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Chronic Care Management (CCM) Services

Chronic Care Management (CCM) Services

Ongoing Support for Patients Living With Chronic Conditions

Chronic Care Management empowers patients with personalized care plans, ongoing support, and proactive health management, helping them manage chronic conditions, improve quality of life, and stay on track toward better health.

What our CCM support includes

  • Identifying eligible patients, including those with two or more chronic conditions
  • Patient consent and enrollment
  • Comprehensive care plan setup and updates
  • Monthly outreach, medication follow-up, and care coordination with specialists
  • Time and service documentation for every patient
  • Claim preparation aligned with current CMS and AMA CPT requirements

A good fit if
Your practice has many patients with diabetes, heart disease, COPD, or hypertension, and you want to support them between visits without adding to your staff’s workload.

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