Understanding Chronic Care Management Services Workflow for Healthcare Providers
Chronic Care Management (CCM) focuses on patients with chronic conditions such as diabetes, hypertension, and heart disease. CCM services include care plan development, medication management, monthly patient check-ins, and provider coordination. It improves patient outcomes and helps providers generate additional revenue.
Identify eligible patients with chronic conditions. Obtain patient consent for CCM services.
Patient Identification & Enrollment
Initial Health Assessment
Review medical history, current medications, and risk factors. Establish a baseline for care management.
Create a customized care plan with treatment goals. Outline interventions, medications, and specialist referrals.
Document patient progress and update care plans. Submit reports for Medicare reimbursement compliance.
Share updates with primary care providers and specialists. Ensure seamless transitions in patient care.
Review prescriptions and adjust medications as needed. Coordinate with pharmacies and specialists.
Conduct regular telephonic or virtual check-ins. Assess patient adherence to treatment and lifestyle changes.
Personalized Care & Plan Development
Provider Communication & Care Coordination
Monthly Check-Ins & Monitoring
Progress Tracking & Compliance Reporting
Medication Management & Coordination
Our Success In Numbers
We are dealing with the clients since a long time
$125M+
Value of Claims Processed
Since 2019
99%
Total Revenue Collected
24
Accounts Receivable Days
48 Hours
Turn Around Time
1,000,000+
Number Of Claims Processed
99%
Customer Retention
98%
First Pass Clean Claim Rate
15-20%
Revenue Improvement
26 Days
Turn Around Time For Payment
35%
Reduction In Accounts Receivable
Improving Patient Outcomes Through Continuous Support with Chronic Care Management Services
Structured Care Coordination for Chronic Disease Patients
Chronic diseases such as diabetes, hypertension, and cardiovascular conditions account for nearly 90% of total healthcare expenditures in the United States (CDC, 2023). Without proper care coordination, patients with chronic illnesses often experience complications that lead to increased hospitalizations and emergency room visits. Our Chronic Care Management (CCM) services provide structured and proactive patient engagement, ensuring that individuals receive continuous care beyond their regular doctor visits. We implement a patient-centered approach that includes regular follow-ups, medication reconciliation, symptom tracking, and preventive care strategies. Research published in the Journal of General Internal Medicine (2023) shows that CCM programs reduce hospital readmissions by 25% and improve medication adherence by 40%. By integrating remote patient monitoring, personalized care plans, and direct communication with healthcare providers, we improve long-term health outcomes. Additionally, our services support patients in managing lifestyle changes, addressing social determinants of health, and improving overall well-being. This continuous engagement not only benefits patients but also allows providers to deliver more efficient and proactive care, reducing the financial burden on the healthcare system.
Maximizing Reimbursements with CMS-Compliant Programs
In addition to improving patient health, CCM services present a significant revenue opportunity for healthcare providers. The Centers for Medicare & Medicaid Services (CMS, 2023) reimburse physicians for providing non-face-to-face chronic care services, but many practices fail to maximize these reimbursements due to lack of proper documentation and workflow management. Our CCM solutions ensure full compliance with CMS guidelines, enabling providers to bill for services accurately and consistently. According to Becker’s Healthcare (2023), physicians can generate an additional $42,000 per year per provider by implementing a well-structured CCM program. We handle all aspects of CCM, including patient eligibility verification, time tracking, and billing documentation, ensuring that every reimbursable minute is accounted for. Our use of automated tracking systems and EHR integration reduces administrative workload while maintaining compliance with Medicare and commercial payer requirements. By offering a streamlined and fully managed CCM program, we help healthcare providers optimize reimbursements, improve financial sustainability, and deliver high-quality chronic care services with minimal administrative burden.
Call Us Now | +1 (323) 412-5399
Call Us Now | +1 (323) 412-5399
Reduces hospital readmissions and emergency visits.
Ensures compliance with CMS chronic care guidelines.
Enhances patient engagement and long-term care management.
Provides additional revenue streams for providers.
BENEFITS OF AN EFFICIENT CHRONIC CARE MANAGEMENT SERVICES
Improves medication adherence and health monitoring.
Call Us Now | +1 (323) 412-5399
What Our Clients Say?
Evo Care Medical Billing has been a game-changer for our practice. Their expertise in Chronic Care Management (CCM) helped us significantly increase patient enrollments, resulting in an incredible 233% revenue growth within six months. Their team streamlined our workflow, improved patient engagement, and ensured compliance, making a lasting impact on our success. We highly recommend their services to any healthcare provider looking to optimize billing and patient care.
Diane Baucom- Chronic Care Manager - AIMS Florida
Earn more and get paid faster with Evocare Medical Billing's 24/7 services.
Evocare is a medical billing provider that integrates with your existing EHR system for streamlined processing.
We are honored to offer top-tier service with a 99% retention rate that sets us apart.
