Make a Meaningful Difference with Data
Chronic Care Staffing’s Chronic Care Management (CCM) program is tailored to address your quality measures with every monthly phone call. By focusing on your quality measures we are able to:
- Improve patient outcomes
- Increase reimbursement and incentives from:
- Accountable Care Organization (ACO) shared savings
- Medicare Advantage plan quality bonuses
- HEDIS/UDS measures
- Merit-based Incentive Payment Systems (MIPS)
- Hospital Readmissions Reduction Program (HRRP)
- Primary Care First (PCF ) (the newest CMS model)
CCS has the knowledge and experience to help your practice see the highest return on investment while improving the effectiveness of care given to your patients.
Monthly calls from dedicated Care Coordinators will include monthly concentrations such as:
- Tracking of key metrics such as Blood pressure, A1c, BMI, Hyperlipidemia, PHQ9, GAD-7
- Social determinants of health review
- Scheduling of Annual Wellness Visits (AWV)
- Reminders for colonoscopies and mammograms
- Vaccination scheduling
- Fall risk screening
- Practice specific concentrations
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