Chronic Care Management, Value Based Care

Chronic Care Staffing® is a nationwide provider of remote patient health services strictly following CMS service guidelines. We work with an array of clients ranging from small practices to large health systems. Working directly in the client EMR, our clinical team is scalable, ensuring a fast ramp up, high participation and low drop out patient enrollment program. CCS has developed industry leading documentation, population health initiatives and Value Based Reimbursement (VBR) calling protocols which helps optimize remote patient care as well as client reimbursement.

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Chronic Care Management(CCM, CPT 99490/G0511)

CCM is a Medicare/Medicare Advantage program designed to reduce unnecessary ER visits and hospitalizations. Patients are monitored in between office visits on a monthly basis. CCM can be significant while providing a platform to improve clinical outcomes and close gaps in care.

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Health Risk Assessment (HRA) for Annual Wellness Visits(AWV, CPT G0438/G0439)

Annual Wellness Visits are an integral component of Value Based Care. Evidence suggests HRA use and follow up interventions can positively influence health behaviors. AWVs help reduce health disparities and improve health outcomes through identifying modifiable health risks.

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Remote Patient Monitoring

Beginning January 1st, 2024, FQHCs, RHCs and CHCs are now able to bill Medicare separately for RPM, BHI along with CCM, thereby promoting greater access to patients and especially those in rural and underserved communities.

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Virtual Clinical Staff Augmentation

CCS can provide remote staff to augment your clinical team. CCS’s clinical staff (Multidisciplinary skilled nurses) can perform a wide variety of virtual duties while charting in your EMR in real time while identifying as a part of your practice.

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Case Studies

 

Medication
Adherence

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HgA1C Levels in
Diabetic Patients

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Patient
Satisfaction

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What Our Clients are Saying

I’ve worked with many vendors in the past and I honestly feel Chronic Care Staffing has been one of—if not the best— partner I’ve ever engaged with.

Chronic Care
Management Benefits
Outsourcing Chronic
Care Management
Improve
Patient Care
Generate Greater
Practice Revenue
Remote
Patient Monitoring
Highly Qualified
Care Coordinators
What is Chronic
Care Management?
Who is Eligible for Chronic
Care Management?

Latest News

The Top 10 Reasons to Adopt Remote Patient Monitoring at Your Practice

The way we deliver healthcare is evolving, and Remote Patient Monitoring (RPM) is leading the charge. With advanced...

What Conditions Qualify for Chronic Care Management?

Chronic Care Management (CCM) is a vital Medicare program designed to support patients in managing their chronic conditions...

What Is Chronic Care Management? A Simple Breakdown for Providers & Patients

Chronic Care Management (CCM) is a Medicare program designed to improve care for patients with multiple chronic conditions...

Chronic Care Management CPT Codes: A Provider’s Guide for 2025

As a healthcare provider, mastering Chronic Care Management (CCM) CPT codes is essential for optimizing patient care and...

A Guide to 2025 Remote Patient Monitoring CPT Codes & Reimbursement

Understanding Remote Patient Monitoring (RPM) Remote Patient Monitoring (RPM) is a transformative approach to healthcare that enables providers...

Chronic Care Staffing (CCS): Health Risk Assessments and Annual Wellness Visits: How to Use Them for Better Patient Outcomes

Introduction Chronic conditions place a significant strain on the healthcare system and impact patient well-being. Health Risk Assessments...