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5 Common Questions About Implementing Chronic Care Management

Chronic Care Management plays a significant role in patient outcomes and their improved quality of life.

Patients who use Chronic Care Management services have seen amazing results in the care when it comes to things like symptoms management, care coordination, and their ability to understand and remain involved in every aspect of their complicated health situation. Patients with chronic conditions need access to Chronic Care Management in order to achieve better results in their care and reduce their risk of becoming overwhelmed by it.

Some providers have questions about whether or not implementing Chronic Care Management is right for their practice. Below are 5 of the most common questions regarding this process followed by important information to help form your decision.

1) What is Chronic Care Management?

Chronic Care Management was established in 2015 by The Centers for Medicare and Medicaid Services (CMS) in an effort to help patients battling multiple chronic conditions. According to CMS, one in every four adult Americans have two or more chronic conditions, making them eligible to receive assistive services. This means that 25% of all adult patients in the United States are eligible for services, but unless they live near a provider who offers them, they will not utilize them.

2) Do I have Patients Who Qualify?

More than likely, your practice has patients who qualify. Of course, certain specialties and providers will have more than others depending on where they are located and what they treat most often. But considering a quarter of all adults qualify, it is very likely that there are patients who qualify at your practice. The best way to find out is to analyze your patient base to see which patients have at least two qualifying conditions and also assess your community.

3) How Will I Know My Patients Will Sign Up?

Your patients will not sign up unless they know about it. It is important that you inform your patients as much as possible regarding the fact that your practice is now offering Chronic Care Management. If a patient is in for a visit and you know they qualify, plan to discuss it with them at that time. Offer them reading materials to take home. For the patients who do not come in as often as they should, make sure you are contacting them over email or by phone to let them know your practice has a new line of services and they should contact you to learn more. The good news is, patients everywhere are leaving their providers for ones that offer Chronic Care Management. Once news gets out that your practice is offering CCM, new patients will walk through your door. Once a patient learns about the benefits and possibilities surrounding CCM, patients will sign up.

4) Will it Hurt my Revenue?

Many providers are under the impression that Chronic Care Management is a time-consuming effort that drains their resources and hurts their bottom line. This is not the case. Chronic Care Management has the potential to earn your practice as much as 85K per year per billing provider.

5) Should I Outsource CCM Services?

This question is the most controversial amongst the medical community, but outsourcing CCM is the best option to maximize your productivity and earning potential. It does take a lot of in-house resources to manage CCM services, which eats into the revenue possibilities. Depending on the CCM partner you choose to outsource with, providers can spend a fraction of the cost of maintaining Chronic Care Management while relinquishing the administrative responsibilities that come with managing staff and services. Make sure to find a quality partner to make sure your patients are receiving the best services and their care remains secure.

To learn more about outsourcing CCM services or whether or not implementing Chronic Care Management is right for you, click here.



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