Chronic Care Management (CCM)

Proactive, Coordinated Care to Enhance Patient Health and Reduce Complications.

Helping Your Patients Manage Their Chronic Conditions

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What is Chronic Care Management (CCM)?

Chronic Care Management (CCM) is a Medicare-supported program designed to enhance care coordination for patients with multiple chronic conditions. It provides ongoing support between office visits, ensuring patients receive proactive, continuous, and personalized care. CCM services include care planning, medication management, coordination between specialists, and 24/7 access to healthcare resources, ultimately improving patient adherence, reducing complications, and preventing unnecessary hospitalizations.


For ophthalmologists, particularly retina specialists, Chronic Care Management (CCM) is an invaluable tool for managing patients with progressive eye diseases such as macular degeneration, diabetic retinopathy, and other vision-threatening conditions. These patients require continuous monitoring and proactive intervention to slow disease progression, preserve vision, and enhance their overall quality of life. CCM extends care beyond in-office visits, ensuring structured, ongoing support that improves patient outcomes, increases treatment adherence, and strengthens long-term engagement.

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CCM Key Program Benefits

Personalized Care Plans

Tailored care strategies for each patient, addressing their unique needs and chronic eye conditions.

Patient Support

Ensures patients have continuous access to healthcare guidance, reducing the need for urgent visits.

Medication and Treatment Adherence

Helps patients stay on track with prescribed treatments, improving compliance and outcomes.

Specialist Coordination

Streamlines communication between primary care providers, ophthalmologists, and other specialists.

Remote Theraputic Monitoring Integration

Optionally integrates with RPM for real-time tracking of visual changes and health status.

Patient Education & Self-Management Support

Empowers patients with resources to manage their condition more effectively.

CMS-Compliant Documenation & Billing Support

Ensures full compliance with Medicare guidelines while optimizing reimbursements.

Low Vision Support & Rehabilitation Coordination

Connects patients with low vision specialists, assistive technology

resources, and state rehabilitation services to enhance independence and daily functioning. Ensures patients receive the necessary tools,

training, and support to adapt to vision loss, improving their overall quality of life.

Enhance Patient Care & Improve Outcomes with Chronic Care Management!

Support your patients with chronic conditions through our Chronic Care Management (CCM) program. Our solution provides continuous, personalized care, improves medication adherence, reduces hospitalizations, and ensures better health outcomes for your patients.


Contact us today to integrate CCM into your practice and enhance patient care while optimizing your clinical workflows.