Full-Service, Pharmacist-led Disease Management Service
ChronicCare offers a unique approach to value-based care. We offer a seamless, no-cost solution to expand care beyond the physician's office. Our fully compliant, reimbursable services can help patients reduce hospitalizations, improve outcomes, and drive new Medicare revenue.
We Help You To
Additional Revenue
$180
max reimbursement per patient per month
Reduce Hospitalizations
76%
among senior citizens with chronic conditions
Improve Outcomes
90%
annual patient retention among participants
Why Choose ChronicCare
Our Solutions
Principal Care Management
Service:
Monthly, condition-specific care coordination & support for patients with one single high-risk chronic condition.
CPT Codes:
99424, 99425, 99426, 99427
Chronic Care Management
Service:
Monthly comprehensive, coordinated care & support for patients with two or more chronic conditions.
CPT Codes:
99490, 99439, 99487, 99489
Transitional Care Management
Service:
Supports patients transitioning from a hospital or facility to their home by ensuring timely follow-up & care coordination to prevent readmissions.
CPT Codes:
99495, 99496
Remote Patient Monitoring
Service:
Using technologies to collect & transmit patient health data (BG, BP, HR, Weight) from home to providers for ongoing monitoring & support.
CPT Codes:
99453, 99454, 99457, 99458
Remote Therapeutic Monitoring
Service:
Track patient adherence and response to therapy using digital tools to support clinical decision-making and improve outcomes.
CPT Codes:
98975, 98976, 98977, 98980
Self-Care Management Program
Dietary & Lifestyle:
Lifestyle coaching to help patients adopt healthier habits. A gradual approach to reducing risk for chronic diseases.
Support Your Patients, Clinicians, and Practices
Bring Continuous Care Beyond the Clinic
Empower your patients with real-time insights—and get actionable data between visits. Our Remote Patient Monitoring (RPM) program helps you improve outcomes, reduce hospitalizations, and stay connected to patients managing chronic conditions.
Ready to see how RPM can serve your patients?
Contact us today to schedule a brief overview or request a demo. Let’s work together to deliver smarter, more proactive care—every day, everywhere.
Ready to Get Started?
📅 Schedule a Call
Reach out to our team to discuss your patient population, goals, and care gaps
🧩 Program Alignment
We tailor the CCM or RPM program to your workflows, clinical priorities, and compliance needs
👥 Patient Enrollment
Identify eligible patients and manage onboarding and consent
📡 Device Monitoring
Patients receive easy-to-use, cellular-enabled devices while our clinical team monitors incoming data
📊 Clinical Support & Reports
We provide continuous monitoring, monthly patient outreach, and clear reporting to support quality care and reimbursement
