Chronic Care Management

Supporting Better Patient Outcomes. Creating New Revenue Streams.

At Abcott Billing Partner, we understand the challenges healthcare providers face when managing patients with multiple chronic conditions. That’s why we offer a fully managed Chronic Care Management (CCM) program that aligns with CMS guidelines—improving patient care while boosting your monthly revenue without adding clinical strain.

Since CMS introduced CCM as a billable service in 2015, providers have had the opportunity to deliver coordinated care for Medicare patients living with two or more chronic conditions. The goal? Reduce hospitalizations, improve treatment adherence, and ensure proactive healthcare—all while helping your practice grow financially.

Our Chronic Care Management Program Includes

  • Patient Enrollment & Consent Management
    We identify eligible patients, handle consent forms, and ensure all compliance steps are met before enrollment begins.

  • Personalized Care Plan Creation
    Every patient receives a custom care plan based on their specific chronic conditions, medications, and health goals.

  • Monthly Clinical Check-ins
    Our care coordinators connect with patients every month via phone or secure messaging to monitor progress and offer support.

  • Medication & Treatment Tracking
    We monitor prescriptions, refills, adherence, and any side effects to support ongoing condition management.
  • 24/7 Care Coordination
    Seamless communication and coordination with primary care providers and specialists to ensure continuity of care.

  • Documentation & Time Tracking
    All interactions are properly logged to meet CMS billing requirements and support accurate claim submissions.

  • Billing & Reimbursement Support
    We submit clean claims for CCM services, track reimbursements, and provide financial reporting to maximize ROI.

  • Ongoing Program Optimization
    We continuously assess and enhance CCM workflows to improve patient engagement and financial performance.

Benefits of Our CCM Program

  • Increased Practice Revenue
    Receive monthly payments for non-face-to-face care. CMS reimburses ~$60+ per patient per month—adding thousands in new revenue streams annually.

  • Improved Patient Satisfaction
    Patients feel more supported and connected, leading to better treatment outcomes and reduced hospital visits.

  • No Additional Clinical Load
    We handle the coordination, documentation, and billing so your staff can focus on in-office care.

  • Scalable for Practices of Any Size
    Whether you’re a solo provider or part of a group practice, we tailor our services to fit your patient volume and workflow.

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