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.  



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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. 

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Increased Accuracy 

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

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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. 

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