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Chronic Care Management That Delivers Quality Care and Outcomes-Without Added Staff Burden

Empowering Providers to Improve Patient Health, Boost Revenue, and Enhance Care Coordination-All Without Adding Staff Burden

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Chronic Care Management That Delivers Quality Care and Outcomes-Without Added Staff Burden

Empowering Providers to Improve Patient Health, Boost Revenue, and Enhance Care Coordination-All Without Adding Staff Burden

Request a Consultation

How CCM improves clinical outcomes

Reduces Hospitalizations

Reduces hospitalizations and ER visits by enabling early intervention and better symptom control.

Medication & Treatment Adherence

Improves medication and care plan adherence through regular check-ins and ongoing support.

24/7 Support

Enhances access to care with 24/7 support and easier care coordination.

Patient Engagement

Promotes patient engagement and self-management with personalized education and frequent communication.

Timely Screenings

Ensures timely screenings and preventive care, reducing complications and disease progression.

Tailored Care Plans

Provides individualized care plans tailored to each patient’s needs, improving overall health outcomes

Boost patient participation and engagement

Strengthen Patient Engagement for Better Results

Truly Turnkey, Staff-Free Implementation

Our dedicated clinical team manages all aspects of CCM-including patient outreach, enrollment, monthly check-ins, and care plan documentation-ensuring patients receive consistent follow-up and timely interventions. This proactive approach reduces hospitalizations and ER visits, and ensures timely screenings and preventive care.

Superior Patient Engagement and Outcomes

High-touch, monthly communication and ongoing education keep patients engaged, improve medication and care plan adherence, and promote self-management. Individualized care plans are continuously updated, supporting better patient engagement and overall health outcomes.

Compliance, Quality, and Revenue Optimization

Our CMS-compliant processes and accurate time tracking ensure all care activities are properly documented, leading to timely preventive care and screenings. This helps practices boost quality scores and maximize reimbursements, while reducing audit risk.

Scalable, Personalized Service

We tailor care plans to each patient and coordinate between specialists, pharmacies, and community resources. This individualized approach enhances access to care, closes care gaps, and ensures patients receive the right support at the right time, all as an extension of your practice!

Data-Driven Results and Transparent Reporting

Regular, actionable reports give you insight into patient progress, engagement, and program ROI. This transparency allows for continuous improvement in care delivery and ensures that patients benefit from evidence-based, outcome-focused management.
By combining turnkey implementation, superior engagement, rigorous compliance, personalized service, and transparent reporting, ProWellCare’s CCM program delivers the consistent follow-up, education, and coordination that drive better adherence, fewer hospitalizations, improved preventive care, and ultimately, better clinical outcomes for your patients.

Improve Billing Accuracy and Practice Efficiency

ProWellCare simplifies billing and CPT code management, helping practices improve accuracy, efficiency, and revenue capture.

Frequently Asked Questions

Chronic Care Management supports patients with two or more long-term conditions through non-face-to-face care. It focuses on care coordination, treatment planning, and regular follow-ups to improve health outcomes and continuity of care.
Medicare provides monthly payments per patient based on time and complexity. Four main CPT® codes—99490, 99439, 99491, and 99437—are used for billing. CCM services can be combined with RPM or RTM. FQHCs and RHCs can bill via G0511.
CCM is ideal for managing chronic illnesses such as heart failure, COPD, diabetes, hypertension, dementia, arthritis, and cancer.
Yes, third-party clinical teams can support CCM, but services must be performed under a Qualified Healthcare Professional’s supervision.
Yes, patients must have two or more chronic conditions expected to last 12 months or more to qualify for CCM services.
Develop a personalized care plan
Coordinate care with specialists
Manage prescriptions
Support chronic condition self-management

Empower At-Risk Patients with ProWellCare’s CCM Services

Deliver coordinated, proactive care for patients managing multiple chronic diseases. ProWellCare’s end-to-end CCM platform supports continuous care, helping you close care gaps and improve health outcomes while reducing unnecessary hospital visits.

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