SmartCareHub Information

WHAT IS CHRONIC CARE MANAGEMENT? The Centers for Medicare & Medicaid Services (CMS) recognizes Chronic Care Management (CCM) as a critical component of primary care that contributes to better health and care for individuals. In 2015, Medicare began paying separately under the Medicare Physician Fee Schedule (PFS) for CCM services furnished to Medicare patients with multiple chronic conditions. HOW WE HELP SmartCareHub offers a solution that conducts the CCM monthly follow-up service with patients in the program, on behalf of your practice, in accordance with CMS guidelines. We handle patient phone calls, documentation and billing. WHY SmartCareHub? 1. Our trained clinical staff and proprietary technology platform is turnkey 2. Avoid hiring, managing, training and retraining internal staff 3. Every month, the Critical Key call center contacts patients in the program with a 20 minute phone survey 4. Each patient has a custom survey based on their chronic conditions along with a customized patient care plan 5. Results are documented and automatically entered into your EMR for review by the doctor during the next office visit 6. Monthly reporting provides the number of your patients participating in the program PATIENT BENEFITS • Medicare covered program • Assists with medication management • Increases ability to age in place at home • Fewer emergency room visits • Early detection of changes in overall physical health