Chronic Care Management (CCM) / Principal Care Management (PCM)

Chronic Care Management (CCM) / Principal Care Management (PCM) Services

Studies have proven that patients engaged in clear and frequent communication with their Physician or healthcare professionals are more likely to follow care recommendations, appropriately monitor their health condition, and alert providers with relevant medical issues to avoid critical healthcare episodes. Medicare offers two reimbursable programs targeted to address providing non-face-to-face patient care tasks and time associated with chronic disease patient populations – Principle Care Management (PCM) and Chronic Care Management (CCM) Services. In the past few years, many leading healthcare systems and provider practices have dedicated resources and staff to offer and provide care management services to focus on patient engagement for their most at-risk chronic disease patient populations.

Patients and Physician Provider Benefits

Patients – CCM and PCM services are proven to provide significant benefits for patients with chronic disease through:

Fewer unnecessary clinic visits
Reduced ER/hospital admissions and re-admissions
Reduced overall health care costs

Providers – Physicians or qualified healthcare providers can also realize significant benefits from implementing care management services for their patients with chronic disease through:

Reduced patient and data administration burden
Reduced ER/hospital admissions and re-admissions
Improved clinic workflow
Increased services reimbursements
Increased patient satisfaction and patient retention

Providing Chronic Care or Principal Care Management Services with WSP

Medicare requires the documentation of at least one chronic condition (PCM), or two or more chronic conditions (CCM), for patients to qualify for Care Management Services. A disease-specific care plan must be implemented and a minimum of 20 (CCM) or 30 (PCM) minutes documented per month of non-face-to-face patient care contact or tasks associated with patient care plans are needed to qualify for monthly services reimbursement.

WSP can provide your clinic with the necessary patient care staff, patient-centered care plan, device monitoring technologies, and patient management/tracking software systems and support for your clinic to implement and provide CCM or PCM services for your patients with chronic disease conditions.

One Platform for Patient Care Plans and Time/Activity Tracking

WSP streamlines patient care plan management and follow-up contact administration and contact/activity tracking. Our cloud-based patient management and reporting system integrates patient care plans, patient contact schedules, and care plan activity/tasks tracking on ONE platform for efficient patient management and a standardized time/activity reporting platform.

One system for all CCM and PCM services!

Health Care Certified Management and Care Specialist Staff

WSP patient care services management are experienced veterans of the healthcare industry. WSP clinic’s dedicated patient care specialists are all highly experienced in various therapeutic and care delivery specialties. This includes Cardiology, Endocrinology, Pulmonology, etc.

Protocol-Driven Device, Patient Reporting and Communication

Protocol-Driven Patient Contact, Care Plan Reporting, and Communication

All WSP CCM and PCM services are operationally guided by your unique, clinic-defined patient care plans, reporting requirements, and patient management protocol to ensure your Physicians and clinic staff receive patient reports and notifications on how and when you want them.

Monthly Device Patient Contact and Support

WSP’s clinic-dedicated patient care specialists schedule and contact your device patients monthly to provide Medicare reimbursable care plan coordination support. WSP patient care specialists document, track, and report all patient contact, monthly care plan review responses, and health status events (i.e., ER Visit) to your clinic staff to keep Physicians and patients engaged and to provide better patient care.

Billing and Follow-Up Tracking Support

CCM and PCM services reimbursement claims tracking and processing is challenging. WSP provides proven, system-driven patient care plan contact and time/activity report tracking to ensure your clinic captures all allowable care services reimbursement claims. WSP provides accurate monthly reimbursement claims reports and support for clinic business or reimbursement departments for efficient month-end claims processing to avoid missed billable service events, reduce claims denials, and keep your CCM/PCM program on financial track.

Caregiver pulling blanket over sleeping senior in pensioners home for better sleep

Better Patient Care

Chronic Care Management and Principal Care Management services with WSP is proven to provide and result in:

Fewer unnecessary clinic visits
Increased clinic awareness of patient health condition status
Reduced time to diagnosis
Reduced hospital/ER admissions
Improved patient safety
Increased access to technical, clinical and educational support
Reduced patient health care costs through preventative care
Increased patient satisfaction with clinic/healthcare services

Better Clinic Management