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ccm

CCM: About

CCM provides crucial in-between office visit care, especially for elderly chronic care patients. ACP’s care coaches are specially trained to keep patients engaged and establish meaningful relationships with them. In time, our patients look forward to these care calls, giving them more motivation to invest in their care.

CCM: Conditions

The chronic conditions that benefit from CCM include hypertension, diabetes, congestive heart failure, and obesity.

CCM: Eligibility

According to CMS, the eligible patient population is Medicare patients with “multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and for whom the chronic conditions place the patients at significant risk of death, acute exacerbation or decompensation, or functional decline.”

CCM: Benefits

  • You can now get paid for all your non-face-to-face services while ensuring continuity of care for your patients. You can bill for the first 20 minutes and an additional 20 minutes per patient every month.
  • You gain an extra arm with our highly-trained clinical team of licensed nurse practitioners or care coaches adept at engaging and building meaningful relationships with patients to easily pick up even the subtlest changes in behavior.
  • You can be more efficient and productive with no more long queues outside your door and no-shows to deal with. You will also be able to accommodate more patients via telemedicine or in the traditional clinical setting.
  • You can finally focus on providing value-based and preventive care to your chronic care patients that reduce hospitalizations, ER visits, and inpatient readmissions; reducing costs for you and your patients.
  • You can innovate your chronic care delivery by harnessing telehealth technology, which helps in keeping your patients and reducing patient leakage.

CCM: Get Started

  • ACP just needs access to your EHR/EMR to assist you in identifying who is eligible to join.
  • We can train your MAs and give them incentives to encourage patients to enroll.
  • Once patients are identified, they will have to offer their consent that they are participating in the said program.
  • The primary care physician will then create a comprehensive care plan that includes: a record of the patient’s chronic conditions, personal information, health goals, name of providers, medications, and any other add-on services needed to manage their condition.
Let's Talk

Schedule a meeting with Dr.Marc Sherman,our CEO,on more information on RPM.