Chronic Care Plus Management (CCPM)
Improve patient wellness between visits, deliver unmatched patient experience, maximize office sustainability.
Implementing Chronic Care Management services into Practice

We are committed to providing excellent, reliable Chronic Care Management services. The Centers for Medicare & Medicaid Services (CMS) recognizes that Chronic Care Management services are critical components of primary care that promote better health and reduce overall health care costs.

Our team’s mission is to magnify care practices that you already have in place by evolving care management activities into reimbursable transactions while empowering your patients and amplifying your practice with evidence-based care management programs.

“The Chronic Care Management Program or CCM has become essential to the needs of our patients. It serves as a service to allow myself, as the provider, and the patient to gather the best treatment plans for the patient’s chronic needs as those conditions affect wound healing. Patients have access to nurses to aid in answering questions about their chronic conditions or even basic life essentials, in return allows me to be able to provide the best possible care for every patient.”

– Molly Heath, FNP-C Cornerstone, Roundrock, TX

Chronic Care Management Requirements
Our team’s mission is to magnify care practices that you already have in place by evolving care management activities into reimbursable transactions while empowering your patients and amplifying your practice with evidence-based care management programs.
  • Two or more chronic conditions expected to last at least 12 months (or until the death of the patient)
  • Patient consent (verbal or signed)
  • Personalized care plan in a certified EHR and a copy provided to patient
  • 24/7 patient access to a member of the care team for urgent needs
  • Enhanced non-face-to-face communication between patient and care team
  • Care transition management
  • At least 20 minutes of clinical staff time per calendar month spent on non-face-to-face Chronic Care Management services directed by physician or other qualified health care professional.

10,000+

Patients Enrolled

30%

Reduction in All-cause Hospitalization

500+

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We focus on billing so you can focus on patient care

At MD Billing, our goal is to help you succeed by maximizing your revenue and practice efficiency.