For the Provider

Chronic Care Management 


Chronic care management services, 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements: 

  • Multiple (2 or more) chronic conditions, expected to last at least 12 months, or until death of the patient. 

  • Chronic conditions place the patient at significant risk of death, acute exacerbation/decomposition, or functional decline

  • Comprehensive care plan established, implemented, revised, or monitored.  



Complete Integration

Our care team becomes an extension of the office by integrating directly into the EMR system. All information is documented in real time within the patient chart. 

Increased Accuracy 

Every month, the Cariatrix care coordinators perform medication reconciliation, along with documenting any tests, vaccinations, and visits with specialists. 

We Provide Support

Each care coordinator performs the required 20 minutes of care coordination/patient/month. This includes creating the care plan and communicating with patients monthly. 

Request a Demo