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Chronic Care Management

Empowering providers to improve patient health, boost revenue, and enhance care coordination—all without adding staff burden.

Care manager connecting with patient

Comprehensive Care Beyond the Office

Our CCM program acts as an extension of your practice, providing continuous support to your most vulnerable patients.

Reduces Hospitalizations

Regular check-ins enable early detection of issues, allowing for intervention before they become emergencies.

Medication Adherence

We review medication lists monthly, reconciling discrepancies and ensuring patients stay on track.

24/7 Support Access

Patients have round-the-clock access to clinical staff for questions, reducing anxiety and ER visits.

Patient Engagement

Personalized education and goal setting empower patients to take an active role in their health.

Turnkey Implementation

We handle enrollment, care planning, and monthly calls, integrating seamlessly with your EHR.

Compliance & Revenue

Full audit trails and automated time tracking ensure 100% Medicare compliance and maximized billing.
Personalized Digital Care Plan

Personalized Care Plans for Every Patient

CCM isn't just about calling patients—it's about creating a roadmap for better health. Our comprehensive care plans are tailored to each individual's unique needs, covering:

  • Comprehensive health assessment and goal setting
  • Medication management and reconciliation
  • Coordination with specialists and community resources
  • Preventive care scheduling and reminders
  • Ongoing psychosocial support

CCM Frequently Asked Questions

Start your CCM program today

Improve outcomes and generate revenue without hiring new staff.