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Chronic Care Management for You

Chronic Care Management by Digital Telehealth Solutions

Let Digital Telehealth Solutions help your clinic improve patient engagement and quality of care while getting reimbursed through CMS Chronic Care Management program.


We are currently using our technology to help manage patients for both Medicaid and Medicare. Our goal is to “Be in the Circle, Be Connected” by also implementing Transition Care Management (TCM). We believe that our services improve the quality of care for the patients and increased care coordination.

What is included in Chronic Care Management (CCM)?

  • Patient outreach
  • Personalized care management and preventative care services
  • Patient-centered care plan
  • Medication management
  • Real-time data accessible 24/7 to monitor enrolled patients
  • Transitional care management

Whether you are just learning about CCM, beginning to implement a program, or have been up and running since 2015, Digital Telehealth Solutions’ (DTS) for Chronic Care Management (CCM) was designed by physicians to enhance the CCM experience for your practice and your patients. DTS CCM is the only solution that honors the chronic care you are already doing while providing the resources needed to scale your program.



As the population ages, physician practices face the challenge of improving the quality of care for chronically ill patients while containing costs. Under the chronic care management program authorized by the CMS, physicians are now being reimbursed for providing non-face-to-face care coordination services to eligible Medicare patients with multiple chronic care conditions. However, compliance with the program’s requirements is essential to receive payments, and meeting them on your own can require additional staff and technology investment.
With Digital Telehealth Solutions Care Management Services ™, we can help you improve patient engagement and quality of care while getting paid through chronic care management program.
Our services will help you meet CMS’s billing requirements for chronic care management, complex chronic care management and the Merit-based Incentive Payment System (MIPS).
Prepare for Value-based Reimbursement with Chronic Care Management.
Our step by step consultative approach helps you build and manage effective provider networks combined with the revenue cycle management infrastructure and clinical care coordination to help control cost and generate revenue.
Increase reimbursement and additional and CPT codes added
2017 Significantly reduced administrative burden for physicians to participate and bill CMS



  • Cloud-based Chronic Care Management Solution
  • Easily integrates with your EHR
  • Clinically certified Care Plan templates
  • Supports multiple physicians, locations and caregivers
  • Caregiver portal organizes and facilitates monthly care Management workflow
  • Patient Engagement through robust patient portal
  • Fully implemented on mobile platforms
  • Tracks time and captures notes for Medicare reimbursement and audit trail
  • Patient Outreach
  • Personalized care management and preventive care services
  • Medication Management
  • Real-time data accessible 24/7 to monitor enrolled patients
  • And Some Info About Transitional care management

Want to learn more about CCM?

Digital Telehealth Services specializes in understanding all of the complex rules of CCM. Our experts can help you determine whether CCM is a good fit for you.

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Chronic Conditions

The cost of chronic diseases such as cancer, diabetes, hypertension, stroke, heart disease, pulmonary conditions and mental illness is staggering. Consider these Centers for Disease Control and Prevention statistics.

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Who Can Bill?

As of January 1, 2015, Medicare began reimbursing for Chronic Care Management (CCM) services using CPT Code 99490.
The new reimbursements are in line with CMS’ move to focus on higher quality primary care in an effort to reduce spending and improve outcomes.

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Our team helps healthcare organizations implement and optimize CCM programs to generate a maximum return with minimal disruption.