Chronic Care Management
Chronic Care Management (CCM) is a healthcare program that helps doctors and medical practices take care of patients who have long-lasting health conditions like diabetes, heart disease, or high blood pressure. It's a way for healthcare providers to keep in touch with patients between office visits, making sure they're following their treatment plans and staying healthy. This service is recognized by Medicare and other insurance companies, which means medical practices can be paid for providing this type of ongoing care. Think of it as a structured way to keep track of patients' health needs and coordinate their care, even when they're not in the doctor's office.
Examples in Resumes
Managed a team of 5 nurses providing Chronic Care Management services to 500+ patients
Increased practice revenue by implementing CCM program and achieving 80% patient enrollment
Coordinated Chronic Care Management and CCM services between primary care providers and specialists
Typical job title: "Chronic Care Managers"
Also try searching for:
Where to Find Chronic Care Managers
Professional Organizations
Job Boards
Online Networks
Example Interview Questions
Senior Level Questions
Q: How would you set up a Chronic Care Management program from scratch in a medical practice?
Expected Answer: Should discuss program planning, staff training, patient identification, billing procedures, and compliance requirements. Should mention experience with organizing workflows and meeting Medicare guidelines.
Q: How do you measure the success of a CCM program?
Expected Answer: Should talk about tracking patient outcomes, monitoring enrollment rates, analyzing revenue generation, measuring patient satisfaction, and ensuring compliance with documentation requirements.
Mid Level Questions
Q: How do you handle patient enrollment and consent for CCM services?
Expected Answer: Should explain the process of identifying eligible patients, obtaining proper consent, explaining benefits and costs to patients, and documenting everything correctly.
Q: What strategies do you use to coordinate care between different healthcare providers?
Expected Answer: Should describe communication methods with doctors and specialists, tracking patient appointments, managing medication lists, and ensuring smooth information flow between providers.
Junior Level Questions
Q: What is the minimum time requirement for billing CCM services under Medicare?
Expected Answer: Should know that Medicare requires at least 20 minutes of non-face-to-face care coordination per calendar month for billing CCM services.
Q: What types of activities are included in CCM services?
Expected Answer: Should list activities like medication management, appointment scheduling, coordinating with other providers, and responding to patient messages about their chronic conditions.
Experience Level Indicators
Junior (0-2 years)
- Basic understanding of Medicare CCM requirements
- Patient communication
- Medical records management
- Care plan follow-up
Mid (2-5 years)
- Program coordination
- Team supervision
- Billing procedures
- Quality improvement initiatives
Senior (5+ years)
- Program development and implementation
- Staff training and management
- Compliance oversight
- Strategic planning
Red Flags to Watch For
- No knowledge of Medicare billing requirements
- Lack of experience with electronic health records
- Poor understanding of HIPAA compliance
- Limited communication skills
- No experience coordinating with healthcare providers
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