Chronic care management (CCM) and remote patient monitoring (RPM) hold enormous potential for both patients and practices. But reaching that potential isn’t easy.

The Centers for Medicare and Medicaid Services (CMS) first introduced a reimbursement program for chronic care management in 2015. The goal was to improve outcomes for chronically ill patients by reimbursing providers for time spent providing chronic care services. A few years later, remote patient monitoring codes were added, reimbursing providers for time spent monitoring patient vitals remotely without in-person office visits.

Unfortunately, the number of patients enrolled in the program has remained dismally low. Only about 12,000 physicians billed Medicare for chronic care management reimbursements in 2021 according to Medicare data. In most practices that attempt CCM and RPM, only a fraction of eligible patients enroll despite research showing improved health outcomes for participants.

Stepping Into the Gap: Outsourcing Virtual Care

At first, CCM and RPM may seem like a simple way to bring additional revenue into the practice, but it isn’t as easy as it sounds. Most practices aren’t set up to start and manage a program efficiently. They don’t have the bandwidth to successfully implement these programs internally, so they fall by the proverbial wayside.

The solution? Third-party CCM and RPM service providers like HealthXL step into the gap, removing the responsibility of enrolling patients and managing program details from the practice. Outsourcing CCM and RPM programs to an external service provider empowers practices to boost profit, improve access to in-person, face-to-face visits, and provide exceptional care for patients with chronic illnesses. 

But not all CCM and RPM providers offer the same quality of service. Some primarily offer a tech platform, leaving the practice to implement it on their own. Others provide only the minimum level of service or fail to maintain enrollment numbers, resulting in diminishing profit over time.

Get the Fundamentals Right: HealthXL’s Tech-Enabled Service Model

At HealthXL, we take a different approach. We’re committed to delivering exceptional service and exceptional patient care, from the moment you partner with us. Our patient-centered care approach is constructed on the fundamental building blocks of meticulous standards, repeatable processes, accountability, and quality assurance. 

We service over 99% of our CCM patients each month and over 94% of RPM patients, with a consistent focus on connected phone conversations that allow us to build trust with patients.

Our tech-enabled service model includes:

  • Comprehensive enrollment strategy
  • Enhanced monitoring and coordination of care between office visits
  • More consistent patient engagement
  • 20+ minutes of remote clinical support each month by licensed clinicians
  • A proven management team
  • Integrated, workflow-based technology
  • Consistent percentage of billable work every month
  • Monthly internal quality assurance checks
  • Device management for RPM services
  • HIPAA compliance

We hold ourselves to even higher standards than those required by CMS. Our care coordinators are trained to build relationships with their patients by having meaningful conversations that add significant value to CCM and RPM programs. They know how to ask questions that help them uncover patient needs, solve crises, and catch changes in health before they become serious issues.

No technology platform can do all these things. We prioritize personal interactions and insist on the highest standards for our CCM and RPM services, while also using cutting edge technology to boost efficiency and ensure compliance.

There’s simply no substitute for HealthXL’s proven approach to Virtual Care Services, no matter the size, scope, or specialty of your practice. Contact us today to learn how we can create a profitable, sustainable solution for your unique needs.