A compliant, scalable CCM solution that supports your practice between visits.
Chronic Care LLC partners with physician practices to deliver RN-led Chronic Care Management (CCM) services behind the scenes. Our model is designed to improve patient outcomes, support CMS compliance, and generate CCM revenue—without adding staff or increasing administrative workload.
What Is Chronic Care Management (CCM)?
Chronic Care Management is a CMS-recognized service that supports patients with two or more chronic conditions expected to last at least 12 months. CCM focuses on care coordination, medication management, patient education, and ongoing monitoring between office visits.
When implemented correctly, CCM helps:
-
Improve patient engagement and outcomes
-
Reduce avoidable hospitalizations
-
Support continuity of care
-
Generate recurring monthly revenue for practices
Our RN-Led CCM Model
Chronic Care LLC provides CCM services through a team of experienced Registered Nurses working in collaboration with your practice.
Our team:
-
Conducts monthly CCM check-ins
-
Supports medication reconciliation and adherence
-
Coordinates labs, referrals, and follow-up care
-
Monitors patient-reported symptoms and concerns
-
Escalates clinically relevant changes to the appropriate provider
-
Documents all CCM activity in compliance with CMS requirements
We work behind the scenes so your providers can stay focused on in-office care.
How We Support Your Practice
✔ No Additional Staffing
We handle CCM operations without requiring you to hire, train, or manage additional personnel.
✔ CMS-Compliant Documentation
Our RN-led workflows are designed to support proper documentation, care plans, and time tracking in alignment with CMS guidelines.
✔ Seamless Integration
We collaborate with your existing care team and workflows to ensure continuity and minimal disruption.
✔ Practice-Focused Approach
We partner directly with physician practices—not patients—ensuring clear roles, communication, and accountability.
Who We Work With
Chronic Care LLC partners with:
-
Primary care practices
-
Specialty practices managing chronic conditions
-
Practices seeking to implement or improve CCM services
If your patients have multiple chronic conditions and your practice wants structured support between visits, our model may be a strong fit.
What We Do Not Do
To ensure clarity:
-
We do not enroll patients independently
-
We do not replace your clinical decision-making
-
We do not provide medical diagnosis or treatment
-
We do not function as home health or hospice
All services are delivered in partnership with your practice.
Next Steps
If you’re interested in learning how RN-led Chronic Care Management can support your practice, we invite you to request a consultation.
During an initial conversation, we can:
-
Review your patient population
-
Discuss CCM eligibility and workflow integration
-
Answer questions related to compliance and documentation
-
Determine whether our model is a good fit for your practice