Medsien

What are Chronic Care Management and Remote Patient Monitoring?
If you are a Medicare beneficiary, you may qualify for chronic care management (CCM) and
Remote Patient Monitoring (RPM). CCM/ RPM is one of multiple covered Medicare programs
that allow a healthcare provider to manage and coordinate patient care between traditional
office visits. CCM/RPM is beneficial for patients in terms of ongoing health and wellness
support, increased access to appropriate medical resources, enhanced communication with
members of their care team, reduction in emergency room visits and hospitalization or
readmissions, and increased engagement in their own healthcare.

Goals of Chronic Care Management and Remote Patient Monitoring
People with multiple chronic conditions are at an increased risk for poor quality of life. The goal
of CCM and RPM is to help patients achieve a better quality of life through continuous care and
management of their conditions. In a CCM program, a patient might have reduced pain and
stress, increased mobility and physical fitness, and better sleep and relaxation. Ideally, a patient
would be able, to some extent, to return to the activities, like work or hobbies, that their chronic
conditions have prevented them from.

Understanding Chronic Care Management and Remote Patient Monitoring
A disease or condition is chronic when it lasts a year or more, requires ongoing medical
attention, limits the activities of daily life, or puts them at significant risk of acute exacerbation or
functional decline.

Under CCM and RPM, the patient’s care team can create more continuity in managing a
patient’s conditions. CCM/RPM provides services that are outside of face-to-face patient visits.
This includes formulating a comprehensive care plan, communication and management (usually
over the phone), medication management, and coordination of care between providers.
RPM involves a connected device (Blood Pressure, Glucose, Scale, etc.) that patients can use
at home effortlessly and have their readings sent to their providers in real-time.

Our partners at Medsien
To help provide CCM and RPM services, we have partnered with a group called Medsien. If you
are a Medicare beneficiary and qualify for CCM or RPM, a certified medical assistant may
contact you to see if you are interested in enrolling in the program. Alternatively, you may enroll
in the program by contacting (252) 516-6567. You can terminate the program at any time.
Please click here for more information from Medsien.