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Comparing CCM Software to Full-Service CCM Providers: Which Fits Your Practice Best

The healthcare providers who work with CCM companies gain an extra revenue stream through their partnership. The enrollment potential for Chronic Care Management services among Medicare patients reaches 82%, so most medical practices encounter substantial participant opportunities.

What is CCM Software?

Third-party CCM software provides EHR-integrated platforms that maintain all CCM information within a centralized system. Through their software services, these providers supply essential features to monitor patient information along with program analytics, yet maintain complete operational control over your CCM initiative. 

The implementation of CCM software does not provide all the necessary human resources and infrastructure that your practice needs to run its program. Your practice faces difficulties in managing CCM program complexities through software solutions when it lacks previous experience with CCM program management.  Your practice must recruit new personnel who will handle patient enrollment together with monthly patient calls and net patient churn, as well as quality score optimization and other responsibilities.

The initial cost of CCM software remains lower than other systems, yet the solution provides restricted functionality. Other costs will increase for CCM software implementations because it requires additional expenses for both workforce and infrastructure development. The extent to which your practice program can grow depends on the available resources within your organization.     

Advantages:

The system provides the necessary technological tools for both analytical tracking and documentation archival functions.

The system enables you to evaluate patient information while controlling patient care activities.

The system maintains all CCM data within a single unified hub.

The cost of CCM service management stands lower than what fully managed CCM services would charge.

Grants your practice full control of the CCM program

Disadvantages:

The range of services offered by limited-service CCM is narrower than what full-service CCM provides.

The implementation of patient enrollment and marketing and monthly outreach operations will raise labor expenses because you must employ and train additional staff members.

The resource capabilities of your practice become the main factor that determines program expansion possibilities.

Introducing new technology into your operations needs proper training for your staff.

Lack of human connection.

Full-service CCM

Full-service CCM companies operate as an adjunct healthcare service that extends from your medical practice. The trained personnel at these companies specialize in patient marketing and enrollment, and CMS compliance and billing support. Through their special training, nurses and care coordinators from these companies bring an essential human connection to your CCM program by performing monthly conversations about care planning and self-management and care coordination with your patients.

Advantages:

The program provides expanded service benefits that include payment help lines and dedicated quality improvement personnel, plus nursing support hotlines.

Unlimited program scalability for greater revenue.

It allows you to bypass staffing requirements for additional personnel who would handle rising workloads.

The company possesses extensive experience dealing with CMS compliance and billing processes.

The current infrastructure for outbound calls, together with analytics tracking and documentation systems, is already operational.

The human interaction between staff members helps patients feel more trusted, which leads to improved satisfaction levels.

Disadvantages:

More expensive than CCM software.

Healthcare practices need to establish close collaboration with their CCM vendor.

Healthcare practices maintain limited influence over CCM programs when they rely on external management instead of self-administering the program through software.

Practices must invest more at first but will save resources through decreased operational expenses as well as staff time when using full-service CCM programs. These companies provide the ability to customize the CCM program scale according to practice needs without putting additional work burdens on your staff.

Gen By Gen Health's turn-key CCM/RPM solutions ensure compliance and health literacy – improving patient satisfaction and outcomes, increasing revenue, and decreasing staff workload.

To get in touch call us right now at (908)-864-0098 to learn more about our CCM services or you can also book a 30 min free consultation.

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