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Team Approach to High-Quality Care Coordination

Our turnkey CCM program offers:

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  • Monthly reimbursements with billing reports for as little as 20 min/month per patient

  • Care coordination and sharing information promptly 

  • Provider-directed workflows, preferences, and protocols 

  • HIPPA-compliant platform with a fully auditable trail for every encounter

  • Supporting provider engagement with patients for preventative care

  • Access to other reimbursable programs: 

    • Remote Physiologic Monitoring (RPM) 

    • Principal Care Management (PCM)

    • Behavioral Health Integration 

  • Comprehensive electronic care plans with 24/7 access  

  • Care is provided between office visits by clinical staff under general supervision by a provider. 

  • Coordination with community resources to provide continuity and efficient delivery of care. 

  • Nurse monitoring and escalation of urgent matters 

  • Qualified local clinical staff, fostering relationships for optimized engagement 

  • Managed care transitions and other needs

  • Align with community resources to meet social determinants of health   

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