site license) for higher volume
  • Complete Bundle — $700/month ($300 software + $400/month camera lease) when hardware is needed
  • $25 per additional screening credit; $100/month per additional site
  • 90-day credit rollover on unused prepaid credits — credits pool across licensed sites
  • Fixed subscription fees — not a percentage of your clinical reimbursement


For primary care and multi-site groups, the business case is operational and quality-driven:

  • Close care gaps in the visit: Complete diabetic eye exams during routine diabetes appointments instead of relying on separate ophthalmology follow-through
  • Move quality measures: Documented screenings support HEDIS EED and Medicare Star performance
  • Support value-based contracts: Structured, reportable completion data for payer and ACO quality programs
  • Capture appropriate screening revenue: Bill in-clinic where payer rules allow (e.g., CPT 92227/92228)
  • Predictable platform cost: Published subscriptions from $300–$700/month plus per-credit overage — not a rev-share on clinical fees

CarePlus is a platform by HealthOcta Inc — workflow, specialist routing, and reporting infrastructure; your clinic retains control of orders, billing, and follow-up.



CarePlus is typically the better fit when the buyer is evaluating clinic deployment, not just model accuracy on a benchmark dataset.

Choose CarePlus when you need:

  • Staff workflow and training for in-office capture during primary care visits
  • Licensed ophthalmologist or optometrist interpretation with structured clinical reports
  • Quality-program documentation — HEDIS, Star, ECDS-ready structured data
  • Multi-site rollout — pooled credits, $100/month add-on sites, optional $400/month camera lease via Complete Bundle
  • Predictable pricing and a 90-day pilot opt-out on bundled plans (terms apply)

AI-only vendors may win on algorithm demos alone. CarePlus wins when the decision includes staffing, specialist review, payer reporting, and day-to-day clinic operations.



Yes — for raw screening throughput, AI is usually faster and lower marginal cost than having a human eye specialist read every image. But throughput is not the same as a complete primary care workflow.

When immediacy at the point of care matters: CarePlus can provide an AI-assisted, risk-based assessment so staff and clinicians get a same-visit signal while the patient is still in clinic.

When reliability and downstream cost matter: CarePlus routes images to licensed eye specialists (board-certified ophthalmologists or optometrists) for asynchronous interpretation. That approach reduces false-positive noise, unnecessary urgent referrals, and follow-up burden — costs that pure AI-only screening can create when sensitivity is tuned aggressively.

Practical summary for buyers:

  • Want a fast first-pass result during the visit → AI-assisted triage can help
  • Want a defensible clinical read and quality documentation → specialist interpretation and structured reporting
  • Want both → CarePlus supports a workflow-first model: capture in primary care, AI where it adds speed, specialist reads where clinical interpretation and reporting matter

HealthOcta provides the CarePlus technology platform and workflow; independent specialists perform clinical interpretation. Your clinic remains the treating provider.



CarePlus Plans & Pricing

Published list pricing for in-office diabetic retinopathy screening with CarePlus:

  • Standard Software — $300/month: 12 screening credits per month, one site license. For clinics with an existing fundus camera.
  • Enhanced Software — $500/month: 20 screening credits per month, one site license. For higher-volume primary care sites.
  • Complete Bundle — $700/month: Standard software ($300/month) plus fundus camera lease ($400/month). For clinics starting without hardware.

Additional screenings: $25 per credit. Additional sites: $100/month each. Credits can be pooled across licensed sites with up to 90-day rollover on unused prepaid credits.



Yes. The Complete Bundle includes a non-mydriatic fundus camera lease at $400/month for 24 months, avoiding a typical $10,000–$20,000 capital purchase.

After the initial lease term, clinics may continue month-to-month at $300/month or return the device per agreement. Bundled plans include a 90-day opt-out window to validate workflow before a long-term commitment. Terms and conditions apply, including device return requirements.



CarePlus base plans include 12 or 20 screening credits per month with one site license. Credits are pooled across licensed sites, so multi-location groups can use volume where patients are seen instead of losing credits at a single facility.

Each additional site is $100/month. Extra completed screenings are $25 per credit. Unused prepaid credits roll over for up to 90 days.



Bundled plans include a 90-day opt-out period so clinics can validate screening completion and workflow fit with real patient volume.

During opt-out: unused screening credits are forfeited, payment for the subscription period used is due, and the clinic may return the leased fundus camera in good working order (reasonable wear and tear excepted). The customer is liable for repair costs beyond normal wear and tear.

After the 90-day window, the camera lease runs for the agreed initial term (typically 24 months). Terms and conditions apply — contact HealthOcta for your pilot plan.



Eye specialists working with CarePlus are licensed across all 50 US states. That supports multi-site primary care groups and hospital-owned clinics scaling in-office diabetic retinopathy screening without state coverage bottlenecks for asynchronous image interpretation.



Many screening vendors charge a fixed fee per facility ($500+) with credits that expire if unused at that site.

CarePlus uses a pooled monthly credit model (12 or 20 credits on base plans), 90-day rollover on unused prepaid credits, and $100/month per additional site. Clinics compensate remote eye specialists through screening credits rather than managing a separate vendor-to-payer professional fee workflow.

Hardware can be leased through the Complete Bundle ($400/month camera component) instead of a large upfront camera purchase.



CareScreen Platform

CareScreen is FabrixMed's preventative screening platform for primary care. It supports a four-step loop:

  1. Identify gaps — overdue screenings surfaced from the EHR or eligibility feed.
  2. Capture in-clinic — devices and questionnaires completed during the PCP visit.
  3. Async review — specialist interpretation within CareScreen when the screening pack requires it.
  4. Return to EMR — structured results and referral recommendations to the PCP chart.

CareScreen is designed to close gaps in the visit, not to route patients to a separate telehealth product.



CareScreen helps primary care teams complete measure-eligible screenings during the visit and produce audit-ready documentation for quality reporting.

  • In-clinic capture tied to the patient encounter (not a lost external referral).
  • Structured results and severity grading returned to the PCP EMR.
  • Program packs (e.g., diabetic retinopathy, mental health, cardiovascular risk) aligned to common gap-closure workflows.

Specific measure mapping depends on your payer contracts and screening program — contact FabrixMed for your site's measure set.



Yes. CareScreen is built for primary care at the point of care, including rural health clinics, FQHCs, and hospital-owned outpatient groups where patients cannot easily travel for specialty-only workflows.

  • Portable, in-office device capture (camera-agnostic where applicable).
  • Asynchronous specialist review — no live video visit required for interpretation packs.
  • Multi-site credit pooling and site licensing for distributed groups.

Specialist coverage spans all 50 US states for supported async review programs.



When a screening pack requires specialist interpretation, images and structured intake are routed through CareScreen's async review queue — not a separate telehealth referral product.

  • PCP staff completes capture during the visit; the patient typically leaves the same day.
  • Licensed specialists review asynchronously within published SLAs (program-specific).
  • Refer-or-monitor recommendations and structured reports return to the PCP EMR.

Example: in-office diabetic retinopathy screening with specialist read within a 12 working-hour SLA.



CareScreen closes the loop by delivering structured screening results and referral recommendations back to the primary care workflow:

  • Encounter-linked documentation suitable for quality measure attestation.
  • Severity grading and next-step guidance (refer vs. monitor) where the program supports it.
  • Integration paths vary by EMR — FabrixMed supports common export and interface patterns for primary care groups.

Contact FabrixMed for EMR-specific integration details for your organization.



Why Diabetic Retinopathy screenings

Diabetic Retinopathy is the leading cause of blindness in adults with diabetes. Early detection through annual retinal exams can prevent up to 90% of vision loss. Screening also improves HEDIS and CMS Star Ratings under the Diabetes Eye Exam (EED) measure.

Many patients never make it to an ophthalmologist or optometrist for annual screenings. PCPs and endocrinology clinics see these patients much more often—making office-based DR screening a realistic way to catch disease early and close care gaps, preventing disease progression and vision loss.

Better screening rates: + Prevent blindness in patients and improve health outcomes + Boost HEDIS and CMS Star Ratings (affecting reimbursement and bonuses) + Demonstrate high-quality, guideline-based care to payers Improved DR screening rates directly impact HEDIS scores and CMS Star Ratings, driving higher performance and eligibility for financial incentives.

Platforms like CarePlus integrate retinal screening as an easy step in patient visits, provide a turnkey solution with fundus cameras, training, workflow that assists with documentation, enablng the asynchronous readings by experts and ensure screenings are reportable for quality programs. in short, CarePlus helps practices automate/streamline DR screening workflows, ensure digital documentation, boost reporting compliance, and help practices stay ahead of quality measure changes.

Start using integrated DR screening tools like CarePlus now. Reports from your EMR and simple CarePlus workflows can help identify patients overdue for exams, schedule screenings, and report results for compliance.

Yes. Primary care and endocrinology practices commonly screen for diabetic retinopathy in-office using a non-mydriatic fundus camera, then send images for asynchronous specialist interpretation.

This point-of-care model helps close care gaps during routine diabetes visits — especially for patients who do not follow through with separate ophthalmology appointments. CarePlus supports capture, routing, specialist read, and structured reporting back to the clinic.



Teleretinal screening (also called teleophthalmology screening) means retinal images are captured in primary care and read remotely by licensed eye specialists.

Typical workflow: (1) staff captures undilated retinal photos during the visit, (2) images are transmitted securely, (3) an ophthalmologist or optometrist interprets asynchronously, (4) a structured report returns to the clinic for follow-up and quality documentation. CarePlus is built for this workflow in primary care settings.



Most missed diabetic eye exams are access problems, not clinical disagreement — patients do not schedule or keep separate ophthalmology visits.

Primary care can improve HEDIS Diabetes Eye Exam (EED) and Medicare Star performance by:

  • Screening during the diabetes visit already on the calendar
  • Using in-office retinal imaging with remote specialist read
  • Documenting completed screenings in structured, reportable format
  • Identifying overdue patients from panel reports and closing gaps proactively

CarePlus supports this in-clinic screening and reporting workflow.



Most in-office DR screenings take about 5–10 minutes of staff time once workflow is established: brief patient positioning, non-mydriatic retinal image capture, and upload to the screening platform.

Because imaging happens during an existing primary care visit, patients avoid a separate trip, dilation in many workflows, and another appointment to close the diabetic eye exam gap.



Both codes relate to remote retinal imaging for disease detection, but they describe different parts of the service:

  • CPT 92227 — Remote imaging for detection of retinal disease (screening/imaging under physician direction).
  • CPT 92228 — Remote imaging with interpretation and report by a physician or other qualified health care professional.

In a primary care-led screening workflow, billing depends on who performs which portion of the service, payer rules, and medical necessity. Your clinic orders the screening and manages billing; CarePlus facilitates image capture and specialist interpretation through its platform. Confirm coding with your billing team and payer policies.



Annual diabetic retinal screening is generally covered under Medicare preventive and diabetes care benefits when medically appropriate and properly documented. Many Medicaid and commercial plans follow similar preventive screening guidelines.

Primary care clinics typically bill using retinal imaging codes such as CPT 92227 and/or CPT 92228, subject to payer rules, supervision requirements, and medical necessity. Coverage and payment vary by plan and locality.

CarePlus helps clinics complete and document in-office screenings; your billing team should confirm payer-specific rules for your practice.



CMS and the American Diabetes Association recommend annual retinal screenings for all patients with Type 1 or Type 2 diabetes. If retinopathy is detected, ophthalmology follow-up may be needed more frequently.

CarePlus embeds a simple, ECDS-compliant workflow into your existing EMR or daily patient flow. Non-dilated fundus images can be taken in-office and uploaded directly to CarePlus for remote interpretation by licensed eye specialists.

Board-certified optometrists or ophthalmologists read all images. Results are returned within 24–48 hours, and automatically routed back to your CarePlus portal. An optional integration into your EMR is available at an additional cost.

Each completed and documented DR screening counts toward the Diabetes Eye Exam (EED) measure, a critical HEDIS and CMS Star Rating metric. By increasing screening rates, your practice directly improves its quality performance and helps the payer maintain bonus-qualifying Star Ratings.

PCPs typically bill for the imaging procedure using: + CPT 92227 – Remote imaging for detection of retinal disease, unilateral or bilateral, with analysis and report under physician direction. + CPT 92228 – Remote imaging with interpretation and report by a physician. CarePlus facilitates image capture and interpretation through its MSO model; your office bills the payer and pays CarePlus a per-screening service fee.

Yes. Annual DR screening is covered by Medicare, Medicaid, and most commercial plans under preventive and diabetes management guidelines.

CarePlus supports non-mydriatic fundus camera retinal imaging for in-office diabetic retinopathy screening. Your equipment path depends on what you already have:

  • Already own a compatible fundus camera: Choose Standard Software ($300/month) or Enhanced Software ($500/month). CarePlus provides the platform, secure image routing, specialist interpretation, and structured reports. Camera not included.
  • Need hardware: Choose the Complete Bundle ($700/month) — Standard software ($300/month) plus a fundus camera lease ($400/month for 24 months). This avoids a typical $10,000–$20,000 upfront camera purchase.

All plans include implementation support and virtual staff training on image capture and workflow (typically about 30 minutes for MAs or nurses). The Complete Bundle includes a 90-day opt-out window to validate the workflow before a long-term lease commitment. Terms apply.

CarePlus integrates with common non-mydriatic fundus cameras used in primary care point-of-care screening workflows.



Yes. CarePlus automatically codes each screening with the appropriate CPT, ICD-10, LOINC, and SNOMED standards, and data can be exported in ECDS compliant format. This makes it easy for your office to transmit it via HL7/FHIR for payer use in HEDIS and Star Ratings reporting.

Minimal training is needed—typically one 30-minute session for MAs or nurses to learn image capture, upload, and workflow navigation. Your CarePlus subscription comes with the onboarding and ongoing support.

If an image is unreadable, CarePlus notifies your office within 24 hours for a repeat capture. If retinopathy is detected, a referral report is automatically generated and transmitted to your office to refer patient to an ophthalmology follow-up.

Most practices go live within 2 weeks of onboarding. CarePlus handles configuration, training, and quality testing to ensure smooth implementation.

Your patients get a higher value of care. Early detection and prevention of vision loss. Convenience: no dilation, quick in-office test. Your office gains improved patient engagement and satisfaction. More importantly your practice gains, Better quality scores → higher Star Ratings → increased reimbursement potential.

Endocrinologists often manage large diabetic populations without in-house eye exam capabilities. CarePlus allows them to close the diabetic eye exam gap seamlessly within their practice, improving patient outcomes and generating additional quality-linked revenue.

CarePlus uses published monthly subscription and screening-credit pricing — not a percentage of your clinical reimbursement.

  • Standard Software — $300/month: Includes 12 screening credits per month and one site license. Best for clinics that already own a fundus camera.
  • Enhanced Software — $500/month: Includes 20 screening credits per month and one site license. Best for higher-volume sites.
  • Complete Bundle — $700/month: Standard software ($300/month) plus a fundus camera lease ($400/month) for clinics starting without hardware.

Also good to know: Additional completed screenings are $25 per credit. Each additional licensed site is $100/month. Credits can be pooled across licensed sites. Unused prepaid credits roll over for up to 90 days.

Your clinic orders the screening and bills the payer where appropriate (for example CPT 92227/92228). CarePlus provides the workflow platform and coordinates specialist interpretation through credits — fixed fees only.

Contact HealthOcta for a pilot plan based on your sites, diabetic panel size, and equipment status. Terms apply.



The Careplus screening process only administers an undilated eye exam. This is done because our screening workflow is setup to be convenient for the patients, is administered at your Primary providers office and enables retinal images to be captured without the uncomfortable experience of dilating eye drops. A nonmydriatic photo is a great screen without having to visit with an ophthalmologist who can then be referred if needed for further evauation.

Of course, A Dilated exam is the gold standard because Ophthalmologists can see further into periphery, do dynamic examination, and see in 3D to appreciate any retinal swelling. However, this may be best suited for those whose eye screenings are flagged for futher evaluation by an Ophthalmologist.

Contact the CarePlus team to schedule onboarding. We’ll review your patient panel, device readiness, and payer mix, and launch your program with full ECDS and quality compliance support.

Diabetic retinopathy is a diabetes complication that affects eyes. It's caused by damage to the blood vessels of the light-sensitive tissue at the back of the eye (retina). At first, diabetic retinopathy might cause no symptoms or only mild vision problems. But it can lead to blindness. The condition can develop in anyone who has type 1 or type 2 diabetes. The longer you have diabetes and the less controlled your blood sugar is, the more likely you are to develop this eye complication.