Premier Resource: Chronic Care Management (CCM) Provider Checklist - 2024-Chronic Care Management Provider Checklist

Chronic Care Management Provider Checklist

Pdf Summary

This document provides guidance for home-based medical care providers on effectively managing Chronic Care Management (CCM) services. It includes steps such as identifying eligible patients with multiple chronic conditions, conducting appropriate assessments and obtaining consent, documenting patient information in Electronic Health Record (EHR) systems, developing care plans, coordinating care transitions, and ensuring patient-centered care delivery while following billing guidelines. Providers are advised to follow CMS guidelines for detailed requirements. The checklist outlines criteria for patient eligibility, initiating face-to-face visits, providing informed consent, documenting patient information in EHR systems, creating electronic care plans, managing care transitions, and coordinating care with other clinicians. Additionally, resources and tools are available through the HCCIntelligence Resource Center for further assistance and education on home-based primary care topics. The document emphasizes the importance of individual use only and not copying, altering, or distributing the content without permission.

Keywords

Chronic Care Management

Home-based medical care

CCM services

Patient eligibility criteria

Electronic Health Record systems

Care plans

Care transitions

Patient-centered care delivery

Billing guidelines

CMS guidelines