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Understanding Chronic Care Management & AI in Healthcare

Research-driven content on care models, digital health, and what’s new at Clinii.

All AI in Healthcare Care Programs Compliance Medicare Uncategorized
A smiling nurse in blue scrubs with a stethoscope around her neck uses a digital tablet in a brightly lit hospital setting, while the text on the left reads “PCM vs. CCM: A Visual Overview” in bold white letters over a purple overlay, with the Clinii logo in the top right corner. A smiling nurse in blue scrubs with a stethoscope around her neck uses a digital tablet in a brightly lit hospital setting, while the text on the left reads “PCM vs. CCM: A Visual Overview” in bold white letters over a purple overlay, with the Clinii logo in the top right corner. 13 June 2025 - 2 min read - Michelle Ranken

PCM vs. CCM: A Visual Overview

Principal Care Management (PCM) and Chronic Care Management (CCM) are essential Medicare Part B services designed to support patients with chronic conditions. Though similar in purpose, these care models differ in ways that can significantly affect provider reimbursement. This article uses a concise comparison chart to highlight key distinctions and help healthcare professionals navigate billing more effectively.

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Image with the text "Who qualifies for chronic care management?" displayed in bold white font over a purple transparent overlay. In the background, a healthcare provider sits at a desk with a stethoscope and clipboard, speaking with a patient whose hands are folded. A laptop and a small office organizer are also visible on the desk. Clinii logo is in the top right corner. Image with the text "Who qualifies for chronic care management?" displayed in bold white font over a purple transparent overlay. In the background, a healthcare provider sits at a desk with a stethoscope and clipboard, speaking with a patient whose hands are folded. A laptop and a small office organizer are also visible on the desk. Clinii logo is in the top right corner. 03 June 2025 - 3 min read - Michelle Ranken

Who Qualifies for Chronic Care Management?

Chronic Care Management (CCM) plays an increasingly vital role in US healthcare, yet many providers still struggle to determine patient eligibility. With complex guidelines from the Centers for Medicare and Medicaid Services (CMS), it’s no surprise that confusion persists. This article breaks down the CMS criteria to help medical practices confidently identify which patients qualify for CCM services.

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Close-up of a person in a yellow shirt taking prescription pills at a table, illustrating the difference between non-complex and complex Chronic Care Management (CCM). Close-up of a person in a yellow shirt taking prescription pills at a table, illustrating the difference between non-complex and complex Chronic Care Management (CCM). 21 May 2025 - 4 min read - Michelle Ranken

Non-Complex vs. Complex Chronic Care Management: What’s the Difference?

Chronic Care Management (CCM) is a critical component of primary care that offers substantial benefits for Medicare patients and healthcare providers. However, navigating the nuances of CCM billing—especially distinguishing between non-complex and complex categories—can be challenging.

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Doctor using virtual hologram of human anatomy with overlay text asking if AI can save the American healthcare system – exploring artificial intelligence in medical care. Doctor using virtual hologram of human anatomy with overlay text asking if AI can save the American healthcare system – exploring artificial intelligence in medical care. 06 May 2025 - 4 min read - Michelle Ranken

Can AI Save the Dying American Healthcare System?

More than 130 million Americans rely on the healthcare system for chronic condition management, yet growing concerns over physician burnout and an uncertain future cast a shadow over its sustainability. This article explores the urgent need for reform and what can be done to rescue an overwhelmed system.

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