Vital Health Links' Chronic Care Management (CCM) provides high-touch care coordinated with your practice's workflows for the best possible outcomes for practices, practitioners, and their patients.
Doctor-owned and led, providing a culture of exceptional practitioner and patient support
Complete, turn-key services—no upfront investment or resources are required
Clinically-trained Care Coordinators use your workflows and evidence-based patient care
It takes more than disease management to affect patient participation in clinical outcomes: meaningful patient engagement is required. VHL’s clinical care management feels personalized to your patients. Coordinators are dedicated to your panels, adding consistency and familiarity, which leads to detecting and addressing social determinants, participation in education, and help with quality metrics.
The Centers for Medicare and Medicaid Services (CMS) emphasizes that chronic patients' healthcare outcomes improve when care is virtually continuous—rather than mostly treated at the point of care, making chronic care management beyond the clinic's walls necessary and complementary. Vital Health Links' Coordinators manage all aspects of CCM as each practitioner would—applying the practitioner's evidence-based directives throughout care management personalized to the patient.
See Case StudiesPractices like yours collected reimbursements from more than 2-million billable minutes last year. Each minute enhanced the value of chronic care management for patients and practitioners by applying clinical care through personalized engagement, maximizing practice revenue gains. Here's how it works:
Practices want to achieve their missions and grow their bottom-line
Practitioners want to impact improvement and empower patient success
Full-service solutions seamlessly operate with your systems and workflows
Includes welcome call, program explanation, identify patient concerns, the ideal time for a call, introduce care team, and identify immediate needs.
A specialist manages qualified patients enrollment, including profile set-up.
Clinically-trained Coordinators facilitate personally engaging patient education & compliance.
Clinically-coordinated care managers follow workflows customized to practitioner directives & disease guidelines.
Generated with CPT & ICD10 codes
Leveraging patient rapport to bridge gaps in care, functional assessments, social-determinants risk assessments, quality metrics, education, and coaching.
Facilitate connections with community and healthcare organizations
Full EMR utilization for notes, billing and messaging. We provide quarterly reports to enable transparent visualization of the
Increased Revenue
Improve Quality metrics
Increased Patient engagement
Improve staff utilization
Reduce Burnout
ANNUALLY/PER PATIENT
CPT CODE 99490ANNUALLY/PER PATIENT
CPT CODE 99454 & 99457ANNUALLY/PER PATIENT
CPT CODE G0511
A comprehensive approach to CMS compliance keeps you in the business of changing healthcare outcomes without interruptions. Robust software created by physicians to cover every detail of CMS requirements and notes relevant to your patients’ care.
A physician or other qualified healthcare professional. Physicians and some non-physician practitioners: certified nurse-midwives; clinical nurse specialists, nurse practitioners; and physician assistants may bill for chronic care management services. Specialty practitioners may provide and bill for CCM.
target="_blank">Furnishing Profitable CCMAdvanced consent for chronic care management services is needed. It helps ensure the patient is engaged in applicable cost-sharing, after which ongoing structured recording of a patient's demographics, problems, medications, and medication allergies are necessary using certified Electronic Health Record (EHR) technology. Payment information by geographic location by code is accessible through the Medicare PFS Look-Up Tool. Learn More>
Vital Health Links' CCM helps practitioners provide high-value patient care—at scale—rewarded through the Merit-based Incentive Payment System (MIPS) and the Medicare Access and CHIP Reauthorization Act (MACRA). Learn More>
VHL is compatible with HIPAA via a patient web portal and through the use of certified Electronic Health Records and EMR/EHR network integration. See Here
Since the COVID-19 national health crisis began, Vital Health Links’ Chronic Care Management has proven to help providers with the flexibility to give meaningful clinical support for acute and chronic illness treatment and dependable revenue recovery. Read how Vital Health Links chronic disease management prevented a clinic from laying off workers while other clinics closed and maintained 90% enrollment retention.
Increases in the elderly population and chronic diseases create even more demand for clinic staff, leaving them overworked and burnt out. In addition, few new nurses are entering the profession to compensate. Clinically-trained VHL Care Coordinators help bridge gaps amidst system-wide shortages, complimenting a practitioners’ care at scale with guidelines-driven, personalized care.
We understand that chronic care management is a significant step for your practice. However, as doctors, we are here to help you assess the impact CCM could have on your systems rather than sell you a product. Because to us, clinically-led patient care is personal.
