decisionhealth Newsletters, Part B News - 2020 Issue 6 (June)
As CCM use increases, focus on 7 questions to ensure care targets are met
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Article Overview
This article discusses the increasing use of chronic care management (CCM) and the practical oversight concerns that can arise when services are handled in-house or by a vendor. It is aimed at physicians, practice managers, billing staff, care coordinators, and compliance-focused readers who want a high-level understanding of the operational and documentation themes associated with CCM services, including staffing, training, care planning, social needs, patient experience, follow-up, and vendor accountability.
Why This Topic Matters
CCM volume has been rising, and the article highlights why practices need visibility into how services are being delivered and documented so they can monitor quality, compliance, and continuity of care.
Article Sections
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Chronic care management
Introduces the topic of CCM and describes the broader trend driving increased attention to these services. It also notes the market context and compliance concerns surrounding growth in non-face-to-face care.
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7 CCM boxes to check
Presents the main oversight areas practices are encouraged to review when CCM is delivered internally or through a vendor. The section organizes the discussion around staffing, training, care planning, social support, patient feedback, follow-up, and contractual responsibilities.
What You Will Learn
- How CCM growth is changing operational oversight needs
- What broad areas of CCM delivery and documentation are commonly reviewed
- Why staffing, training, and care coordination matter in CCM programs
- How vendor oversight fits into CCM program management
- What general documentation and patient-support themes are discussed in CCM review
Who Should Read This
- Physicians
- Practice administrators
- Billing and coding staff
- Care managers
- Compliance and audit teams
- Healthcare operations leaders
Codes Discussed
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