Chronic Care Management (CCM) was introduced by the Centers for Medicare & Medicaid Services (CMS) in 2014 and has evolved significantly over the past nine years. With the addition of new codes, the introduction of Principal Care Management (PCM), and substantial fee increases, CCM has become a highly profitable service line for many healthcare providers.

This growth has attracted numerous vendors offering software, clinical support, and billing services. However, providers must exercise extreme diligence in their selection process, as they retain ultimate accountability for all services billed under their provider number, including those performed by a vendor.

Establishing a program that is both financially successful and fully compliant requires a deep understanding of regulatory requirements, adherence to best practices, and a strategic implementation plan. This webinar provides the essential framework for building an effective, efficient, and audit-ready CCM program.

Key Topics Covered:

• Understanding the CMS policy for CCM and PCM

• Determining patient eligibility and managing consent

• Navigating billing requirements and allowable practitioners

• Developing and maintaining comprehensive care plans

• Structuring a program evaluation plan

• Analyzing the pros and cons of in-house management versus outsourcing

• Assessing software needs and EMR integration

• Creating a step-by-step implementation plan

Learning Objectives:

Upon completion, attendees will be able to:

• Articulate the core components and requirements of a compliant CCM program.

• Summarize the key elements of an effective program evaluation plan.

• Identify the necessary steps for a successful CCM implementation.

Why Should You Attend:

If you are currently managing a CCM program, this session will address complex compliance and operational questions. If you have not yet launched a program, you are likely missing a significant and sustainable revenue opportunity. This webinar provides the critical knowledge needed to capitalize on this service while mitigating financial and regulatory risk.

Who Should Attend:

• Clinical Leaders: Chief Nursing Officers (CNOs), Chief Medical Officers (CMOs), Nurse Practitioners, and Physicians

• Operational and Strategic Roles: Population Health Officers, Innovation Officers

• Administrative Staff: Billing and Coding Specialists

• Nurses directly involved in patient care management