Chronic Care Management (CCM): CCM aims to bring the provider, care manager, and patient together to proactively manage chronic disease rather than predominantly treat disease and illness. REIMBURSABLE CODES: CPT 99490,99487, 99489
Care coordination is driving clinical, quality, and financial outcomes in population health and chronic care across emerging models of value-based care. The focus is on collaborating a relationship between provider, patient, and care manager to coordinate care and empower the patient to manage chronic conditions providing resources, education, and support.
Software that is critical to record all the required components for reimbursement from CMS
Implementation to seamlessly get CCM, BHI, CoCM, and preventive screenings started or expanded within your organization (software, training, work flow, best practices, billing, and FAQ’s)
Health coach training for Chronic Care Managers/Health Coaches
Health coach tool box and smart care plans embedded into the software