TOP 3 Qualities to Look for When Choosing a CCM Provider

In the growing field of healthcare, Chronic Care Management (CCM) has become a necessary component for providing comprehensive care for individuals with chronic conditions. Choosing the right CCM service provider is important for enhancing patient outcomes, improving practice efficiency, and ensuring financial sustainability. Here are three key factors to consider when choosing a CCM provider:

1. Flexibility with Adopting Your Workflow

Setting up CCM is a multi-factorial task with considerations to  the interoperability of your electronic medical record, daily patient throughput, and staff operations. That’s why it’s crucial to find a provider that is adaptable and fits into your practice’s daily workflow without disruption.

2. Quality of the Care Management Company

There are plenty of options for CCM/RPM service providers; research the founder or the COO of the company. Depending on your goals, you may want to choose a company that is led by a clinician and prides itself in evidence-based work or prefer leaders with a proven track record of running successful and profitable businesses. Or you may want a little bit of both, in which case Gen By Gen is the obvious choice. Moreover, look for qualities such as empathy, open communication, and a strong work ethic because you will be working very closely with the company sharing the care for mutual patients.

3. Reimbursement

While CCM is essential for bettering patient outcomes, it also helps practices generate additional revenue.. Work with a CCM provider who is credible, and adheres to all medicare guidelines and regulations. This ensures that your practice is protected in the case of an audit. Look closely at the technology they use for accurate and transparent timekeeping, data tracking,and accountability measures. Make monthly or quarterly data reporting a requirement so that you are in the loop with how the CPT codes are being generated. This way you can be confident about the integrity of your billing.

By prioritizing these three key factors, you can select a CCM provider that enhances patient care, improves operational efficiency, and increases your practice revenue. Taking the time and effort into this decision will ultimately lead to a more effective and sustainable CCM program, benefiting both your patients and your practice.

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