How to Boost Income With Chronic Care Management


February 26, 2015

In This Article

How Does Chronic Care Management Work in Real Life?

CCM activities have begun in earnest, says Dr Rosenberg. He states, "For example, an eligible patient may come into the office every 3 months; we ask them to check their blood pressure in the interim at home. Someone from my office calls them during that time and makes sure they are taking their blood pressure reading. It's that person who needs to document the phone call and other related activity."

Another example involves a patient who has an issue with compliance. "In a more traditional practice, the physician might say, 'Come in with your bag of medicine, and let's look at what you've got.' The way we would do it is, we'd say, 'My nurse is going to phone you on Tuesday morning and spend time going over your meds with you.'" The patient usually prefers it because they don't have to come in to the office for a visit, Dr Rosenberg says.

"You'd also be amazed at the amount of insurance forms people call us with, asking us to help out. Now we say, we can do that—as opposed to before, where we were more limited as to the type of assistance we would offer."

"Here's what I envision: We would have several staff members whose role is patient management or patient advocate," says Dr Rosenberg. "So when the patient goes to the doctor's office, he checks in, and we say, "Here's a phone number for Bob or Jane; he's your personal contact for whatever help you need. We will coordinate your care for you."

Still, says Dr Rosenberg, "the devil is in the details. I don't think this transition is going to be easy."

More details about the CCM program can be found here.


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