Case Study

Cardiology & Neurology-Focused Practice Generates $146 Per Hour In Reimbursable Revenue

THE OBJECTIVE:

To Take Their 3rd-Party Managed CCM Program

In-House

The practice transitioned its chronic care management (CCM) program from 3rd-party to in-house after experiencing operational strain and communication breakdowns with 3rd-party vendors.

Key challenges included:

Mechanical, checkbox-style outreach from outsourced teams
Lack of patient familiarity and context in communications
Increased workload for internal staff to resolve unclear or incomplete messages
Risk of losing personalization for a population with language and cultural needs

The goal was to regain control, improve communication quality, and reduce administrative friction in their CCM, RPM, and PCM programs.

Provider Background

Advanced Medical Care, PLLC is a multi-physician practice with five doctors, one nurse practitioner, and 15 care managers, serving a large, linguistically diverse patient population. Many patients speak English as a second language, including Russian, Ukrainian, Spanish, Korean, and Farsi.

THE SOLUTION:

Advanced Medical Care implemented
ChronicCareIQ as its chronic care management
platform to support its in-house program

ChronicCareIQ enabled the practice to:

Centralize CCM, RPM, and PCM documentation
Simplify time tracking, coding, and audit logs
Support multilingual, relationship-driven patient outreach
Respond quickly to Medicare documentation and audit requests
Stay current on billing, compliance, and regulatory changes through proactive guidance and training resources

“You need to make sure your vendor-partner understands all the nuances of chronic care management. ChronicCareIQ is just leaps and bounds above the rest."
- Dina Lemkova-Seryy,

Patients Enrolled

Patients Qualified
For Billing

0 %

Per Hour Generated

$ 0

Practice Results:

2,100 CCM patients enrolled, with 75% of patients participating, primarily those with cardiac conditions
Many patients re-enroll year after year, indicating sustained engagement
Documentation requests from Medicare can be fulfilled in minutes, not hours or days
Improved accuracy in coding and time tracking supports proper reimbursement
Reduced communication and bookkeeping barriers for clinical and administrative teams

“Chronic care management is absolutely here to stay. The benefits are vast. Since onboarding five years ago, ChronicCareIQ has excelled as a partner that understands, and is proactive about communicating, ongoing code changes that impact billing."