If you could prevent a diabetic foot wound and create revenue at the same time, why wouldn’t you start today?
Apply to join the Arche LEAP Collaborative to learn more about the New At-Risk Foot Care Visit.
Membership in the Arche LEAP Collaborative has its benefits.
The Arche LEAP Collaborative (ALC) is a community of dedicated and like-minded podiatrists working together to improve the health and lives of patients with diabetes through a population health management strategy. We are using evidence-based medicine to drive evidence-based practice! ALC members are committed to strategically partnering with Arche Healthcare to use the provided tools and protocols to achieve the outcomes goals of the ALC.
The Arche LEAP Collaborative is comprised of exceptional, dedicated and committed practitioners. Ongoing participation in the ALC depends on continued use of the Arche LEAP Vitals⁺® protocol.
Together, we will raise the standard of care for our patients with diabetes!
To learn more about the NEW At-Risk Foot Care Visit, please click below.

Arche LEAP Vitals: The New At-Risk Foot Care Visit
“I have reviewed and studied the innovative Arche Healthcare LEAP Vitals⁺ program. When a podiatrist follows the comprehensive LEAP Vitals⁺ protocol, documents the objective abnormal findings and creates a care plan for management, it is my expert opinion the encounter satisfies the medical necessity requirements for billing an evaluation and management service, either alone, or in conjunction with at risk foot care services performed on the same day with a 25 modifier.”
Doran Edwards, MD, Former CMS Medical Director (SADMERC & PDAC)
Your Commitment to the Arche LEAP Collaborative:
Successful adaptation, adoption and integration of Arche LEAP Vitals⁺ into your practice starts with acceptance into the project.
You will conduct the new at-risk foot care visit, using the Arche LEAP Vitals⁺ protocol on your next 25 patients with diabetes during their scheduled at-risk foot care visit. *Note that this does not require a new/separate appointment but should be conducted on each at-risk foot care visit.
You will complete the first 25 Arche LEAP Vitals⁺ exams provided in your tool kit within 6 weeks.
You will complete two surveys, the first at four weeks and second at six weeks.
It is expected that you will continue to apply the Arche LEAP Vitals⁺ Protocol to your total population of patients with diabetes, supporting the definition of Population Health Management. You will be required to provide an accurate accounting of your current diabetes population. Arche will use non-identifiable aggregated protocol utilization data to generate your quarterly LEAP Score performance metrics. Following this protocol will allow you to continue to be defined as a Center of Excellence in diabetic foot care.
Membership is not for everyone.
We recognize that this program is not for everyone. Our recommendations for an annual comprehensive diabetic foot exam (CDFE) follows all recent clinical practice guidelines and standards of care. It is our expectation that this recommendation will be followed and that your total number of patients with diabetes will have this standard applied. Based on your community of patient with diabetes you should have completed the 25 included exams by the end of six weeks.
If you are unable to fulfill the above commitment Arche Healthcare will provide you with an RA and require the return of the LEAP Vitals+ kit (tools and unused neuropad).
LEAP Vitals⁺ Qualifies for the New MIPS IA Addition
LEAP Vitals⁺ Qualifies
IA PM 17 Population Management Participation in federally and/or privately funded research that identifies interventions, tools, or processes that can improve a targeted patient population.
What is a Population Health Management Plan? The Population Health Management program will identify the health risk of each member, based on claims data, electronic health records, and a standardized assessment process, to determine who would benefit from additional support via care management programs and proactively identify and address gaps in care.
MIPS with a Single Click
Podiatry practices often struggle with finding relevant MIPS measures to help them prevent a costly 9% Medicare fee schedule penalty. Imagine if you can differentiate your practice by engaging in a lower extremity amputation prevention (LEAP) initiative that requires minimum effort, zero investment, prevents wounds and amputations, delivers a new net revenue stream to your practice, AND allows you to meet a Population Health Management measure within the Improvement Activities (IA) category of MIPS with a single click. Imagine no more! All of this is available when you participate as a member of the Arche LEAP Collaborative and use the Arche LEAP Vitals⁺ protocol.
John V. Guiliana, DPM, MS, Medical Director-Podiatry – Modernizing Medicine