Chronic Care Management

What is Chronic Care Management (CCM)

CCM is care coordination services done outside of the regular office visit for patients with 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/decompensation, or functional decline.

 

Examples of chronic conditions include, but are not limited to, Alzheimer’s disease and related dementias, arthritis, asthma, atrial fibrillation, autism spectrum disorders, cancer, cardiovascular disease, chronic obstructive pulmonary disease, depression, substance use disorders, diabetes, hypertension, …

 

Under CCM, the patient’s care team can bill for time spent managing the patients’ conditions. This includes formulating a comprehensive care plan, interactive remote communication and management (usually over the phone), medication management, and coordination of care between providers.

Aviah Solution difference

Challenges of Implementing CCM for Providers and Our Solutions

Barriers to implementing CCM for Healthcare providers fell into four categories:

Time Constraints

Chronic care management requires more time and attention as it involves ongoing monitoring and coordination of care for patients with long-term conditions. Providers may already have a busy schedule and find it challenging to allocate additional time for these services.

Resource Limitations

Implementing chronic care management may require additional staff, technology, and resources, which some smaller practices or healthcare facilities may not have readily available.

Reimbursement Challenges

The reimbursement process for chronic care management services may be complex and time-consuming, leading some providers to opt for more straightforward billing options.

Administrative Burden

Chronic care management involves documentation, coordination, and communication with patients, caregivers, and other healthcare professionals. The administrative burden associated with these tasks can be overwhelming for some providers.
Schedule A Demo

Aviah Medical Services CCM solutions enable physicians to deliver the highest quality care for patients with chronic conditions

  • Aviah Medical Services’ Chronic Care Management (CCM) telehealth solution seamlessly integrates with physician practices and healthcare systems to provide care coordination, medication management, and consistent patient engagement.

  • Aviah Medical Services alleviates physician workload and improves MIPS and APMs quality scores.

Integrating our CCM solution with your practice enable your healthcare providers to overcome these challenges and to deliver the highest quality care for your patients with chronic conditions.

At Aviah Medical Services, we handle comprehensive management of CCM from start to finish including care coordination, medication management and consistent patient engagement.

Immediate benefits for providers

  • Alleviates Medicare paperwork and practice workload
  • Added revenue stream
  • Actionable clinical intelligence
  • Increased patient loyalty
  • Improved quality measures
  • Empowering physicians and providing them with support

Join the expanding practices utilizing Aviah Medical Services to enhance patient outcomes.

  • No upfront costs required
  • We take on the workload
  • Decreased non-billable time.
  • Automated patient eligibility verification
Schedule A Demo

Subscribe to our newsletter

Please enable JavaScript in your browser to complete this form.
Scroll to Top