Chronic Condition Care Management Services

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Advanced Chronic Care Management Solutions

While CCM can be a real opportunity to build a strong rapport with patients and increase revenue, we specialize in advanced chronic care management solutions designed to support patients with long-term conditions.

An opportunity to build a strong rapport with patients and increase your revenue.

An opportunity to build a strong rapport with patients and increase your revenue. Advanced Chronic Care Management Solutions are an essential part of primary care. By monitoring patients suffering from chronic health concerns, CHS, as a CCM service provider, helps promote better health and reduce overall healthcare costs. With our CCM (Chronic Care Management) services, you can send personalized care plans to your patients, helping them stay on track toward achieving their healthcare goals.

Increase your operating efficiency with CCM

Central Health Solutions brings you a CCM platform where you can automate billing reports, view insights, and connect with your patients in one place. It helps reduce workload and increase revenue. With CHS’s Chronic Care Management services, you get to:

    • Find and enroll patients eligible for chronic care automatically
    • Track patient calls and emails
    • Generate billing reports to bill your patients
    • Create comprehensive care plans for patients
    • Minimize documentation time with automated documentation
    • Access customized reports
    • Avail CMS services that efficiently comply with care plans
    • Care for your elderly patients with complex treatment requirements

Why Say Yes to a Personalized Chronic Disease Support Team

An office with an average of 250 enrolled CCM patients may generate revenues of more than $100,000 per year. However, most offices may actually lose money managing CCM on their own due to overhead costs (e.g., employee time, phone calls, and strenuous documentation), which means spending more time for less revenue.

But with our CCM (Chronic Disease Management Programs), you can increase your revenue while reducing administrative burden. You will spend less time and generate maximum revenue with the CCM services offered by reputable chronic care management providers like Central Health Solutions. With our state-of-the-art templates and dedicated team, we assist you in managing your patients’ chronic conditions, lowering your overhead costs, and maximizing profitability. As an established CCM service provider, we focus on improving communication and coordination between you and your patients while offering them the support they need to take better care of their health. We specialize in complex chronic care management, providing innovative chronic care solutions for patients with long-term and challenging conditions. Our chronic care management programs integrate disease management solutions and chronic care coordination services, ensuring seamless support and improved patient outcomes. With expertise in managing complex chronic illnesses, we deliver comprehensive care tailored to each patient’s unique needs.

chronic disease management plan

How Does It Work?

Get patient consent

To bill patients, consent is necessary. Permission for CCM will be sent to patients by email or text message, and the patient will provide consent and send it back to CHS through a secure portal.

Record information

After receiving the patient’s consent, it will be documented in your clinic account along with other information, such as the patient’s medications, allergies, and demographic details.

Conduct CCM session

Our team will conduct the CCM (Chronic Care Management) sessions in accordance with your approved chronic disease management plan. Additional questions or suggestions may be added as deemed necessary by physicians. Once your care plan is finalized, our clinical team will document and save the customized template in our database.

Ready to go for chronic condition care collaboration!

CCM (Chronic Care Management) sessions will be conducted monthly with patients by the CHS clinical team and archived in the physician’s office account. These care plans will be accessible 24/7, along with complete CCM documentation necessary for CMS audits.

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Save Time, Save Money. Just Billing

Get peace of mind while maintaining the continuity of your business.

You don’t have to make hundreds of phone calls every month or worry about response rates. We are here to help with our scalable and advanced chronic care management solutions. The CHS team will schedule calls and maintain call logs while you redirect your time toward more important tasks. We help you enroll patients eligible for chronic care, support them, and bill for CCM services, saving you valuable time.

Consent for CCM will be sent to patients by email or text message, and patients will sign the consent form and send it back to CHS through a secure portal.

The patient consent will be saved and documented in your clinic account. Our CHS clinical team will conduct CCM sessions in accordance with your approved care plans.

Additional questions or suggestions may be added as deemed necessary by physicians.

CCM sessions will be conducted monthly with patients by the CHS clinical team and archived in the physician’s office account.

Healthcare illustration showing reduced costs, medication, and remote patient monitoring icons representing Central Health Solutions' value for practices

Ready To Go For Chronic Condition Care Collaboration!

At CHS, we’re here to provide personalized chronic disease support for those navigating complex chronic conditions. We understand that managing health can be challenging, which is why our chronic care management programs combine innovative chronic care solutions with dedicated chronic care coordination services to simplify your healthcare journey.

With our tailored disease management solutions, comprehensive chronic care assessment services, and continuous care monitoring, you can rely on us for dependable support for complex chronic illnesses. We are committed to supporting you and your loved ones every step of the way.

These care plans will be accessible 24/7, along with complete CCM documentation necessary for CMS audits.

Associated CPT Codes by

CMS Chronic Care Management

CPT Code 99490

This is a 20-minute timed service provided by clinical staff to coordinate care across providers and support patient accountability.

Average payment – $70

CPT Code 99439

Each additional 20 minutes of clinical staff time spent per patient is billed alongside CPT code 99490, ensuring accurate care management reimbursement.

Average payment – $57

CPT Code 99487

This is complex CCM of 60-minute timed provided by clinical staff to coordinate care across providers and support patient accountability.

Average payment – $140

CPT Code 99489

Subsequent complex CCM services for 30 minutes of care by clinical staff.

Average payment – $72
Note: Payments may vary by location. Please refer to cms.gov for more details.