Are you a small practice owner still thinking of implementing CCM?

Here are the top 5 reasons CCM is important to the provider

Get paid for the time spent by your staff on care management and phone calls to the pharmacy and referrals

Strengthen patient relationships in the comfort of their home

Increase your revenue without adding new patients, few staffing resources and improve the patients’ care

Pro-actively engage in patients’ well-being than treating sickness

Provide better health for patient populations

What is CCM?

Chronic care management (CCM) is the extra support offered to Medicare/Medicare advantage and Medicaid patients (in some states) who have two or more chronic conditions that pose a serious risk to their well-being. Patients enrolled in CCM will have the benefit of a dedicated care team to help them manage their chronic conditions.

When a patient is enrolled in CCM, a dedicated care team member spends at least 20 minutes per month coordinating care for the patient’s chronic conditions. This includes coordination of the health care from the clinic, as well as at another doctor’s office, at the hospital, at the pharmacy, at a patient’s home, or from a community service organization.

Top 10 Benefits of CCM to patient

A dedicated care team coordinates all the health and well-being needs.

Creation of a personalized care plan with the patient’s input to chart out an action plan. This includes measurable goals and action steps to achieve the goals.

Support of the dedicated care team outside the office visits. A member of the care team will be accessible to the patient 24/7 for non-urgent care needs via non-face-to-face communication.

Schedule all preventive care appointments and any specialist referrals.

Co-ordination between care providers (e.g. private caregivers, in-home nursing, therapy, hospice, and physicians).

Monthly phone calls ( can be spread over the calendar month in smaller increments of time to a total of minimum 20 mins) with the care team members.

Help with managing the medicines, understand barriers to taking meds, and help to improve medication adherence

Fewer surprise medical bills and Fewer ER visits: Actively and reliably engage patients on an ongoing basis to keep manageable symptoms from turning into hospitalizations

A clear understanding of the patient’s social determinants of health to refer to social services. This includes many factors outside the sickness such as: Transportation, Family support, Environment, Home settings, Food stamps, Literacy, and Tobacco use, which are just a sample.

What do we offer?

Identify the Eligible Patients

Invite, Inform and Enroll

Create and document a comprehensive care plan

Document the time spent

Bill Medicare

Are you ready to take control of your patients and your revenue?

We are here for you !

We are a small business with a dedication to serve the physicians serving the elderly community.