The Complete CCM Business Blueprint
Chronic Care Management is more than a Medicare billing opportunity-it can become the foundation of a scalable healthcare services company.
The Complete CCM Business Blueprint: How to Build and Operate a Profitable Outsourced Chronic Care Management Company is a practical guide for healthcare professionals and entrepreneurs who want to build a company that provides Chronic Care Management services to medical practices.
Volume 1 takes you from the initial business concept through implementation and growth. Rather than focusing only on CPT codes and reimbursement, this book explains how to build the operational infrastructure required to deliver a sustainable care-management program.
Inside, you will learn how to:
- Understand the outsourced Chronic Care Management business model
- Distinguish between CCM, Principal Care Management (PCM), and Advanced Primary Care Management (APCM)
- Identify potential clients and target markets
- Develop service packages and pricing strategies
- Calculate staffing requirements and unit economics
- Build patient enrollment and care-management workflows
- Develop comprehensive care plans
- Establish documentation and billing-integrity processes
- Create clinical escalation and closed-loop communication systems
- Hire, train, and evaluate care-management staff
- Build quality-assurance and compliance programs
- Develop operational dashboards and KPIs
- Sell CCM services to physician practices
- Implement a new client during the first 90 days
- Prepare the organization to scale
The book also includes a comprehensive implementation toolkit with checklists, worksheets, care-plan templates, patient-enrollment tools, quality audits, pricing worksheets, implementation plans, competency tools, and operational dashboards.
Whether you are a nurse practitioner, nurse, physician, healthcare executive, care-management professional, consultant, or entrepreneur, this book provides a practical framework for turning a care-management concept into an organized healthcare business.
Build the infrastructure. Develop the team. Serve the patient. Scale the business.
Independently Published
979-8-1921-4773-3

