C3 Chronic Care Management

C3 Chronic Care ManagementC3 Chronic Care ManagementC3 Chronic Care ManagementC3 Chronic Care Management
  • Chronic Care Management
  • Who We Serve
    • ACO's
    • CCM Providers
    • Patients
  • Just for ACOs
    • CCM for ACO
    • The Entrepreneurial ACO
    • The Mechanics of CCM
    • CCM-Mission Critical ACO
    • CCM Software
  • Contact
  • About Us

C3 Chronic Care Management

C3 Chronic Care ManagementC3 Chronic Care ManagementC3 Chronic Care Management

Blending Technology & Care in Chronic Management: Your complete ccm partner

Blending Technology & Care in Chronic Management: Your complete ccm partnerBlending Technology & Care in Chronic Management: Your complete ccm partnerBlending Technology & Care in Chronic Management: Your complete ccm partner
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  • Chronic Care Management
  • Who We Serve
    • ACO's
    • CCM Providers
    • Patients
  • Just for ACOs
    • CCM for ACO
    • The Entrepreneurial ACO
    • The Mechanics of CCM
    • CCM-Mission Critical ACO
    • CCM Software
  • Contact
  • About Us

C3 CCM

At C3 CCM, we lead in chronic care management, revolutionizing management of chronic health conditions. Believing in access to compassionate, advanced care, we offer services empowering providers and patients. 

About Us

Why Chronic Care Management matters:

Industry changes

Industry changes

Industry changes

+  Centers for Disease Control and Prevention (CDC), 6 in 10 adults in the United States have a chronic disease, and 4 in 10 adults have two or more. 


+  Over two-thirds of Medicare beneficiaries have two or more chronic conditions 


+  Patient-Centered Primary Care Collaborative found that comprehensive care management can lead to a 20% reduction in hospital admissions for patients with chronic conditions. 

CMS Changes

Industry changes

Industry changes

+ Medicare expanded coverage for chronic care management services including broader eligibility criteria. 


+ Medicare's shift towards value-based care models emphasizes the quality rather than the quantity of care provided. 


+ Medicare has introduced new billing codes to better compensate providers. 

Accountable care organizations (aco)

  • Enhance Your Patients Outcomes
  • Increase Patient Satisfaction
  • Improve Revenue 
  • Streamline Workflow
  • Partner with Experts in CCM 


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Health systems, Providers, & Physician groups

  • Enhance Your Patients Outcomes
  • Increase Patient Satisfaction
  • Improve Revenue 
  • Streamline Workflow
  • Partner with Experts in CCM 


Find out more

Patients

  • Reduce your annual, out-of-pocket medical expenses 
  • Dedicated Personal Care Manager
  • Comphensive Care Plans
  • Health Goal setting 
  • Medication management and support
  • 24/7 support

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Chronic Care Management Services

experienced Nursing team

experienced Nursing team

experienced Nursing team

Our Nurses and Care Tea comprised of dedicated and compassionate professionals, deliver personalized and comprehensive care coordination, utilizing advanced technology for seamless communication and enhanced care delivery. 

Chronic Care Management

experienced Nursing team

experienced Nursing team

Our complete Chronic Care Management (CCM) service offers an end-to-end solution that encompasses patient eligibility assessment, personalized outreach, comprehensive education, tailored care management, and efficient billing processes. 

Billing Optimization

experienced Nursing team

Patient Engagement & Education

Our streamlined automated billing system ensures that providers can effortlessly capture reimbursement for CCM services, making our comprehensive program not only a catalyst for better patient health but also a driver of financial sustainability for your practice. 

Patient Engagement & Education

Patient Engagement & Education

Patient Engagement & Education

 Our patient engagement and education program is designed to empower individuals with chronic conditions by providing them with the knowledge, tools, and support they need to actively participate in their own care.

Dashboards & Analytics

Patient Engagement & Education

Dashboards & Analytics

 By combining data-driven patient health metrics with revenue performance, our reporting empowers providers to make informed decisions, optimize care delivery, and maximize the financial returns of their chronic care management efforts. 

Our software capabiltities

Chronic Care Management

+ Our inhouse software has been designed by experienced Chronic Care nurses.

+ Automated record timin to ensure accurate billing code records.

+ Built in calling system and patient portal.

Remote Patient Monitoring

+ Comprehensive Patient Vitals Dashboard.

+ Device integrated patient mobile app that supports devices such as Fitbit, Google Fit,      iHealth, Withings, and more. 

+ Supports reliable protocols like HTTP(S), FTP(S), and TCP/IP

Behavioral Health Integration

+ Integrated Behavorial Health screening assesmments.

+ Built-in logic automatically scores for alcoholism, smoking, depression, and behavioral health.

+ CAGE, PACK, PHQ-2, PHQ-9,and GAD-2 screeners and provides recommendations.

Transitional Care Management

+  Post-discharge patient services such referrals, medication reconciliation, and evaluation of diagnostic testing.

+  TCM checklists to keep track of the crucial timelines and service needs.

+ Streamline transitional care to reduce readmissions to hospitals and enhance results.

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our 5 Step approach

Patient Eligibility Assesment

Patient Enrollment & Onboarding

Patient Eligibility Assesment

Our team of caregivers are highly trained and experienced in providing compassionate care to our clients. We prioritize the physical, emotional, and mental well-being of our clients.

Patient Outreach & Education

Patient Enrollment & Onboarding

Patient Eligibility Assesment

At C3 Chronic Care Management, we understand that each client has unique needs and preferences. That's why we create personalized care plans that are tailored to meet the specific needs of each client.

Patient Enrollment & Onboarding

Patient Enrollment & Onboarding

Patient Enrollment & Onboarding

We are available 24/7 to provide support and care to our clients. Whether it's a medical emergency or just a friendly chat, our caregivers are always just a phone call away.

Care Management

Reporting & Tracking

Patient Enrollment & Onboarding

We are committed to providing professional and reliable home health care services. Our team of caregivers are licensed, insured, and undergo regular training to ensure the highest quality of care.

Reporting & Tracking

Reporting & Tracking

Reporting & Tracking

We are proud to have received numerous positive reviews and testimonials from our clients and their families. We strive to provide the best possible care and support to our clients, and their feedback is a testament to our commitment.

learn moreTalk to a CCM Expert

"c3 ccm has helped our practice streamline CCM offerings to our patients."


Dr. Jones, CMU Hospital

EHR Integrations

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C3 Chronic Care Management

28717 Blue Crane Court, Rochester, Wisconsin 53105, United States

(414) 640-02817

Copyright © 2024 C3 Chronic Care Management - C3 Partners LLC

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