Chronic Care Management (CCM) - Comprehensive Care Coordination

Deliver Comprehensive Chronic Care Management

Chronic Care Management (CCM) provides non-face-to-face services to Medicare beneficiaries with two or more chronic conditions expected to last at least 12 months. Our CCM platform facilitates comprehensive care planning, medication reconciliation, 24/7 patient access to care teams, and coordination with other treating providers. Care coordinators spend at least 20 minutes per month managing each patient's care, documenting all interactions in our HIPAA-compliant platform.

The CCM module includes structured care plan templates, medication tracking with interaction alerts, appointment scheduling tools, and automated patient communication systems. Care coordinators can view complete patient histories, set goals, track progress toward health objectives, and generate detailed reports for billing and quality improvement. Our platform automates time tracking to ensure accurate CPT code billing (99490, 99439, 99491) while providing tools that genuinely improve patient outcomes through better coordination and proactive intervention.