
Chronic Care Management (CCM) & Remote Patient Monitoring (RPM)
At MFM Health, we go beyond office visits to support patients managing chronic conditions. Our Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) services ensure you receive the continuous care you need, all from the comfort of your home. These services are designed to enhance your overall health by providing regular support, proactive monitoring, and seamless communication with your healthcare team.
Speak with your provider to see if these services might be beneficial for you.

What is Chronic Care Management (CCM)?
Chronic Care Management is a Medicare-reimbursed service for patients managing two or more chronic conditions, such as:
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Diabetes
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Hypertension
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Heart Disease
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COPD
At MFM Health, our team helps you navigate your care with monthly check-ins, medication management, care plan development, and communication between specialists. CCM is like having a healthcare advocate dedicated to keeping your treatment plan on track and personalized for your needs.
ELIGIBILITY
Requires two or more chronic conditions lasting at least 12 months or longer.

What is Remote Patient Monitoring (RPM)?
Remote Patient Monitoring uses advanced, FDA-approved devices to track key health metrics such as:
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Blood Pressure
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Blood Glucose Levels
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Weight
These devices transmit your data directly to your healthcare provider, allowing for real-time insights and early detection of potential issues. RPM ensures you receive timely adjustments to your care plan, reducing the risk of complications or hospitalizations.
ELIGIBILITY
Available to patients needing regular monitoring of specific health metrics due to chronic conditions.
Continuous Support
Stay connected with a dedicated care coordinator who tracks your health progress between visits.
Comprehensive Care
Your care is seamlessly coordinated between your primary care provider and specialists.
Improved Outcomes
Proactive monitoring detects changes early, preventing emergencies.
Convenience
Access care remotely without leaving home—our team is just a call away.