01
Purpose-built for chronic care management
Structured CCM workflows from care plan assignment to long-term follow-up, built for chronic patient populations, not adapted from acute care tools.
Chronic Care Management
Care plan tracking, patient monitoring, follow-up coordination, and care team communication, managed in one place across your entire chronic condition patient population.
Key features
Everything you need to run analytics attribution on a single platform.
02
CCM-compliant by design
Billable minute tracking, care plan documentation standards, and CPT code validation, built into every CCM workflow. Audit-ready by default.
03
CCM population visibility
Live CCM dashboard showing care plan status, monthly minute tracking, engagement history, and follow-up schedule for every enrolled patient.
04
Care plan templates for every chronic condition
Pre-built CMS-compliant care plan templates for diabetes, CHF, COPD, hypertension, and 10+ chronic conditions. Assign, personalize, and activate without building from scratch.
05
Ongoing patient engagement, automated
Automated patient outreach based on care plan schedules, monthly check-ins, medication reminders, and follow-up prompts sent without manual coordinator initiation.
06
CCM-specialist support
Dedicated support from CCM-experienced specialists, care plan compliance, CMS billing, coordinator workflow, and program scaling, not a general helpdesk.
How it works
A structured path from your current chronic care setup to one that runs consistently at scale.
1
Discovery
Your specialist reviews current patient enrollment, care plan structures, coordinator workflows, and CMS billing setup. Typically one to two weeks before configuration begins.
2
Configure
Care plan templates configured by condition. CMS billing rules set up. Patient enrollment workflow built. Automated outreach schedules active. EHR integration tested.
3
Train + go live
Care coordinators trained on the fully configured program. Patient enrollment begins. Specialist monitors enrollment, engagement, and billing compliance for the first 90 days.
What CCM programs report after switching
Reported outcomes from healthcare organizations running eCareAssist Chronic Care Management.
-64%
Missed patient follow-ups per month
Reported within 90 days of go-live
99.99%
Platform uptime
Patient outreach and dashboards — always on
30 days
From setup to first enrolled patient
Care plans, billing rules, coordinators trained
CMS
Billing expertise on staff
Not a general helpdesk
Frequently asked questions about Chronic Care Management on eCareAssist
The questions we hear most from CCM coordinators and program administrators.
eCareAssist is purpose-built for CCM condition-specific care plans, CMS billing compliance, automated patient outreach, and population-level coordinator dashboards. Not a general care management tool adapted to fit.
Your EHR records the care. eCareAssist coordinates it. The two work together, eCareAssist handles automated patient outreach, care plan progression, coordinator task management, and CMS billing documentation, while syncing visit data and care records back to your EHR through pre-built integrations.
CCM implementation takes 30 days for most practices: program discovery, care plan configuration, EHR integration, CMS compliance setup, and coordinator training. A dedicated CCM specialist manages every stage. You'll have a confirmed go-live date before implementation begins.
Programs running on eCareAssist typically report reduced follow-up gaps, higher care plan completion rates, improved patient engagement, and better CMS billing documentation accuracy, all within the first 60–90 days. Results vary by program size and chronic condition mix.
CCM programs generate sensitive patient data at every touchpoint — care plans, outreach records, health monitoring, and billing documentation. eCareAssist protects all of it to HIPAA standards: encrypted, role-controlled, and audit-logged. SOC 2 Type II + HITRUST CSF certified.
CMS CCM billing requires documented care plans, tracked monthly minutes, patient consent on file, and CPT code-specific documentation standards. eCareAssist builds all of that into the care coordination workflow, so billing documentation is accurate and complete as a byproduct of how your coordinators manage patients, not a separate administrative task.
See What Changes in Your Chronic Care Program when Coordination Stops Being Manual
A 30-minute walkthrough with a CCM specialist, your patient population, your care plan structure, your billing requirements. We show exactly where eCareAssist fits and what the program launch involves.