Comprehensive Chronic Care Management (CCM)

Empower providers to deliver coordinated, continuous care for patients with chronic conditions.

Chronic Care Management (CCM) focuses on supporting patients with two or more chronic conditions through ongoing care coordination outside of in-person visits. With Unity Care AI, providers can easily deliver CCM services — improving patient outcomes, reducing hospitalizations, and capturing CMS reimbursement.

Step 1: Patient Enrollment
Easily identify and enroll eligible patients with chronic conditions.

Step 2: Comprehensive Care Plan
Create and share personalized, electronic care plans that address patient goals and needs.

Step 3: Ongoing Engagement
Provide 20+ minutes of non-face-to-face care management per month through video calls, phone calls, secure messaging, and digital check-ins.

Step 4: Care Coordination
Document interactions, track tasks, and ensure seamless communication across providers and caregivers.

Step 5: Billing & Compliance
Capture billable time with built-in tracking and compliance support for CPT codes.