Chronic Care Management

Chronic Care Management Developing and Maintaining Patient Relationships

Sequence Health provides best in class TCM and CCM turnkey services.

Our resources are our dedicated clinical people and our scalable operational systems and processes.

Our skill is developing wellness relationships on-site at your office and over the phone with your patients.

Our on-site clinicians schedule and manage your patient’s Annual Wellness Visits (AWV). We dramatically increase appointments being scheduled and show rates for these appointments.

Our Chronic Care Management team analyzes your patient base, qualifies those who are candidates for the CCM program and registers them. We enhance your patient’s wellness by knowing them and gaining their trust through our cadence of phone discussions with them.

We perform the 20, 60 and 90-minute review sessions in strict accordance with the CMS rules and seamlessly provide your organization with the ability to bill with proper ICD coding through your EMR system.

Our number one priority is the health and well-being of your patients.
At the same time, we work hard to customize our services to meet the needs of your practice and to add in a significant additional revenue stream for your program with minimal effort on your behalf.

We deliver results for you and your patients:

Improve Patient Wellness: The health of patients is our number one priority. Our services, processes, and offerings all are with the goal of increasing patient wellness.

Increase Office Efficiency: We work with you to ensure our systems and processes make your life easier. Our work results in a more efficient office, saving you time and money.

Provide Population Management: Our work gives you a better pulse on your entire population. We fill the gaps when patients aren’t in the walls of your practice to provide better care.

Provide Generating Programs: The programs we help you provide allow you to bill for CCM and TCM. These create new revenue sources for your practice long-term.

We do this through:

  • Managing All Out Bound Patient Relationships
  • Creating Customized Patient Care Plans
  • Working Directly in your EHR
  • Utilizing Fully Integrated Technology
  • Developing and Maintaining Patient Relationships
  • Ensuring full Billing for TCM & CCM
  • Providing Easy Enrollment
  • Communication of Patient Care

Our focus is laser targeted on improved patient wellness, improved office efficiency, overall population management, and delivering revenue generating programs for physicians, practices and hospitals.

Our CCM team analyzes your patient base, qualifies those who are candidates for the CCM program and registers them. We enhance patient wellness by forging relationships and building trust through phone conversations. We perform 20, 60 and 90-minute review sessions in strict accordance with the CMS rules and seamlessly provide your organization with the ability to bill with proper ICD coding through your EMR system.

We cover a spectrum of healthcare specialties, including Bariatrics, Women’s Health, Primary Care, General Surgery, Orthopedics, Cardiology, Oncology, Organ Transplant, FDA Trials, Pharmaceuticals, Medical Devices, Neurology, Behavioral Health, Audiology and Vision Care.

We do. As our core skill is developing wellness relationships on-site at your office and over the phone with your patients, we understand the importance of meeting the needs of the individual and adjust our services accordingly.

Sequence Health CCM services build and foster patient relationships by maintaining personal contact, managing outbound patient relationships, creating customized patient care plans, utilizing fully integrated technology, ensuring full billing for TCM and CCM, providing easy enrollment, and facilitating communication of patient care. This ensures proactive care, stability and trust, and simplifies the process for the patient. This also reduces reliance on emergency room care.

We provide a free assessment to determine whether CCM is right for your practice.

We work with you to ensure systems and processes that make your practice more efficient and more cost-effective. We provide population management to help you stay abreast of your patient population as a whole. We fill the gaps when patients aren’t in the walls of your practice to provide better care. Also, the programs we help you provide allow you to bill for CCM and TCM, creating additional long-term revenue sources for your practice.