Chronic Care Management Services
Transform Your CCM Program
Our experienced Executive and Clinical Team integrates with your practice providing you with a quality CCM program that delivers the results you need. Our custom-built software powered by
is designed to efficiently capture, log and document care time performed by your clinical team. With our monthly Billing Summary Reports and Patient Focused Comprehensive Care Plans you can rest assured knowing that your program is fully compliant and ready to bill on time every month allowing for quick reimbursement and profitability.
Your Local Full-Service CCM+RPM Management Partners
Our passionate clinical team of care managers integrates with your practice to create and manage a CCM program that focuses on outcomes, care coordination and patient support for your chronically ill patients. We become an extension of your team with a primary focuses of managing those patients outside of your office. What can CCM do for your?
- Reduce Hospitalizations
- Improve Patient Outcomes
- Eliminate Staffing and Management Issues
- Custom Software Solutions that increased efficiency and provided fully compliance reporting and time documentation.
- Increased Profitability
- Pilot Programs with no long-term commitment
- Local Staffing that knows and understands the community.
Chronic Disease Burden In The United States
Greater Than 65%
2+ Chronic Conditions
Medicare Beneficiaries with 2 or more chronic conditions
99%
CMS Spending
99% of Medicare spending on patients with chronic conditions
70%
Deaths
70% of deaths associated in 2014 were related to Chronic Diseases
What Is CCM?
CMS Defines CCM as the care coordination that is outside of the regular office visit for patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation or decompensation, or functional decline. It can be delivered to people with many different types of health conditions.
Medicare began paying for CCM services separately under the Physician Fee Schedule (PFS) in 2015.
Practitioners may now bill for CCM for a calendar month when at least 20 minutes of non-face-to-face clinical staff time, directed by a physician or other qualified health care professional, is spent on
care coordination for a Medicare patient with multiple chronic conditions. This time may be spent on activities to manage and coordinate care for eligible patients.
Why Is Our Full-Service CCM Program Important??
✓ Your patients gain a team of dedicated clinical professionals helping them manage and plan for better health.
✓ Alleviates Care Plan Development, Staffing, Training, Software Management, Compliance, and the need to provide 24/7 CCM Support
Partner and Incorporate a CCM program that produces RESULTS
🎉 Our clinical team does all the heavy lifting! Giving you the peace of mind knowing your patients have an experienced Care team supporting them 24/7
Increased Practice Revenue
CCM and RPM Claims submitted monthly by our dedicated billing team ensuring you get reimbursed quickly
Improved Patient Outcomes
We create a relationship with each patient outside of the office setting ensuring that all of their chronic conditions are managed, and care is coordinated within the community.
Our Full-Service Solutions
Can Increase Revenue and Support Sustainability
+$150K
Single Provider with 225-250 pts
1st Year estimated Reimbursement while at an enrollment rate of only 21 patients per/mon. Thats only 5-6 patients per week!
+$110K
2nd Year Reimbursement Maintaining only 250 CCM Patients
Chronic Care Management Only – CCM
+$450K
Average Medical Group 3-5 Providers
Chronic Care Management Only – CCM
+$200K
RPM + CCM
Average Medical Group 3-5 Providers
+$60K
Remote Patient Monitoring – RPM
Incorporating Remote Patient Monitoring can drive even better patient outcomes and more sustainable revenue.
+95%
Billing and Compliance
CCM and RPM is all we do. Our internal billing team focuses on CCM only meaning faster reimbursement and tracked compliance..
Our Amazing Team
In the realm of healthcare, our seasoned team seamlessly blends expertise in the Chronic Care Management (CCM) industry with a profound understanding of Care Management. Fueled by innovation and supported by cutting-edge technology and Salesforce, we integrate the best of both worlds. But what truly sets us apart is our community-centric approach, where dedicated Care Professionals and account executives that work hand-in-hand to propel your practice towards unparalleled success. Together, we’re not just delivering outcomes; we’re sculpting a future of elevated care for both your practice and the patients you passionately serve.
Richard and Kaylie Fritzler
Founding Members
Are dedicated to increasing the level of patient care withing the community. Fueled by a shared passion for enhancing patient care, they co-founded a palliative care providing program focused on improving end-of-life experiences in their community.
Together, they built a program that integrated advanced medical practices with a focus on holistic patient well-being. Their commitment to community outreach and education has not only destigmatized end-of-life care but has also empowered families to make informed decisions.
Today they are introducing local Chronic Care Management to our community. Their goal is to provide personalized, consistent support for individuals with chronic conditions. By bringing CCM locally, they aim to improve health outcomes, enhance patient satisfaction, and foster a stronger, healthier community.
James Benway
Business Development and Account Management Partner
A Retired U.S. Coast Guardsman with a diverse background in executive sales, healthcare, business development and marketing. He has a passion towards increasing utilization of Care Management Programs within our local community. He has proven experience implementing CCM and RPM programs for healthcare groups throughout the West Coast. He is also the CEO and Founder of SUPHEROES LLC which provides connection-based platforms for B2B organizations to connect with local entrepreneurs Nationwide through the SUPVETS program that brings Entrepreneurs and Veterans together. He has partnered with Pathway Cares because of thier passion for the community and the lack of quality CCM programs available in Southern Utah and is excited to provide quality care and service to our local providers and thier patients.
Clinical Team & Care Supervisor
Our Clinical Team, composed of dedicated RNs, LPNs, and MAs, is the backbone of our healthcare mission. Led by Cristalle Carey, RN, this dynamic team is committed to delivering high-quality patient care. Our Clinical Team plays a crucial role in ensuring that individuals with chronic conditions receive comprehensive and personalized support. Together, they form a collaborative force, working seamlessly to implement CCM strategies tailored to the unique needs of the providers we serve and our community. Their collective dedication goes beyond routine healthcare – they are the compassionate face of our commitment to improving health outcomes, enhancing patient satisfaction, and fostering a healthier community. Our Clinical Team is at the forefront of transforming healthcare delivery, making a lasting impact on the well-being of those we serve.
.
Want to get started?
Pilot Your Program With Us
01
Simple MSA and BAA
We essentially are an extension of your team and work under your supervision and direction eliminating your need to hire, develop and manage your own CCM employees. No long-term commitments and able to Pilot a program that works for you.
02
Implementation
we assign a point person from your clinic that can help facilitate onboarding (typically 1 to 2 weeks) and work with you to Identify eligible patients in EHR (CCM & RPM) that you want on the program.
03
We Go To Work
Consenting, Collaborating and developing care plans to be reviewed/revised and signed by overseeing Provider (CCM) through a simple Desktop or Downloadable APP. We Contact patients to obtain and document consent. Provide continued care and educating for your patient.
.
We Are Excited For The Opportunity To Work With You
Trust in our expertise to achieve the best outcomes for your CCM Program
James Benway
Business Development & Partnerships
T: (435) 256-3490
E: Pathway@ATDHealthSolutions.com
Pathway Cares
St. George, UT 84790
T: (435) 256-3490
E: Info@PathwayCares.com