MediRemote provides chronic care management (CCM) support services that help medical practices manage eligible patients under structured workflows and care coordination assistance.
Our model supports CCM program execution by combining workflow tools with trained care coordinators who assist your practice with patient engagement and documentation tasks under clinical direction.
Many medical practices set up CCM software to track patients with ongoing health conditions. But even with good chronic care management software, your in-house team still has to handle all the daily calls, paperwork, and routine follow-ups on their own.
MediRemote helps handle this workload by giving you trained care coordinators who assist with patient outreach and documentation under your clinic’s direction. We make sure monthly check-ins and chart updates happen consistently as part of your ongoing care program.
Keeping up with a Chronic Care Management program takes time. Between monthly patient calls, documentation requirements, and ongoing follow-up, many practices struggle to fit CCM responsibilities into an already busy schedule.
MediRemote helps by providing care coordinators who support these day-to-day activities under your practice’s direction. While your providers remain responsible for clinical decisions, our team helps keep patient communication and documentation on track.
We help review patient lists to identify individuals who may qualify for CCM enrollment.
Our team supports outreach and helps communicate program details to patients.
Scheduled check-ins are carried out and patient updates are recorded for review.
Notes from each interaction are organized and shared with the clinical team.
We track every outreach call and interaction to support your internal CCM billing and reporting process.
Older patients often face confusing communication between different doctors, labs, and pharmacies. To fix this, our chronic care management services build simple, personalized care plans that keep all health updates in one easy-to-use dashboard.
Our remote clinical staff works closely with your practice to handle all the daily tracking and paperwork across these key specialties:
Checking blood pressure trends between office visits and tracking lifestyle changes.
Helping patients manage fluid limits, diet changes, and required kidney lab tests.
Tracking Type 2 diabetes plans, watching insulin schedules, and checking lab timelines.
Checking daily oxygen levels and inhaler use to catch breathing issues early.
Coordinating care for complex, long-term conditions to keep patients stable at home.
Supporting routine health goals and managing everyday care plans for your entire patient panel.
MediRemote helps healthcare providers across multiple states deliver remote monitoring and ongoing support for COPD and other chronic conditions.
We provide simple, connected home devices that automatically send health readings straight to our care managers. This keeps your patients safe and removes the need for manual data logging.
MediRemote helps providers coordinate and manage care for patients with multiple chronic conditions, improving care continuity and keeping patients engaged between visits.
Keeping a chronic disease management program running smoothly takes real time. Between managing the daily chronic care management workflow, making monthly calls, and keeping up with paperwork, busy clinics often struggle to handle every task on their own.
MediRemote offers full-service chronic care management solutions by providing dedicated care coordinators who support these day-to-day activities under your practice’s direction. While your providers remain responsible for clinical decisions, our team helps keep patient communication and documentation on track.
We maintain care plan records and document patient goals based on the guidance provided by your clinical team.
Our coordinators contact enrolled patients each month, discuss ongoing health concerns, and document the interaction.
We help organize patient updates, medication discussions, and follow-up information so providers have access to current records when needed.
We handle chronic care management time tracking and log every monthly patient interaction so your practice has full records ready for reporting.
Our team maintains organized records and documentation to help practices meet CCM program requirements.
Implementing structured chronic care workflows helps practices better organize patient monitoring, improve care coordination, and maintain more consistent follow-up for high-risk populations.
This allows providers to shift more focus toward proactive care planning supported by regular data and communication from enrolled patients.
Gives clinics better visibility into patient health between visits through remote chronic care management, making it easier to catch health changes early.
Organizes ongoing patient data to support continuity of care across different specialists.
Supports tracking of required follow-ups and documentation needed for value-based care programs.
Assists with continuity of information when patients move between hospital and home care settings.
Unlike standard chronic care management companies that only hand you software, our care coordinators handle monthly outreach, documentation, and time tracking under your practice’s clinical direction.
Our platform tracks time and logs coordination details to help you accurately bill standard CCM CPT codes each month.
CCM Extension
Complex CCM
99490
99439
99487
99489
$50.44
Standard care coordination software vendors just hand you a platform and leave the daily execution to your busy staff. MediRemote gives you both the technology and dedicated care coordinators to manage your care workflows smoothly.
Your staff must call and sign up eligible seniors.
Your nurses must log 20+ minutes per patient.
Your on-call doctors handle urgent patient calls.
You manually cross-reference pharmacy refills.
You manually trace and count care minutes.
Standard chronic care management tools typically require internal staff to manage patient outreach and documentation on their own. MediRemote combines HIPAA-compliant software with trained care coordinators who support these workflows for you.
Our team assists with patient outreach and coordination tasks so internal staff can focus on clinical care.
Patient interactions and care activities are recorded within the MediRemote platform for review and reporting purposes.
Notes, updates, and monthly logs are saved directly in our care management platform so your team always has clear records ready for review.
Our onboarding team helps communicate program details to patients and supports the consent process.
Free your clinical team from chasing patient data and compliance paperwork. Our full-service framework provides the staff and technology your practice needs to save time, protect your schedule, and secure predictable revenue.
Stay informed with practical insights on RPM, CPT codes, Medicare billing, reimbursement, and chronic care management.
Any beneficiary with two or more serious chronic conditions expected to last at least 12 months can be legally enrolled in the program by an eligible provider.
Yes. Medicare explicitly allows practices to run remote patient monitoring chronic care management programs together for the same patient, as long as each service meets its own time and tracking rules every month.
No. Medicare guidelines allow these services to be safely provided under “general supervision,” meaning our remote staff operates under your direction without disrupting your physical schedule.
Because our platform logs every single interaction down to the exact second, your practice receives clear, timestamped, and pre-verified documentation to prove your claims are 100% compliant.
Chronic care management (CCM) is a Medicare program that provides monthly care coordination for patients with two or more long-term health conditions. MediRemote supports your practice by supplying dedicated care coordinators who handle the monthly outreach, tracking, and documentation under your clinical team’s direction.
