Chronic Care Management Software

Managing chronic conditions for patients takes time that your small practice may not have. Chronic Care Management (CCM) services help you coordinate care between visits while getting reimbursed for that work, but tracking eligible patients and documenting services can add to your workload.

Our CCM platform, powered by Cosán, works with Amazing Charts to identify patients who qualify, manage care plans, and handle the coordination. You'll improve patient outcomes and create a new revenue stream without hiring additional clinical staff.

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Why Partner With Amazing Charts for CCM Services

Our partnership with Cosán brings proven care management software to your practice. Get the infrastructure and expertise you need to launch and manage a successful CCM program.

Integration with Amazing Charts

The platform connects directly with your electronic health record so patient data and care plans sync automatically, eliminating double data entry for your staff.

Generate a New Revenue Stream

CCM is a reimbursable service under Medicare and many private payers. Our software helps you identify eligible patients and document services to maximize revenue.

Scale Your Care Without Scaling Your Staff

Cosán provides the tools and support to manage care coordination for large patient populations without hiring additional full-time clinical staff.

Enhance Patient Satisfaction and Retention

Improve Patient Engagement and Retention

Patients enrolled in CCM programs feel more connected to their healthcare team, leading to better adherence to care plans and improved health outcomes.

Reduce Hospitalizations and Emergency Visits

Reduce Emergency Room Visits

Proactive care coordination helps identify potential health issues before they become emergencies, reducing costly hospitalizations and improving quality of life.

Access Ongoing Support

Get educational resources and support from Cosán's healthcare professionals who understand CCM program requirements and help your practice succeed.

Benefits of Amazing Charts CCM

Get Reimbursed for Care Coordination: Receive Medicare reimbursement for providing a minimum of 20 minutes of CCM services per patient in a calendar month; compensation for the time you already spend managing chronic care patients.

Meet Value-Based Care Requirements: Use digital tools to gather and provide quality metrics, making it easier to communicate with CMS and insurance companies about patient outcomes and care quality.

Support Patients Between Visits: Give chronic care patients the ongoing support they need to follow healthy habits between office visits, leading to better outcomes and fewer complications.

Add Remote Patient Monitoring: Expand beyond CCM to include Remote Patient Monitoring (RPM) and Behavioral Health Integration (BHI), offering additional preventative care programs that reduce healthcare costs.

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Simple Workflow for Your Practice

Patient Identification

The platform analyzes your Amazing Charts data to automatically flag eligible patients with chronic conditions who qualify for CCM services.

Care Plan Creation

Create patient-specific care plans within your familiar EHR interface, documenting treatment goals and care coordination activities.

Coordinated Care

Cosán's healthcare professionals handle monthly check-ins and care coordination, capturing all necessary information for billing and clinical documentation.

Simplified Reimbursement

Follow a clear process for documenting CCM services with the patient data needed to submit claims and receive Medicare reimbursement.

CCM Frquently Asked Questions

Which patients are eligible for CCM services?

Medicare beneficiaries with two or more chronic conditions expected to last at least 12 months are eligible. Common conditions include heart disease, diabetes, hypertension, and COPD. Patients must provide consent before enrolling.

How does CCM reimbursement work?

Healthcare providers bill Medicare for providing at least 20 minutes of care coordination per patient in a calendar month. This covers time spent on care planning, medication management, and coordinating with other healthcare professionals.

Do I need patient consent to start CCM?

Yes. Patients must give written or verbal consent before you can bill for CCM services. The consent process explains the program, costs, and how their patient data will be used for care coordination.

How does Cosán support my practice?

Cosán's healthcare teams handle monthly patient check-ins, track care plan progress, and document all coordination activities. This reduces the workload on your clinical staff while meeting billing requirements.

Does this work with my existing electronic health record?

Yes. The CCM platform integrates with Amazing Charts, so patient information, care plans, and documentation sync automatically between systems.

Can I add Remote Patient Monitoring to CCM?

Yes. Remote monitoring tools allow you to track high-risk patients between visits, providing additional care coordination and creating another reimbursable service for your practice.

What if my staff doesn't have time for monthly check-ins?

Cosán's care coordination team handles the ongoing support and monthly patient contact required for CCM. Your practice manages the clinical oversight and care plans while Cosán manages the administrative tasks.

Chronic Care Management That Grows Your Practice

Coordinate care for patients with chronic conditions while generating new revenue. Our CCM platform, powered by Cosán, helps you improve patient outcomes without adding staff.

Turn Complex Care Into Revenue