CHRONIC CARE MANAGEMENT
Chronic Care Management Services
Patients with multiple chronic conditions need ongoing support between visits. Chronic care management (CCM) is a structured program of monthly outreach, care planning and coordination that can be billed to eligible payers when requirements are met. AviRex RCM provides a care manager and a billing team who handle monthly outreach and coding together, so your practice delivers the care and captures the eligible revenue.
WHAT'S INCLUDED
What our CCM service includes
Identification of eligible patients in your panel
Patient consent and enrollment support
Monthly care manager outreach and care coordination
Care plan support and documentation
Time tracking for billing requirements
CCM coding and claim submission
HOW IT WORKS
How it works
Identify
We review your patient list for those with multiple chronic conditions.
Enroll
Eligible patients are consented and enrolled.
Reach out monthly
A care manager contacts patients, reviews needs and coordinates care.
Document
Activities and time are recorded as required.
Bill
Services are coded and billed to the right payer.
WHY PRACTICES USE CCM
Why practices use CCM
- ✓Better continuity of care for patients who need it most
- ✓Structured monthly contact between visits
- ✓A compliant way to bill for non-face-to-face care coordination when requirements are met
COMPLIANCE
Compliance
CCM has specific requirements for consent, documentation, care plans and time, and these differ by payer. We build the workflow around them and do not promise specific reimbursement figures.
WHY PRACTICES CHOOSE AVIREX RCM
Why practices choose AviRex RCM
- ✓Care and billing coordinated in one service.
- ✓Documentation that supports the claim.
- ✓Reporting on enrolled patients, activity and billing.
RELATED SERVICES
This service works closely with:
RELATED SPECIALTIES
We also support practices in:
COMMON QUESTIONS
Chronic Care Management Services — FAQ
CCM is a monthly care program for patients with two or more chronic conditions, including outreach, care planning and coordination between visits.
Generally patients with multiple chronic conditions expected to last a long time and that put them at risk. Eligibility depends on the payer, and we help confirm it.
Yes. Patient consent is required before enrollment, and we help document it.
Some patients may be in both programs, subject to payer rules. We review this case by case.
See how many of your patients may qualify.
Talk to our team about starting a CCM program.