Three services. One nursing team.
TULQ supplies licensed registered nurses to independent practices, health centers, and agencies: after-hours triage, Medicare care management, and annual wellness visits.
Licensed RNsCompact-licensed, national coverageFlat monthly pricing
We are the staffing, not the software.
Every one of these services is the same underlying thing: a licensed registered nurse doing clinical work your practice cannot staff, documented well enough to bill or to survive a survey. What changes between them is who pays and what the documentation has to prove.
We sell nurse labour, not software. There is no platform to buy, no per-seat licence, and no percentage of your collections. You keep the billing, the chart, and the patient relationship in every one of the three.
Pick the one that is costing you the most.
Most practices start with one and add the second within a year, because the same nurses do all three and the wellness visit is what makes a patient eligible for care management in the first place.
After-hours nurse triage.
A licensed RN answers the after-hours call, assesses against Schmitt-Thompson protocols, makes a disposition, and documents it back to you. Replaces the provider's personal cell phone and the answering service that only takes a message.
Medicare care management.
CCM, APCM, PCM, and TCM run by remote RNs inside your chart. Medicare pays your practice every month for work your staff is probably already doing for free. We supply the clinical hours and the documentation that makes it billable.
Medicare annual wellness visits.
Compact-licensed RNs complete the AWV by phone and return finished documentation to your clinic. Priced per completed visit, which closes the completion gap without adding a room or a shift.
The wellness visit enrolls. Care management retains. Triage covers the night.
They compound, and the order matters. An annual wellness visit is a qualifying visit for care management enrolment, so the AWV is the on-ramp: it is the appointment where a nurse has twenty unhurried minutes, discovers the chronic conditions, and gets consent while the patient is already engaged.
Care management then requires 24 hour access to a care team member for urgent needs. That is a triage requirement, and it is one of the thirteen obligations that quietly kills care management programs run on a physician's cell phone. If you already have the triage line, you have already satisfied it.
Run all three and the same nurses who know your protocols at 2 a.m. are the ones calling your diabetic patients on the fifteenth of the month. That continuity is the part a call center cannot sell you.
Four practice types, four pages.
Read the page written for your organization.
The triage service has four practice-type pages under it, each covering the rule you are actually held to and what a surveyor asks for.
Fifteen minutes, your real numbers.
Bring your Medicare patient count and your after-hours call volume. We will tell you what each line is worth at your locality, what it costs, and which of the three to start with. Sometimes the answer is none of them yet.
Service scope, supervision model, and sample documentation on request.
Ask and we will send it the same day, with the reimbursement figures run against your own locality rather than a national average.