Quick Answers

Chronic Care Management (CCM) is a CMS-recognized way to pay for structured, non-visit-based management of patients with multiple chronic conditions. A nurse-led team makes proactive, monthly contacts, coordinates across settings, maintains a longitudinal care plan, and documents time spent in your EMR so a supervising provider can bill the appropriate CCM codes.

Typically, adults with two or more chronic conditions expected to last at least 12 months (or until death) and that place the patient at significant risk of death, acute exacerbation, or functional decline. CMS and payer guidance can change, so we rely on your eligibility rules and compliance team, and we make sure consent and care plans are documented in the chart before CCM work begins.

We enroll eligible patients on blood pressure cuffs, glucometers, scales, or other devices; LOGIC's team reviews incoming data daily, triages alerts, contacts patients when thresholds are crossed, and escalates issues to your clinicians inside the EMR. Each interaction is documented and time-tracked so your team can bill the appropriate RPM codes where coverage exists.

We work with cellular and Bluetooth devices commonly used for hypertension, diabetes, heart failure, and COPD programs. In many rural and older populations we prefer cellular devices to avoid Wi-Fi and smartphone barriers, but we can support Bluetooth workflows where appropriate. Device logistics and replacement processes are built into the operating model so clinics are not shipping boxes on their own.

Yes. A core part of LOGIC's model is that we operate inside your EMR rather than in a separate portal. We work with your IT and compliance teams to configure user roles, templates, care-plan formats, time-tracking fields, and queues so that all care-management work, communication, and supervision lives in the medical record you already use.

LOGIC operates as a clinical extension team under your general supervision: your providers oversee care; our nurses and navigators execute the day-to-day workflows. They handle outreach, symptom checks, vitals review, education, and coordination, always documenting in your EMR and escalating to your clinicians when clinical judgment or orders are needed.

Most CCM and RPM work is done under general supervision, but the exact requirements vary by program, state, and payer. We design workflows so that physicians and APPs retain control of diagnoses, treatment plans, and key decisions, and we route summaries and escalations to them in the EMR. Your medical leadership and compliance teams define the supervision model; we implement it in daily operations.

Every call, message, and review is logged in your EMR using structured fields that capture who did the work, what program it belongs to, and how many minutes were spent. We maintain per-patient, per-program monthly time tallies and provide reports so your coders can see a clear audit trail behind CCM, RPM, and related claims.

Often, no. For many populations—especially older adults and rural patients—we lean on cellular devices that transmit data without smartphones or Wi-Fi. Where apps or portals make sense, we keep them optional and provide clear onboarding support. The goal is to design RPM cohorts around how your patients actually live, not around idealized technology adoption.

We start from EMR-driven eligibility lists based on diagnoses, utilization, and payer mix, then perform outreach to explain the program, answer questions, and obtain consent in the format your compliance team requires. Enrollment, consent, and baseline care-plan information are documented in your EMR before ongoing monitoring or monthly CCM work begins.

Most organizations can move from design to a focused pilot cohort in a matter of weeks, with broader scale-up over the following one to two quarters depending on EMR complexity, number of sites, and internal approvals. We prioritize a small, high-yield cohort first so you can see operational fit and early ROI before expanding panels and programs.

We work with smaller independent groups, MSOs, and rural organizations, but economics improve as enrollment grows. Part of our scoping process is to model likely enrollment by site and payer mix so you can see where a program is clearly net-positive, where it is marginal, and where we may recommend waiting or starting with a narrower cohort.

LOGIC provides care-management services and operational support; we do not own or operate professional entities or make medical decisions. Your employed or contracted clinicians retain control over diagnoses, treatment plans, and orders, and our team works under their supervision using protocols you approve. Commercial terms are structured to reflect fair-market value for services actually provided, not to purchase or influence clinical judgment. Your own regulatory counsel remains the final authority on CPOM structure in your state—nothing here is legal advice.

Many care-management codes are limited so that generally only one billing practitioner can bill a given program (such as CCM or RPM) for a patient in a calendar month. We set up attribution and workflows so that the responsible practitioner is clear in the EMR and our work is documented under that supervising provider. If there are conflicts with other vendors or internal teams, we surface them so your revenue cycle and compliance teams can decide how to proceed. Specific rules vary by code and payer, so your internal experts remain the source of truth.

For RHCs and FQHCs, care-management billing rules have evolved over time and continue to change. LOGIC tracks outreach, time, and care-plan activity at the patient level inside your EMR, then produces billing-ready summaries aligned to current CMS and MAC guidance for RHCs and FQHCs. We do not alter your cost reporting, sliding-fee, or HRSA program policies; your internal billing and compliance teams retain final authority on how services are billed under applicable rules.

For patients enrolled in both RPM and CCM, we document each interaction with structured fields that indicate which program it belongs to—device data review and outreach under RPM, broader care-plan and coordination work under CCM. Monthly time tallies are maintained separately for each program so minutes are not double-counted, and your coders have a clear breakdown if payers or auditors ask how time was allocated.

We work as if we were an extension of your own care-management team: users are provisioned in your EMR with least-privilege roles approved by your IT, privacy, and compliance leaders. Typically that includes access to care-management queues, problem lists, labs, medications, and messaging—but not broad configuration or unrestricted billing authority. All activity is attributable to named LOGIC users in the audit log so supervising providers and compliance can see exactly what was done and by whom.

Our CCM and RPM solution pages go deeper into cohort design, workflows, compliance considerations, and ROI modeling, and our blog covers topics like CPOM, G0511 in RHC/FQHC settings, documentation patterns, and value-based care readiness. You can also request a working session with a program architect to discuss how these programs would look inside your specific EMR and contracts.