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Printable Chronic Care Management Documentation Template
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Comprehensive Care Plan Template Date of Establishment ornate of Revision Patient Information Name Date of Birth PCP Date Care Plan initiated Problem list Chronic Care Problems Surgeries Tests/Procedures.
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Chronic care management documentation template FAQ
Who should create the CCM care plan? Licensed clinical staff members with oversight from the patient's physician, in conjunction with the patient, are typically the parties responsible for creating the CCM care plans. Clinical staff can include LPNs, RNs, MA, PAs, NPs, and LCSW.
Who should create the CCM care plan? Licensed clinical staff members with oversight from the patient's physician, in conjunction with the patient, are typically the parties responsible for creating the CCM care plans. Clinical staff can include LPNs, RNs, MA, PAs, NPs, and LCSW.
Chronic care management (CCM) services are generally non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient.
What it is. Chronic care management includes a comprehensive care plan that lists your health problems and goals, other providers, medications, community services you have and need, and other information about your health. It also explains the care you need and how your providers will coordinate it.
CCM is care coordination services done outside of the regular office visit for patients with two or more chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline.
The overarching goal of chronic care management is to help patients achieve a better quality of life through continuous care and management of their conditions. In a chronic care management program, a patient might have reduced pain and stress, increased mobility and physical fitness, and better sleep and relaxation.
Chronic Care Management: How to Start Your Program Step 1: Develop a Plan and Form Your Care Team. Step 2: Identify and Recruit Eligible Patients. Step 3: Enroll Your Patients. Step 4: Deliver CCM and Engage Patients. Step 5: Coding, Billing, and Reimbursement. Care Coordination Software To Help You Manage CCM.
Requirements: Two or more chronic conditions expected to last at least 12 months (or until the death of the patient) Patient consent (verbal or signed) Personalized care plan in a certified EHR and a copy provided to patient.
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