Chronic Care Management (CCM)

Chronic disease management & Care Co-ordination

Chronic Care Management (CCM) is the non-face-to-face service provided to Medicare beneficiaries who have two or more chronic conditions. CCM covers chronic disease management services, and include communication with the patient and other treating health professionals for care coordination, medication management, and accessibility to providers or other clinical staff.

  • opportunity for a new revenue stream as providers can bill for 20 minutes CCM service monthly
  • Development and revision of electronic care plans.
  • Ability to monitor, communicate, and provide continuous improvement in care of patients

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