CMS Chronic Condition Management Services

Meet Taylor Associates, a primary care physician practice that has a large Medicare population. Taylor Associates knows the value-based world is at their doorstep, but they don’t have the infrastructure in place to go confidently into value-based payment models. They’re looking at CMS’s Chronic Condition Management (CCM) program as a bridge to models such as medical homes, bundles, and shared savings.

Go confidently into alternative payment models.

Taylor Associates uses RoundingWell to meet the requirements for providing non-face-to-face chronic care management for their comorbid Medicare patients. Time clinicians track in RoundingWell for CCM patients accrues to each patient’s monthly quota.


In addition to tracking clinician time, RoundingWell also tracks the time patients spend engaging with their care team on the platform. Engagement time typically replaces phone calls or augments existing phone outreach. Patients receive disease/treatment education, and they’re assessed for health risks. This offloads some of the time-tracking burden from clinicians, and in turn, it allows them to focus on patients with the greatest needs.

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Comply with both the letter of the law and the spirit of the law.

Since RoundingWell is integrated with Taylor Associates’ EMR, billing documentation is sent automatically each month for every patient that meets the monthly CCM quota. Taylor Associates is pleased that RoundingWell helps them comply with both the letter of the law and the spirit of the law. They also know RoundingWell is a platform that can grow with them as they move forward into the value-based world.


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