Improve Patient Health Through Continuous Care Coordination
Managing chronic conditions requires more than periodic office visits. Our Chronic Care Management services provide continuous clinical support that helps patients stay connected with their healthcare providers throughout the month.
From personalized care plans and medication management to routine follow-ups and care coordination, our experienced care team helps practices improve patient outcomes while reducing administrative responsibilities.
- Monthly Patient Follow-ups
- Medication Management
- Clinical Documentation
- Medicare Compliance Support
Is Your Practice Facing These Chronic Care Management Challenges?
Facing These Chronic Care Management Challenges?
Complete Chronic Care Management Services
Personalized Care Plans
- Ongoing care updates
- Goal setting
- Health risk assessment
Clinical Documentation
- Activity tracking
- Care summaries
- Compliance records
Monthly Patient Follow-ups
- Progress tracking
- Care reminders
- Symptom monitoring
Medication Management
- Medication reconciliation
- Adherence monitoring
- Prescription review
Care Coordination
- Referral coordination
- Care transitions
- Provider communication
Health Education
- Lifestyle guidance
- Disease education
- Nutrition support
Remote Health Monitoring
- Health assessments
- Early risk identification
- Physician updates
Medicare CCM Support
- Consent tracking
- Billing support
- Compliance assistance
How We Deliver Effective Chronic Care Management
We follow a structured, patient-centered approach to Chronic Care Management that promotes continuous care, strengthens provider-patient communication, and supports better long-term health outcomes through proactive care coordination.
Patient Enrollment
Identify eligible Medicare patients, obtain consent, and begin the CCM program.
Personalized Care Plan
Create a comprehensive care plan based on the patient’s chronic conditions and treatment goals.
Monthly Care Coordination
Provide ongoing patient communication, medication reviews, and health monitoring throughout the month.
Continuous Documentation
Document every patient interaction while maintaining accurate CCM records and Medicare compliance.
Ongoing Care Support
Coordinate with physicians, specialists, and caregivers to ensure patients receive continuous, high-quality care.
Why Choose PMBC for Chronic Care Management
Certified coders trained across multiple specialties
Claims scrubbed and submitted within 24 to 48 hours of service
Real time reporting on claim status, denials, and collections
Dedicated account manager who knows your practice
AI-powered workflow automation for faster, more accurate billing
Reduced FTE costs with transparent, no-hidden-fee pricing
PMBC vs. the alternatives
Actionable Insights for Better Patient Collection
What Our Customers Are Saying
Ammar Alobaidy, MD
Practice Administrator
Pankaj Jain, MD.
Habib U. Khan, MD
FAQ
01. Why choose our Chronic Care Management services?
Our experienced care coordination team delivers personalized CCM solutions that improve patient outcomes, simplify care management, maintain Medicare compliance, and help practices provide high-quality care beyond traditional office visits.
02. Who is eligible for Chronic Care Management?
03. What services are included in Chronic Care Management?
04. How does CCM benefit healthcare providers?
A rejected claim, one that never reaches the payer due to a formatting or data error, gets corrected and resubmitted right away. Catching these early means they don’t count against your denial rate with the payer.