Chronic Care Management: How Can It Help Your Practice?

Chronic Care Management (CCM) has become popular in the healthcare industry because it determines the quality of care offered to patients dealing with chronic illnesses. This is especially important because more than half of the population in the country manages at least one chronic condition. Because of this, healthcare providers need to learn more about chronic management systems and how implementing them can benefit their practice.

What Is Chronic Care Management (CCM)?

CCM refers to non-face-to-face visits offered to patients with multiple chronic conditions expected to last at least 12 months. It aims to improve the quality and coordination of care for chronically ill patients through several means. It involves prescription management, resources management for patients, and communication with patients or other healthcare providers for care coordination. 

These chronic conditions often put patients at risk of death or functional decline, increasing the chances of requiring multiple hospitalizations, medical care, and follow-up appointments. The conditions that fall under these guidelines are:

  • Asthma
  • Atrial fibrillation
  • Autism
  • Diabetes
  • Hypertension
  • Infectious diseases
  • Cancer
  • Cardiovascular disease
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Obesity
  • Substance abuse disorder
  • Alzheimer’s
  • Arthritis
  • Stroke
  • Neurological condition

Through this program, you can bill for at least 20 minutes or more of care coordination services monthly. This rate applies whether you are a physician, physician assistant, clinical nurse specialist, nurse practitioner, or certified nurse-midwife. However, only one healthcare practitioner can bill for CCM services per patient monthly. 

How Will Chronic Care Management (CCM) Services Benefit Your Practice?

CCM improves patient care in many ways. Here are some of its benefits for your practice:

  • Promotes Better Care Coordination

The lack of organization with healthcare is a common issue among patients with chronic conditions. For example, these patients frequently have to see multiple healthcare suppliers address their unique needs.

Through CCM, patients will enjoy receiving ideal care. They will get to work with consideration groups responsible for communicating with one another to ensure that there are no discrepancies in the healthcare and that the meds are all together. They will also search for the best resources possible, depending on the patient’s condition.

Effective care coordination benefits not only the patients but also the healthcare providers. With this, your supplier will understand the total scope of the patients’ healthcare needs. As you offer a superior nature of care, you can increase the chances of providing remarkable outcomes.

  • Provides Better Patient Outcomes

Patients dealing with chronic illnesses are likely having a hard time, especially with performing daily tasks or taking medication. Thankfully, with CCM, they can have superior personal satisfaction with assistance from trained healthcare professionals. Being under CCM boosts social action, declines discouragement, and promotes patient commitment to your service.

  • Increases Revenue

CCM offers a new stream of income to your practice. By increasing your revenue stream through acquiring and maintaining more patients, medical service suppliers can increase revenue. This can be done by re-appropriating the consideration supervisory group that delivers these services.


Improving healthcare delivery for patients with chronic illnesses should be your top priority. Besides delivering preventative care and remote patient monitoring, you have to consider implementing CCM into your practice. Unfortunately, doing this is often easier said than done, especially if the staff and IT infrastructure are taken into account. To simplify the process, reach out to professionals in incorporating CCM into your service offers.

Start implementing the chronic care management program in your practice with help from Medistics Health. Through our Care Management Program, your patients will be able to conveniently schedule appointments and receive the support they need. Get in touch with us to start our partnership!

Profit Calculator Assumptions: 40% of total Medicare patients enrolling is based on (i) Medicare Chart Book’s data showing that ~68% of medicare patients qualify for CCM (2 or more chronic conditions), and (ii) that ~40% of eligible patients will enroll.

For typical providers, $46.67 of net profit per patient per month is based on a Medicare reimbursement per patient per month (national average) for various care management CPT codes.

CPT and other codes, descriptions and other data are copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).