Chronic Care Management

Chronic Care Management


Quality Improvement Solutions

Chronic Care Management

Enroll patients during regular office visits, We do the rest:

  • Care plans
  • 20 minutes of monthly care per patient from 100% registered nurse care coaches
  • Billing and compliance reporting

The Centers for Medicare & Medicaid Services (CMS) recognizes care management as one of the critical components of primary care that contributes to better health and care for individuals, as well as reduced spending.

Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements:

  • Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient,

  • Chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline,

  • Comprehensive care plan established, implemented, revised, or monitored.

Contact us to discuss our Chronic Care Management solution.

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