Chronic care management (CCM) has become so common throughout the US. Subsequently, many healthcare centers and institutes offer this value-based reimbursement to cater to all chronic conditions of the patients. How effective can you imagine the chronic care management can be? Here are the best and most effective practices for carrying out a successful chronic care management procedure:

1.      Patient’s Eligibility for Chronic Care Management

The eligibility criteria for the enrollment of the patients in chronic care management consists of the following points:

Some examples of chronic conditions for which a patient can be eligible to enroll in the chronic care management program are:

2.      Chronic care management services providers

Of course, physicians are the one known the most, other non-physician practitioners in CCM list includes the following:

Apart from the individual practitioners mentioned above, the hospitals, rural health clinics (RHCs) and federally qualified health centers (FQHCs) are also eligible to provider their chronic care management services.

However, an important point to know is that only one practitioner and the hospital can receive chronic pain management reimbursement each month for a patient. The practitioner in this case can be an RHS, physician, or FQHC.

3.      Patients’ consent document

To maintain the patients’ medical record and history, it is highly recommended that the practitioners should get written patients’ consent. Once the written document is prepared, the practitioner can deliver chronic care management services to the patient.

Whenever a patient meets a physician or the one who provides chronic care management services, the practitioner must explain to the patient that only one practitioner can serve the patient each month. And, the patient can abandon receiving service any time if he or she wants. A practitioner should also discuss with the patients that what they can expect from chronic care management services and what helps them the most to cope with chronic pain management. Besides, sharing costs and expenses would also help the patient to arrange the capital for the treatment.

4.      Creating care plans

It is a requirement of the chronic care management provider to maintain the electronic care plan. Establishing care plans allows specialists to practice individualized care. The care plan should consist of:

5.      Noting the time spent

The practitioners note down the time spent on each patient during each-day caring service. Especially for the non-face-to-face service (remote patient monitoring), it helps in the future to identify how much the practitioner would have spent time on the patient in a particular month. Remote patient monitoring for Chronic care management also includes care coordination, medication reconciliation, prescription management and calls to the patient.

6.      Coordination services

Due to some limitations in clinical settings, many healthcare centers do not offer chronic care management services. Perhaps, they don’t have space or probably the manpower. In such cases, hospitals and clinics have an option for partnering with the other CCM service providers and work in coordination.

For instance, Greenway Care Coordination Services (GCCS) offers RPM (remote patient monitoring) and CCM (chronic care management) services with partnered coordination. The partnered services are integrated into Greenway’s EHR. The partnership with GCCS increases patients’ engagements and enrollments, reimbursements for the outsourcing campaigns and improved care quality. Moreover, this corporation also ensures compliance with Medicare.