Chronic Care Management

Billable non face-to-face care coordination services for Medicare patients
with two or more chronic conditions.

Our team of trained  and licensed staff perform calls to patients that have two or more chronic diseases. We build a supportive relationship with patients and their care-givers while providing care coordination support that will ensure appropriate services for the patients’ health needs. Changes in patient symptoms, or behavior are monitored and reported; any significant patient concerns, along with any other patient status updates are communicated to the Primary Care Physician. A billable comprehensive care plan is created and maintained during the duration of the service.

We provide 24-hour-a-day, 7-day-a-week (24/7) seamless extension of your internal staff, in order for the patient and any caregiver to communicate with the practitioner regarding the patient’s care. CCM can be implemented not only by telephone calls, but also through secure messaging, secure Internet, or other asynchronous non-face-to-face consultation methods such as: e-mail, or secure electronic patient portal available 24/7.

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Learn about Patient Communication Management®.


424.226.0420 or 800.307.7131
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