Chronic Care Management and Remote Patient Monitoring

Chronic Care Management and Remote Patient Monitoring

What are Chronic Care Management and Remote Patient Monitoring? If you are a Medicare beneficiary, you may qualify for chronic care management (CCM) and Remote Patient Monitoring (RPM). CCM/ RPM is one of multiple covered Medicare programs that allow a healthcare provider to manage and coordinate patient care between traditional office visits. CCM/RPM is beneficial for patients in terms of ongoing health and wellness support, increased access to appropriate medical resources, enhanced communication with members of their care team, reduction in emergency room visits and hospitalization or readmissions, and increased engagement in their own healthcare.

Goals of Chronic Care Management and Remote Patient Monitoring: People with multiple chronic conditions are at an increased risk for poor quality of life. The goal of CCM and RPM is to help patients achieve a better quality of life through continuous care and management of their conditions. In a CCM program, a patient might have reduced pain and stress, increased mobility and physical fitness, and better sleep and relaxation. Ideally, a patient would be able, to some extent, to return to the activities, like work or hobbies, that their chronic conditions have prevented them from.

Understanding Chronic Care Management and Remote Patient Monitoring: A disease or condition is chronic when it lasts a year or more, requires ongoing medical attention, limits the activities of daily life, or puts them at significant risk of acute exacerbation or functional decline. Under CCM and RPM, the patient’s care team can create more continuity in managing a patient’s conditions. CCM/RPM provides services that are outside of face-to-face patient visits. This includes formulating a comprehensive care plan, communication and management (usually over the phone), medication management, and coordination of care between providers. RPM involves a connected device (Blood Pressure, Glucose, Scale, etc.) that patients can use at home effortlessly and have their readings sent to their providers in real-time.

Our partners at Medsien: To help provide CCM and RPM services, we have partnered with a group called Medsien. If you are a Medicare beneficiary and qualify for CCM or RPM, a certified medical assistant may contact you to see if you are interested in enrolling in the program. Alternatively, you may enroll in the program by contacting (423) 522-1020. You can terminate the program at any time.