The Case for Outsourcing Chronic Care Management

Practices that rely on Wellbox get a customized enrollment campaign that begins by identifying all eligible patients and then reaching out to those patients via mail and phone to educate them about the value of CCM. The CMS allows each eligible patient to select just one provider to deliver CCM services, so timely outreach is key. 

Patients must then visit the office, and while there provide a written agreement to receive CCM from that particular practice. The agreement includes the beneficiary’s authorization for the electronic communication of the patient’s medical information with other treating providers as part of care coordination.

CMS further requires documentation in the beneficiary’s medical record that all elements of the CCM service were explained and offered to the beneficiary, and note the beneficiary’s decision to accept or decline the service. The patient must receive a written or electronic copy of the care plan, and there must be documentation in the electronic medical record that the care plan was provided to the beneficiary