Elevate Chronic Care and Improve Outcomes with CCM Specialist Services
Our experts handle outreach to your patients, improving outcomes and boosting practice revenue.
Sales: 508-836-2700
What Are CCM Specialist Services?
Our certified clinicians, including RNs, LPNs, and MAs:
Conduct structured monthly outreach to your patients with chronic conditions.
Review patient records and care plans before each engagement.
Document all calls and interactions in your EHR in real time for transparency and compliance.
Generate proactive alerts to your care teams about significant changes or concerns with patients.
Support billing submission and claim batch initiation to streamline Revenue Cycle Management.
Key Benefits
Personalized Patient Outreach
Monthly calls using evidence-based, condition-specific templates keep patients engaged and supported between visits.
Reduced Staff Burden
Offload time-intensive chart reviews, documentation, and patient follow-ups to dedicated CCM specialists.
Improved Outcomes
Consistent monitoring and proactive alerts help prevent complications and hospitalizations.
Operational Efficiency
Seamless integration with your existing EHR workflows ensures real-time documentation and billing readiness.
Scalable & Compliant
Grow your CCM program with confidence, maintaining documentation and compliance standards effortlessly.
By the Numbers
35+
Hours Saved Monthly
Save 35+ hours monthly per 100 enrolled patients by offloading chart review, patient calls, documentation, and billing.
$30K
Additional Annual Revenue
Generate approximately $30,000 in additional annual revenue for every 100 patients enrolled in CCM.
How It Works
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Certified CCM specialists conduct monthly outreach using tailored, evidence-based patient templates.
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Specialists review patient records and care plans before each engagement to ensure personalized support.
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All calls and interactions are documented in real-time within the EHR for transparency and compliance.
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Care teams receive proactive alerts about significant patient changes or concerns.
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Support for billing submission and claim batch initiation helps streamline Revenue Cycle Management.
Designed for Value-Based Care Success
Build stronger relationships with high-risk and elderly patients.
Extend your team’s capacity and outreach without adding staff.
Close care gaps, improve adherence, and reduce avoidable escalations.
Proven Impact for Practices & Patients
“Our patients now have one dedicated specialist who knows them and follows up consistently. It’s taken a real weight off our staff and strengthened patient trust.”
“Our patients receive consistent monthly check-ins, prescription support, and personalized follow-up — all without hiring additional staff.”
“Patients feel more at ease knowing they’ll speak with familiar care team members, increasing engagement and program utilization.”
Ready to Transform Your Chronic Care Management?
Discover how CCM Specialist Services can help your practice improve outcomes, reduce staff burden, and drive new revenue—without hiring additional staff.
