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Chronic Care Management what you need to know

Health and Wellness information for individuals 40 plus.

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What is CCM?
For Physicians
Other Services
Other services
Read our BLOG
Chronic Care Management what you need to know
Health and Wellness information for individuals 40 plus.
Book a Meeting to Get Started

Chronic Care Management Services

Helping physician and nurse practitioner practices scale their impact through the implementation of CCM & AWV.

Unsure how to implement Chronic Care Management in your practice?

Download this FREE GUIDE to see how CCM can both MULTIPLY YOUR BOTTOM-LINE and create BETTER OUTCOMES for your patients.

Download Guide Find out how I can help

Go from SUSTAINING to THRIVING in no time!

We put in the extra work so you're free to grow your practice intentionally

FEWER CALLS TO YOU

We are your 24/7 virtual and telephonic nurse support between office appointments.

LESS SICK PATIENTS

We look for gaps in care and fill them in; resulting in less missed opportunities for care.

DECREASED OFFICE MANAGER WORKLOAD

Leave the referrals and coordination between other providers to us. CCM takes care of that.

IMPROVED QUALITY MEASURES

This is the goal of CCM/TCM. Its effective implementation makes this a reality.

MORE QUALITY REFERRALS

Better outcomes equals better trust in your community and amongst your peers - resulting in more referrals.

INCREASED REVENUE

CCM is designed to save money from unnecessary readmissions, which then gets funneled to you as reimbursement for a job well done.

Expertise and Commitment to Quality at Your Service

Shemika Mitchell RN, MSN, AGNP-C

Licensed Nurse for 26+ years

With varied nursing experience in all specialties of nursing. My cumulative experience informs the care pathways I choose for patients under my care.

Former SNF Director of Nursing x 9 years

Skilled at identifying gaps in care, coordinating needed care and navigating resources for my elderly population and their caregivers.

Expert Adult Care Practitioner

Masters-trained nurse with the authority to assess patients and diagnose sickness, order and interpret labs, create and manage treatment plans, all with a focus on prevention and improved quality of life.

I use my expertise to be your EXTENSION in the community.

My commitment to care leads to better outcomes and higher satisfaction for both you and your patients.

Chronic Care Management at NO COST to you

Using a secure and highly-rated platform, we offer and assist with the following...

Comprehensive Care planning & Medication Management

Early Identification & Notification of Adverse Symptoms

Referral & Care Coordination with Other Providers

Caregiver Education & Resource Navigation

Appointment Follow-up and Tracking

Treatment Plan Education & Reinforcement

**Reminder: CCM codes can only be applied towards qualified Medicare patients - patients with 2 or more Chronic conditions.

Lack of staff should not stop you from providing quality client care consistently

Let me help you fill in the gaps and account for the care you already give.

It's as easy as 1-2-3.

ASSESS

Will there be a difference in your patient outcomes and bottom-line if you implement CCM, or no? How will it impact your practice? Is it worth the trial?

IMPLEMENT

Once in the affirmative, sign a simple agreement for contractual services, provide a list of qualifying clients to begin services on, and let me go to work getting consents and managing their care for you.

BILL

30 days later...
Receive your summary reports on care provided and time spent. Review and approve notes. Biller applies CCM-appropriate codes and sends off to Medicare. Save all notes for future auditing.

Ready to get started?

Check out our simple, transparent pricing.

Or book a demo or coffee meeting let's get all your questions answered

Pay Per Client on CCM Program

This is the fee for a single client

$$/client

Patient consent & enrollment
Medication Reconciliation
Comprehensive care planning
Virtual care coordinantion (phone, text, email, video)
Patient tracking & weekly reports
Plus more...
Fee TBD

Book a Meeting

Pay for CCM Program Set-up

Education to help your nurses run the CCM program in-house

$$$/TBD

1 FREE 60-minute consult
Staff education on CCM/TCM
Daily & weekly training with practice nurses
CCM/TCM program initiation
On-call assistance with CCM/TCM documentation
Stand-by assistance for 90 days post-program launch

Schedule a Consult

Still not sure how to proceed?

I get it. Medicare programs are not to be played with.

Book a meeting below so I can proceed to make you a believer in the possibilities of CCM 🙂

1 FREE 60-minute consult
CCM Slide presentation to you and your practice staff
FREE material on CCM to share with your patients
Follow-up virtual meeting to answer all questions

Book a Meeting

FAQs

Is Chronic Care Management for every one of my Medicare patients?

No, Chronic Care Management is only for those Medicare patients who have 2 or more chronic conditions.

Will I need a new EHR system for this?

No. You don't. I do all the work on my end using a CCM-specific system. All the notes and summaries either get uploaded to whichever EHR system you use, or you have access to view and download all the records you need.

How secure is the system you use?

I use a top-rated and secured system. In addition, more specific security measures are implemented to ensure patient information is always safe and protected.

Does the patient pay anything?

As with all Medicare programs, the patient has an $8 co-pay, which I go over with them when I review and obtain the consent for the program.

Do I need to pay you any money upfront?

No. You don't pay me anything until you bill and get paid by Medicare for any patients whose care I managed through the CCM program.

If I sign my practice on to your CCM program, will you be considered my employee?

No. I am never your employee. The CCM program guidelines come from the CMS. They direct how it needs to be implemented. I sign a contract with you as an independently contracted business.

How soon can I get started?

As soon as your desire for improved outcomes will permit.

You listed a lot of pros. What are the cons to implementing Chronic Care Management in my practice?

There are none. Absolutely none. Caution does need to be applied to ensure patient information is safe and CCM is effectively affecting quality outcomes in the positive.

Overall, the effective application of CCM improves your patient outcomes, reduces workload on your staff, and increases your revenue so you can continue offering quality care in your community.

Ready to get started?

Contact us or purchase above

Book a Meeting

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Got questions or comments? Don't hesitate to reach out.