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Benefits of CCM

For Patients

  • Improved self-management skills

  • Improved quality of care and patient satisfaction

  • Personalized coaching from a care manager

  • Collaborative decision making and engagement

  • 24/7 emergency access to ChronicCare clinicians

  • Creation of a customized, comprehensive care plan

  • Access to personalized disease library

  • Coordination of care between providers and other benefits

For Providers

  • Compliance with MIPS/MACRA reporting requirements

  • Earn new stream of recurring and reimbursable revenue

  • Entry for value-based care and risk-based contracting

  • Acquire and retain new patients

  • Promotes patient loyalty and connection to practices

  • Increased volume of patients, i.e., not losing patients 

  • No setup charges and no upfront and ongoing charges 

How We Serve

Chronic Care Management
Principal Care Management

Chronic Care Management

Monthly continuous support and coordination of medical services for patients with multiple chronic conditions

Principal Care Management

Monthly continuous support emphasizing prevention for patients with one chronic condition for improved health outcomes

Transitional Care Management
Remote Patient Monitoring

Transitional Care Management

Facilitates the transition of patients from one healthcare setting to another, ensuring continuity and coordination of care to reduce hospital readmissions

Remote Patient Monitoring

Tracking patients' health data outside healthcare settings to manage and monitor their conditions remotely for better care

How We Proceed

ChronicCare

1. Identify eligible patients with chronic conditions

ChronicCare

2. Obtain consent to enroll them in program

ChronicCare

3. Create care plan & integrate EHR

ChronicCare

4. Provide monthly care management services

ChronicCare

5. Track time spent in contact with patients

ChronicCare

6. Provide documentation for billing Medicare

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