About Chronic Care Management (CCM)
CCM focuses on behavior change coaching for Medicare patients with two or more chronic conditions. Offering CCM enables health care providers to sustain and grow their practice and improve patient satisfaction.
Care Team Involved
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Member of your staff (Primary care physician, NP, PA, or CNM )
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Trained health coach embedded with access to the care management platform (Powered by Certintell)
20 minutes of behavioral health care coordination services per calendar month
As required by CMS, our solution goes beyond telephonic to cover all of your CCM needs; including asynchronous secure messaging, video calls, and Remote Patient Monitoring (RPM).
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Real-time care plan and time tracking shared between the health coaches, peer advocates, and the center’s internal care team.
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Automate billing and submitting claims for CCM; ICD-10 codes and G codes generated for the care team, health coach and billing practitioner show on an easy-to-use dashboard.
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Health coaches that are trained for clinical settings with motivational interviewing techniques.
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