Cosán enables providers to move beyond staffing-based chronic care toward AI-enabled, team-based virtual care that improves efficiency, reduces administrative burden and costs, while creating new long-term value for the practice. We streamline onboarding for any size organization, aligning with workflows and minimizing clinical disruption. Our team supports population analysis, eligibility checks, and enrollment. While care management can be complex, Cosán’s intuitive software and clinical support simplify setup, delivering fast, turnkey implementation.
Care Management is a way for providers to utilize an additional care plan, care team, and access to more information about patients in between office visits. Since CCM and PCM are designed and regulated by Medicare, strict guidelines and requirements govern the actions that must take place. The majority of these actions will be done under provider oversight and will not require changes in your day-to-day operations.
Medicare patients who have been diagnosed with either one complex, high-risk chronic condition or at least two chronic conditions may be eligible for the care management program. CCM is covered by traditional Medicare, Medicare Advantage, Medicare replacement plans, and many commercial payers.
Once enrolled, patients get support between visits, including:
Patients get in-between-visit care management using evidence-based models, leading to healthier outcomes. Providers get additional revenue from Medicare as the CPT code is billed for each patient during the months care management services are completed.
There are no specific time requirements for providers/clinicians, apart from providing the usual care to patients.
Although patient cost sharing applies, Medicare typically covers 80% of these services, and if the patient has supplemental insurance, they could be covered 100%.
Yes, enrolled patients can cancel at any time. Cosán Care Management services will end at the beginning of the next calendar month.
Services begin once your patient gives their verbal or written consent to participate in the program. Once you notify us of this consent, we’ll take it from there to enroll your patient in the program through a combination of email, in-office enrollment, and/or direct patient outreach via phone.
Once enrolled, we recommend care plan assignments according to clinical direction from providers, document care delivery and communicate escalations in your EHR, and provide individual patient and population cohort reporting to track outcomes on a regular basis.
Optionally, even month-end support to enter timely billing claims is seamlessly available. Finally, overall program status and improvement reviews are scheduled by a dedicated performance manager to ensure the program value meets or exceeds overall practice objectives.
We onboard organizations of all sizes, aligning with existing workflows and minimizing clinical disruption. We support patient analysis, eligibility checks, and enrollment. Once enrolled, we help assign care plans per provider direction, document care, communicate escalations in the EHR, and deliver regular outcome reports. Optional month-end billing support is available. A dedicated performance manager ensures program goals are met through ongoing reviews.
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