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A practical guide to Chronic Care Management

Who qualifies, what counts toward the 20 minutes, and how to run CCM without burning out your front desk.

The PulseCare360 Team,

Chronic Care Management pays practices for the work that already happens between visits: medication questions, refill coordination and follow-up calls.

Who qualifies

Patients with two or more chronic conditions expected to last at least 12 months that put them at risk of decline.

What counts

Clinical staff time spent on care coordination, medication management and communication, under the general supervision of the billing provider.

Making it sustainable

The practices that succeed treat CCM as a scheduled program, not ad-hoc phone calls. A dedicated team, a monthly cadence and automatic time tracking are the difference.

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