Chronic care management is a specific care management service that provides coverage for patients with two or more chronic conditions for a continuous relationship with their care team. This includes formulating a comprehensive care plan, interactive remote communication and management (usually over the phone), medication management, and coordination of care between providers.
Chronic GI issues such as:
Chronic Esophageal issues such as:
Chronic Liver issues such as:
All patients who have two or more qualifying chronic health conditions that are expected to last 12 months or until end of life and the conditions put them at risk of flare or decline are eligible for CCM services.
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