Insights on Chronic Care Revenue, Programs & Compliance

How Much Revenue Can a Physician Group Earn from CCM? A Worked Example

Why Chronic Care Revenue Goes Uncaptured – and How Provider Groups Can Close the Gap

Many physician groups serving Medicare populations are already performing reimbursable chronic care work every day. Care coordinators review charts, update care plans, follow up with patients, coordinate with providers, and monitor medications and vitals. The issue is not always that care is not happening; it is that eligible patients are not enrolled, qualifying activity is not consistently captured, or documentation is not billing-ready.

5 FAQs About Behavioral Health Integration Services

Behavioral Health Integration (BHI) is a CMS-defined care program that brings mental health and substance use treatment into primary and specialty care. CMS covers two models: General BHI and the Psychiatric Collaborative Care Model.

What is Patient Self-Management? A Guide for Care Teams

Patient self-management refers to the actions a patient with a chronic condition takes to manage their own health between office visits. It includes monitoring vital signs, recognizing concerning symptoms, and following the prescribed medication regimen. For care teams running a CCM program, supporting patient self-management is what keeps enrolled patients engaged and compliant month over month.

Chronic Care Revenue: Why it’s Harder to Capture Than You Might Think

Most CCM programs bill a fraction of what their patient panel supports, not because the care isn't happening, but because the documentation workflow wasn't built to capture all of it. This blog breaks down three structural reasons chronic care revenue goes uncaptured and what changes when the right infrastructure is in place.

Complex vs. Non-Complex CCM: What’s the Difference?

Complex and non-complex Chronic Care Management are two Medicare billing tiers. Non-complex CCM requires at least 20 minutes of clinical staff time per month and straightforward or low medical decision-making. Complex CCM requires at least 60 minutes, moderate or high medical decision-making, and substantial care plan creation or revision.

How to Launch a CCM Program at Your Practice (Without Overwhelming Your Team)

Most CCM programs don't fail because the patients aren't there. They fail because the documentation workflow wasn't in place before the first patient was enrolled. Here's how to build it right from the start.

7 FAQs About Chronic Care Management

With over half of Americans living with multiple chronic conditions, Chronic Care Management (CCM) has become a vital support system, especially for Medicare recipients. In this blog, we explore what CCM is, why it matters, and answer key questions to help navigate these essential services.

Team-Based Care: What You Should Know Before Getting Started

What is Team-Based Care? In an industry long defined by rigid hierarchies, healthcare is finally embracing collaboration. By shifting toward a team-based approach, organizations are finding new ways to combat burnout, lower costs, and enhance patient satisfaction.