Chronic Care Management (CCM) Software

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Chronic Care Management (CCM) Software Overview

Chronic Care Management (CCM) Software was developed to meet all the electronic care plan requirements for CPT code 99490 . The intuitive design helps providers, care teams and administrators leverage a sophisticated engine to identify and manage patients with 2+ chronic conditions. The software technology is the ideal platform to create and manage care plans for these identified patients. It includes feature rich capabilities beyond typical electronic care plan software. That’s where the Chronic Care Management (CCM) Program comes in.

Benefits and Features of Chronic Care Management (CCM) Software

⇒ Enables team-based care and care coordination across providers.

⇒ Set up multiple care programs and protocols.

⇒ Create electronic care plans, assign teams and separate the tasks among physicians, nurses and coordinators.

⇒ Create custom questionnaires for patient follow up.

⇒ Record and log time for every patient interaction.

⇒ Customizable workflow processes.

⇒ Flag patients by condition, risk or program for easy identification and monitoring.

⇒ Implement across multiple care provider teams, letting each group focus on their work and also share critical information.

⇒ Customizable workflow processes.

⇒ Create reports and statistics by user - administrators can see staff workload and also identify highly efficient nurses, coaches and care coordinators.

⇒ Create documentation for billing purposes including CMS CPT code 99490.

⇒ Customizable workflow processes.


Who is eligible for CCM Software

A patient who has been diagnosed with two or more chronic conditions expected to last for at least 12 months (or until death of the patient) and places the patient at significant risk of death, acute exacerbation or decline.


Examples of Chronic Care Conditions

Chronicwatch provides the flexibility physicians and healthcare organizations need to provide better outcomes, maximize their potential revenue from CPT 99490, while enhancing patient care.


Medicare payment for CCM CPT code 99490

Our technology-only solution provides our partners a robust offering to facilitate a CCM program. It includes important elements like the ability to accept patient information from your EHR, clinically-driven care plan templates for most chronic diseases and a daily worklist to help the care provider organize their day and the delivery of care.


ChronicWatch software and Technology

Chronic Watch is a cloud-based CCM solution. Whether you are a care provider, patient or family member, all you need to access the solution is an internet connection and a computer, tablet or smartphone.


What needs to be done? for CCM Software

With the pace and complexity of today's healthcare system, getting started with a CCM program can seem difficult. Our experts will guide you through the process of enrolling eligible patients, establishing care plans, patient outreach, billing codes and all processes and requirements of the CCM program.


How can we help? for Chronic Care Management Software

Chronic Watch has expertise and a solution to help you implement a successful CCM program for your practice. We have the know-how, technology, training and support to improve the health of your chronically ill patients and to generate substantial revenue for your practice.



Patient Advocates connect with patients electronically or by phone to facilitate enrollment and follow up monthly to enhance the doctor/patient relationship.


Chronic Watch - SAS70 certified

Chronic Watch is a completely secure HIPPA Compliant system that is SAS70 certified.

360 Degree View for CCM Software

ChronicWatch Tech (Software Only)

Chronic Watch provides a cloud-based software solution to physician practices that have clinical staff available to fulfill the requirements of a Chronic Care Management (CCM) program. We will implement the software for your practice, provide training for all aspects of the program and offer 24 x 7 support for any questions or problems. This will allow you to deliver a successful CCM program and fulfill all requirements to bill CPT code 99490 for each enrolled patient.

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ChronicWatch CCM Software (Complete Turnkey Solution)

If your practice doesn't have sufficient clinical capacity to implement a CCM program, relax! Chronic Watch offers a turnkey solution that includes the clinical resources to work with your team to develop and deliver the Chronic Care Management program. We have certified clinical resources that become an extension of your practice and achieve the same improvements in the health of your patients and the revenue generated by CPT code 99490.

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ChronicWatch CCM Software (Complete Turnkey Solution)

CW Care Complete

Complete turnkey solution including Chronic care coordination
Complete 24/7 coverage and constant clinical follow-up
Customizable care plan templates based on disease states
Monthly billing reports for CCM reimbursement
Regular reconciliation of medications and monitoring of adherence
Ongoing systematic patient assessments
Managing care transitions, assistance social services
Electronic sharing with patient
CW access for patients and your staff and family
Completely HIPPA Compliant and secure
Usage and access Reports
Automated reminder system for surveys, medications and vitals monitoring
Option of app-based care monitoring or automated phone call
A complete end-to-end exception based system (set it up right, it takes care of the patient)
Option of secure messaging and direct messaging for doctors
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CW Tech ( Software only )

CCM Software
Chronic Care Management (CCM) Software
Chronic Care Management
Chronic Care Management Software
 Chronic watch
 Chronic Care management program
Electronic sharing with patient
CW Tech access for you and your staff and family
Completely HIPPA Compliant and secure
Meaningful Use Reports
Ongoing Completely automated reminder system for survey, medications and vital monitoring
Option of app based care monitoring or automated phone call
A complete end-to-end exception based system (set it up right, it takes care of the patient)
Option of secure messaging and direct messaging for doctors
Get more information

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About ChronicWatch

ChronicWatch Management has more than 12 years of experience in the Healthcare Industry. We develop solutions for independent living patient engagement using Information and Communications Technologies. Since 2011, our mission has been to increase the quality of life for the elderly experiencing chronic illnesses.

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