Many of your Medicare patients qualify for chronic care management, and the monthly touchpoint is what slips. Zynix runs the routine check-ins and routes anything clinical to the practice.
Chronic care management pays for ongoing care between visits for patients with two or more chronic conditions, with clinical staff time documented each calendar month. Most practices know which of their patients qualify.
The medical assistants and nurses who would make the calls are also rooming patients, returning messages and handling refills. The monthly contact gets done for the patients they have time for.
Agents handle the routine contact. Your clinical staff handle the clinical work and what counts toward CCM time.
Enrolled patients due this month. Patients due for this month’s touchpoint are listed by practice.
The check-in. Symptoms, medications and upcoming visits, with the care plan reinforced and the contact recorded.
Clinical questions go to the practice. Changes in symptoms or adherence go to the practice nurse by rule.
The provider reviews. The billing provider reviews the record and decides what counts toward CCM time.
Agents escalate, clinicians decide. Agents follow the escalation rules your team sets and hand clinical questions to a licensed clinician. They don’t diagnose or recommend treatment.
Schedule a demo to see how Zynix AI handles this workflow.
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