Chronic Care Management

Chronic care management is recognized by CMS as a critical component of primary care that contributes to better health and care for individuals and is therefore reimbursed by many insurance plans for the pharmacist to perform.

Other forms of remote patient monitoring (RPM) exist and are also reimbursable. There’s transitional care management, pain assessments, and diabetes management. Our program can walk you through all of the possibilities and then show you how to implement each encounter at your pharmacy.

CMS defines CCM as the care coordination that is outside of the regular office visit for patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation or decompensation, or functional decline. It can be delivered to people with many different types of health conditions.

Knowing this, you probably have many patients that would fall into this category. Contact us today to find out how to bill for these services that you are most likely already providing to your patients.

Our program includes:

  • Policies and procedures for each service
  • Booklet for everyday use- CPT codes, requirements, eligibility, talking points
  • Example physician pitches
  • Several templates
  • Workflows
  • FAQ sheets
  • Marketing sheets
  • Patient scripts
  • And much more!
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