CHRONIC CARE MANAGEMENT SERVICE

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CHRONIC CARE MANAGEMENT

Chronic Care Management (CCM) is the non-face-to-face clinical time spent on medicare beneficiaries with two or more chronic conditions. CMS started reimbursing physicians for CCM in 2015, and they have drastically increased the reimbursements for CCM. As of January 1, 2020, CMS has five reimbursements for Chronic Care Management.

CHRONIC CARE MANAGEMENT

​We are a patient-centric solution for clinicians seeking to participate in CCM and similar medicare programs. Tristate Health enables your practice to participate in Chronic Care Management without the need to hire any additional staff or employees.

 
We simplify the process of implementing a new CCM program. Providing your patients with the individual attention they need to manage their chronic conditions, while simultaneously meeting the billing requirements for CCM. Our goal is to help your practice achieve clinical and financial Return on Investment.

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Nurse Taking Notes

PATIENT IDENTIFICATION AND ENROLLMENT

We analyze your EHR data to identify patients that are eligible to participate and will benefit from participating in Chronic Care Management. We schedule the initiating visit and create individualized care plans for easy patient enrollment.

IMPROVED PATIENT COMMUNICATION/ PATIENT ENGAGEMENT

We monitor and manage your patients, in-between office visits. Improving outcomes and patient satisfaction. We actively engage your patients and obtain updates about their current health status. We proactively analyze the patient responses and identify patients that have crossed clinical thresholds or are in need of outreach. We notify your staff and/or providers of patients in need.

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Doctor Analyzing X-Rays

ROBUST MEDICARE DOCUMENTATION AND COMPLIANCE

We utilize a HIPAA compliant cloud-based solution for patient monitoring and Medicare compliance. All outreach, care coordination, and eligible activities performed for patients are documented. Ensuring practice security and Medicare compliance.

REIMBURSEMENTS

Start earning net new recurring revenue for Medicare's chronic care management program with our help and guidance. Earn the following monthly patient reimbursements for clinical staff time directed by a physician or other qualified health Care Provider.

  • Enrollment - $63

  • Monthly Chronic Care Mgmt - $42

Contact Us to Learn How You Can Get Started Today

CMS Chronic Care Management Fact Sheet

Chart & Stethoscope

Contact us to learn more about Chronic Care Management and How you can get started.

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