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Unlocking Revenue Opportunities with Chronic Care Management

  • Writer: Michael Sullivan
    Michael Sullivan
  • Sep 14, 2023
  • 1 min read

Updated: Sep 15, 2023

Chronic Care Management (CCM) is an often-overlooked opportunity for healthcare providers to not only improve patient outcomes but also generate additional revenue. In a value-based care model, where providers are rewarded for quality over quantity, CCM becomes even more critical.


What is Chronic Care Management?

CCM is a Medicare program that compensates providers for spending non-face-to-face time with Medicare beneficiaries who have multiple chronic conditions. The aim is to coordinate care better and manage health conditions effectively.


Why CCM is Important in Value-Based Care

In a value-based care setting, the focus is on patient outcomes. CCM allows providers to monitor patients closely, leading to early intervention and better management of chronic conditions. This not only improves patient health but also reduces hospital readmissions, a key metric in value-based care.


Revenue Opportunities

Providers can bill Medicare for CCM services, creating an additional revenue stream. The billing codes are specific and must be used correctly to avoid compliance issues. However, when done right, it can be a significant source of income for practices.


Implementing CCM in Your Practice

1. Identify Eligible Patients: Use your EHR system to identify patients who meet the Medicare criteria for CCM.

2. Get Consent: Patients must agree to participate in the program.

3. Create a Care Plan: Develop a comprehensive care plan for each patient.

4. Ongoing Management: Regularly update the care plan and coordinate with other healthcare providers.


Ready to Unlock New Revenue Streams with Chronic Care Management?


Don't miss this opportunity to enhance patient care and boost your practice's revenue. Contact us today to learn how we can help you implement a successful Chronic Care Management program.

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