Chronic Care Management
Chronic care management (CCM) is a specific care management service that provides coverage for NPHS clients with two or more chronic conditions for a continuous relationship with their care team. NPHS care team can bill for time spent managing the patients' conditions. This includes formulating a comprehensive care plan, interactive remote communication and management over the phone, medication management, and coordination of care between providers.
CCM falls under Medicare part B, both original Medicare and Medicare Advantage plans reimburse practitioners when CCM services are provided to eligible beneficiaries.
Our clients with two or more qualifying chronic health conditions that are expected to last at least 12 months or lifetime, or if the chronic health conditions put them at significant risk of death, acute exacerbation, or functional decline can benefit from this service.
The most common examples of chronic conditions we assist with includes:
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Alzheimer's disease Arthritis
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Asthma
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Autism
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Cancer
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Cardiovascular disease
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Dementia
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Depression
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Diabetes
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Heart disease
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High blood pressure
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Hypertension
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HIV/AIDS
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Lupus
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Multiple sclerosis
Our CCM programs are designed by our expert physicians, nurses and therapists. The goal of each program is to prevent future exacerbations, reduce emergent care and re-hospitalization, and improve the quality of life for our patients.
Contact New Path Health Services, LLC if you think Chronic Care Management would benefit you or a loved one.
NPHS offers services that can help you navigate the challenges of taking charge of your health. Our care coordination service is designed to help our clients take care of themselves and their chronic conditions. Our clients benefit by receiving monthly telephone assistance in between their regular appointments. This includes a dedicated Care Coordinator to guide you towards better health.
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Chronic Care Management extends care outside of the four walls of a physician's practice to ensure that you maintain the best possible health. Each month a personal Care Coordinator will call our clients to:
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Assist with scheduling appointments, lab tests or other tests
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Explain how and when to take your medications
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Coordinate any home health or medical equipment needs
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Connect you with health education resources, services and programs
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Identify available community resources
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Coordinate follow-up care after leaving the hospital
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Access other support services you need to stay well
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There is also a 24/7 Care Coordinator Phone Line to help answer any questions our clients may have day or night outside of calls with their Care Coordinator.