Our comprehensive Chronic Care Management (CCM) services help healthcare providers deliver coordinated care to Medicare patients with multiple chronic conditions. We handle the administrative aspects of CCM, allowing providers to focus on patient care while generating additional revenue through proper billing of CCM services.
Our Chronic Care Management Process
- Patient Identification: Identification of eligible patients with two or more chronic conditions.
- Care Plan Development: Creation of comprehensive, patient-centered care plans.
- Regular Patient Contact: Monthly non-face-to-face communication with patients.
- Care Coordination: Coordination of care across all healthcare providers and settings.
- Medication Management: Comprehensive medication reconciliation and management.
- 24/7 Access: Ensuring patients have 24/7 access to care team members.
- Transitional Care: Management of transitions between care settings.
- Documentation: Thorough documentation to support billing requirements.
Benefits of Our Chronic Care Management Services
- Increased practice revenue through proper CCM billing
- Improved patient outcomes and satisfaction
- Reduced hospital readmissions and emergency department visits
- Enhanced medication adherence
- Optimized clinical workflow with minimal staff burden
- Full compliance with CMS requirements for CCM services
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