Comprehensive Chronic Care Management
Hoss-Kick's Chronic Care Management (CCM) creates partnerships that reduce hospitalizations, streamline care between visits, and increase practice revenue through structured management of patients with multiple chronic conditions.
CCM Benefits
Proven outcomes that benefit both patients and healthcare providers
Reduce Hospitalizations
Proactive care coordination prevents complications and reduces emergency visits
Increase Revenue
Generate additional practice revenue through Medicare-reimbursable CCM services
Streamline Care
Coordinate care between office visits with structured care plans and monitoring
Improve Outcomes
Enhanced patient engagement and adherence leads to better health outcomes
How CCM Works
Structured approach to managing patients with multiple chronic conditions
Patient Assessment
Comprehensive evaluation of patients with two or more chronic conditions requiring ongoing management and care coordination.
Key Components:
- Condition assessment
- Care plan development
- Goal setting
- Risk stratification
Care Coordination
24/7 access to clinical staff who monitor patient progress, coordinate with specialists, and provide ongoing support between visits.
Key Components:
- 24/7 clinical access
- Specialist coordination
- Medication management
- Progress monitoring
Ongoing Management
Continuous care management with regular check-ins, care plan updates, and proactive interventions to prevent complications.
Key Components:
- Regular check-ins
- Care plan updates
- Proactive interventions
- Outcome tracking
24/7 Clinical Support
Our clinical team provides round-the-clock support for CCM patients, ensuring continuous care coordination and immediate response to patient needs between office visits.
24/7 Patient Access
Patients have direct access to registered nurses and clinical staff at all times
Care Team Coordination
Seamless communication between primary care, specialists, and support staff
Comprehensive Documentation
Detailed care plans, progress notes, and outcome tracking for all patients
Proactive Interventions
Early identification of health changes with immediate clinical response
Eligible Chronic Conditions
CCM services are designed for patients with two or more chronic conditions
Start CCM Services Today
Begin offering Chronic Care Management with no upfront costs. Improve patient outcomes while generating additional practice revenue through comprehensive care coordination.