Chronic Care Management
Care That Continues Between Visits
Give your patients support for chronic conditions all year round. Symliphy Health runs remote monitoring, care plans and monthly check-ins between office visits, with board-certified physicians and billing reports behind every program.
Everything You Need to Run Chronic Care Programs
One platform for monitoring, care management and reimbursement, with a physician network behind it.
Board-Certified Physicians
Through our partnership with GenieMD, a nationwide network of board-certified physicians oversees care plans and steps in when patients need more care.
RPM, RTM, CCM and BHI
Run remote patient monitoring, remote therapeutic monitoring, chronic care management and behavioral health integration programs from one place.
Shared Care Plans
Patients, care managers and providers work from the same care plan, with reminders before each task is due.
Electronic Consent
Patients give their consent online, and it's saved with their record.
One-Click Video and Audio Calls
Start a secure call in one click on iPhone, Android or the web.
Escalation When Needed
Patients who need more care are flagged and escalated to a physician.
Automatic Billing Reports
The platform generates CPT reports from each month's documented care, ready for reimbursement.
Connected Devices
Cellular devices send readings automatically: blood pressure monitors, glucose meters, continuous glucose monitors, pulse oximeters, scales and spirometers.
How It Works
Launch a program for your patients in four steps.
Step 1
Talk to Our Team
Tell us about your patients and which programs you want to offer: CCM, RPM, RTM or BHI.
Step 2
Enroll Patients
Eligible patients give consent online and get a connected device if their program uses one.
Step 3
Monitor and Support
Care managers follow each care plan, review readings and check in every month. A physician steps in when a patient needs more care.
Step 4
Report and Bill
The platform tracks time and generates the monthly CPT reports you need for reimbursement.
What Is Chronic Care Management?
Chronic Care Management (CCM) is a Medicare Part B benefit. It covers ongoing care coordination outside office visits for people living with long-term conditions.
- Patients with Medicare, including those with both Medicare and Medicaid, may qualify.
- They need two or more chronic conditions expected to last at least 12 months, such as diabetes, high blood pressure, heart failure, COPD, arthritis or depression.
- Each month includes at least 20 minutes of care coordination outside the office, such as phone check-ins and secure messages.
- Each patient gets a comprehensive care plan and a care team they know.
- The care team coordinates with the patient's pharmacy, specialists, labs and hospitals.
- Patients can reach a qualified professional 24/7 for urgent needs.
Common Questions
Chronic Care Management
Ready to Launch Your Chronic Care Program?
Talk to our team about RPM, RTM, CCM and BHI programs for your patients.
Talk to Our Team