Humhealth - Model CCM - Chronic Care Management Software

• Complex CCM
• Non-Complex CCM
• Rural Health Clinic
• Federally Qualified Health Center
• Customizable Care Management

For patients, it ensures that they stay connected with the rest of their care team, receive instructions and educational materials remotely, and track their lifestyle which includes adhering to the right diet, nutrition and medications.

Any reimbursable chronic care management services or activities are automatically captured by the timer that is built into our platform. This includes the time spent by clinicians and their team defining a chronic care management plan and conducting non-face-to-face follow-up calls every month.

Humhealth provides a seamless experience when it comes to chronic care management services. Some of the key features include comprehensive and personalized care plan for each patient, disease specific questionnaire for common chronic conditions, synchronization of patient self-assessment data from mobile app and current month status dashboard. The Continuity of Care Document (CCD) Upload and EMR Integration are also done at affordable pricing.

• Personalized care plan for each patient
• Tracking Physician and Clinician time separately and Utilizing Optimal CPT code for billing
• Two way communication with patient through Text Message
• Continuity of Care Document Upload and EMR Integration
• Feature to initiate video Call
• VOIP Integration with multiple vendors
• HIPAA compliant Fax integration
• Synchronization of patient self-assessment data from Mobile app
• Automated Time Tracker
• Define Care Team Members
• Comprehensive Monthly Service Summary
• Comprehensive Scheduling Feature
• CCM Current Month Status Dashboard
• Customize Questionnaire for tracking Goals, Lifestyle Recommendations and Medications
• Disease-specific questionnaire for common chronic diseases
• Questionnaire Configuration at facility and patient levels
• Tracking Transition Care of patient
• Completed and incomplete calls for billing
• Feature to Revise Care Plan During Monthly CCM Follow Up Call
• Detailed and Summary Billing reports
• Dashboard listing current CCM service duration with patient count
• Pushing newsletters to patient mobile app
• Training invitation to patient mobile app and option
• Multiple patient update for Call Centers

Identify Eligible Chronic Patients
Clinicians identify eligible patients with chronic diseases using his/her patient list
or from Electronic Medical Records (EMR).

Enroll The Patient
On identifying the patients with two or more chronic conditions, the clinicians will enroll
the eligible patients for Chronic Care Management program following the patient’s consent.

Define A Care Plan
Based on the patient’s health records, the Clinicians will formulate a suitable care plan
When a Clinician defines a care plan for a Patient, the automated timer will run to capture the time spent on providing CCM service and thus helps to keep track of chronic care records.

Monthly CCM
The Clinician will have a monthly follow up call with the Patient to provide CCM service.

Track Time
During the non-face-to-face interaction by a Clinician with the Patient, the
automated timer will run to record the time spent on calling a patient.

Timely Reimbursement
Most would accept that the tedious part of CCM is getting a reimbursement
Humhealth’s CCM platform tracks and records everything from calls and interactions, bills and generates simple billing reports. Then, all you have to do is to review and forward the reports to the biller.

We cover an extensive list of chronic care management billing codes that make up both complex and non-complex chronic care for hospitals, private practices, rural health clinics and federally qualified health centers

Humhealth is unmatched in its field when it comes to pricing transparency. Our plans are flexible, we are clear on the different options available to you based on your budget. We understand that doing research on pricing takes up a lot of time, and thus have made everything transparent when it comes to browsing different price options to figure out the right fit. Our goal is to provide a delightful onboarding experience so your team and your patients can start realizing the benefits of a chronic care program.

At a time when the world shifts to value-based remote care, we are on standby to support any healthcare organization set up and run their Chronic Care Management operations. Chronic care fits well with other types of reimbursable programs mentioned in our website. If you have any questions, please do email us or use the chat feature.