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Whether a patient or physician, we provide assistance with your care management needs.
Physicians & Providers
Benefits of Care Management for Providers
- Care managers assist with Home Health collaboration and other referral follow throughs.
- Reduce phone calls to the medical practice
- Assist with refill requests to practice.
- Screen and triage patient issues. This helps reduce phone calls to medical practice and reduce staff workload.
- Our care managers set up and provide care management services at no additional cost to practice. Revenue generated from CCM does not go towards hiring or training any staff.
- Providers are reimbursed by Medicare for participating in CMS programs to promote better patient outcomes
- Development and updating of Comprehensive Care Plan with easy EMR integration.
- Care management and care coordination services
- Medication review and reconciliation.
- 24/7 access to care management services for patients
- Reduces hospitalizations by providing early identification and notification of patient issues
- Our care managers are experienced Registered Nurses who are able to effectively manage your patients non urgent needs to ensure they are meeting their health goals.
- Chronic care management (CCM)
- Transitional care management (TCM)
- Primary care management (PCM)
- Behavioral health integration (BHI)
chronic care management (CCM)
CCM provides ongoing support to patients living with chronic health conditions. Services include care coordination between doctors/pharmacies/providers, 24/7 remote access for non-urgent care needs, patient centered care plan, and management of care transitions.
Transitional care management (TCM)
These services help eligible patients transition back to a community setting after hospitalization.
behavioral health integration (BHI)
Care management for individuals with mental health conditions such as depression and anxiety.
Primary Care Management (PCM)
Ongoing support to patients living with only one chronic health condition such as coordinating medical appointments, medication education and management, resources, community services, and other educational information.
Physician Sign Up Form
Patients & Members
We help you navigate the healthcare system by providing:
Chronic & Primary Care Management
Chronic Care Management (CCM) 20 mins or more of non face to face time monthly to discuss your concerns, review medications, and develop a care plan that reflects you and your provider’s vision for your health.
Symptom management
Skilled and knowledgeable clinicians available to address non-urgent care needs with escalation processes developed with medical providers for urgent and complex issues.
Optional coaching programs
MadeWhole clients are able to register for discounted courses or coaching calls with licensed nutritional and life coaches for a well rounded wellness experience
Non-profit Programs
Non insured/medicare patients are eligible for free or largely discounted care management services at 6 month intervals
Patient sign up form
Are you interested in seeing care management services at your doctor’s office? Fill out this form and we will contact your doctor to make it a reality!
Mind. Body. Soul. Whole.
Contact Info
- New York, NY
- 631-317-2742
- [email protected]