Chronic Care Management
Let us help you quickly launch and scale a CCM Program that keeps your patients healthy, expand your patient care capacity, and boost your bottom line. Our care managers can support your organization on an ongoing basis or for a set time to help bridge staffing gaps.
The Centers for Medicare & Medicaid Services (CMS) recognizes Chronic Care Management as a vital service that helps improve patient health and quality of care. We provide:
Personalized Health Records
Structured documentation for accurate tracking and treatment planning. There is never a need to learn a new system. Our documentation will be in your EMR shortly after we speak with your patients and complete a CCM visit, so you always have the most current information.
Care Coordination
Seamless transitions between healthcare providers to ensure continuity of care. Your dedicated care team will strive to speak with enrolled patients every month, tailoring conversations to the unique needs of your patients and providing an experience they can look forward to.
Electronic Care Plans
Comprehensive, easy-to-access care plans tailored to the patient’s individual needs. We develop an Individualized CCM Care Plan using evidence-based guidelines. All you need to do is review and approve.
Secure Information Sharing
Fast, reliable updates between your healthcare team and CCM Global to keep everyone on the same page.
Patient's Health - Our Priority!
We know that managing patients with Chronic conditions can feel overwhelming. That’s why our approach focuses on keeping things simple, accessible, and stress-free. With CCM Global Solutions, you get:
A Team that Listens
Personized Care that meets your practice needs and the health care needs of your patients.
Continuous Monitoring
Ongoing support to help and maintain the health and wellbeing of your patients.
Convenience & Peace of Mind
Easy communication with your care team, anytime you need it.
Documentation & Reporting
• We generate and upload care plans/visit summaries into your EMR
• We mail care plans to the patients
• We generate productivity reports.
• We compile monthly billing reports
Connected Care for Better Outcomes
We, at CCM Global Solutions, pride ourselves on offering comprehensive Chronic Care Management services. We understand that managing chronic conditions requires continuous support. Trust us to be your reliable partner in Chronic Care Management.
Our Process
Step 1
Remote Access
Grant us remote access to your EMR. Once CCM visits are completed, they will be uploaded into your EHR to ensure a seamless flow.
Step 2
Internal Team Member
Assign an internal team member from your practice as the primary point of contact for periodic program updates and other concerns/questions.
Step 3
Identify Patients
We help you identify patients eligible for CCM services.
Step 4
Enroll Patients
Our team will educate you on how to enroll and capture/ document consent from your patients.
For CCM, initiating visits is required for patients you haven’t seen in the past 12 months.
Step 5
Customized Care Plans
We develop an Individualized Comprehensive CCM Care Plan using evidence-based guidelines for each patient. All you need to do is review and approve.
Step 6
Manage Care
Our care managers call patients, document in practice-accessible patient profiles on the CCM Global platform, and log time toward billing thresholds. We proactively alert providers to patient issues through their preferred communication channels.
Step 7
Get Reimbursed
We generate a report every month, clearly showing all billable codes for each patient.
Who We Help
Whether you’re a single-provider family medicine practice or a 100-provider cardiology network, we help you keep patients healthy. Our covered specialties include:
Helping your Patients to Live Better
We provide a reliable, structured Plan of Care to improve your patient’s quality of life and to provide the ongoing support they need.