Our Chronic Care Management Program
Your Doctor In Touch provides physicians with a team that enhances their practice’s success through a synchronized third-party CCM program that works with their existing system. Our program gets physicians in touch with their full potential without sacrificing the patient’s connection to the practice.
Our Chronic Care Management Program
Your Doctor In Touch provides physicians with a team that enhances their practice’s success through a synchronized third-party CCM program that works with their existing system. Our program gets physicians in touch with their full potential without sacrificing the patient’s connection to the practice.
How it works:
CCM Care Managers
The CCM Care Manager’s role is to identify triggers or problems so that they are communicated to the physician in a timely manner. Communication between the Primary Care Practitioner, Specialists, and all members of the Care Team is improved.
Monthly communication allows physicians to maintain control over the healthcare plan while our team facilitates initiatives to:
Monitor treatment goals
Manage symptoms
Plan interventions
Manage and reconcile medication
Coordinate with outside resources and providers
Update the patient’s care plan when applicable
Ensure all MIPS-related categories of care are addressed, assuring that the practice meets MIPS high annual point requirements.
Working as an extension of the practice, we can address any issues affecting the patient’s life. The Care Manager's greatest goal is to achieve the highest level of wellness for the patient while reducing chronic disease and hospitalizations.
Your Doctor in Touch Care Managers reach these goals by proceeding with empathy, attentiveness, attention to detail, and a focus on accurate reporting.
How it works:
CCM Care Managers
The CCM Care Manager’s role is to identify triggers or problems so that they are communicated to the physician in a timely manner. Communication between the Primary Care Practitioner, Specialists, and all members of the Care Team is improved.
Monthly communication allows physicians to maintain control over the healthcare plan while our team facilitates initiatives to:
Monitor treatment goals
Manage symptoms
Plan interventions
Manage and reconcile medication
Coordinate with outside resources and providers
Update the patient’s care plan when applicable
Ensure all MIPS-related categories of care are addressed, assuring that the practice meets MIPS high annual point requirements.
Working as an extension of the practice, we can address any issues affecting the patient’s life. The Care Manager's greatest goal is to achieve the highest level of wellness for the patient while reducing chronic disease and hospitalizations.
Your Doctor in Touch Care Managers reach these goals by proceeding with empathy, attentiveness, attention to detail, and a focus on accurate reporting.
Work Flow
Our Chronic Care Management services work with your existing system, not beside it. Trust plays a significant role in a patient’s willingness to commit to a healthcare plan. Patients trust their doctor. Doctors trust us. That is why we work with your existing system, not beside it.
The Your Doctor In Touch team performs all nursing documentation and CCM Visit billing using the physician practice’s own EMR software system.
Communication with our CCM nurses is done using a phone system that will identify the CCM nurse, showing the practice's name on the Caller ID.
Work Flow
Our Chronic Care Management services work with your existing system, not beside it. Trust plays a significant role in a patient’s willingness to commit to a healthcare plan. Patients trust their doctor. Doctors trust us. That is why we work with your existing system, not beside it.
The Your Doctor In Touch team performs all nursing documentation and CCM Visit billing using the physician practice’s own EMR software system.
Communication with our CCM nurses is done using a phone system that will identify the CCM nurse, showing the practice's name on the Caller ID.
The Ultimate Goal
Our experience shows that when the patient's needs are met, all other positive outcomes are optimized.
