ARMG CCM Partnership Flyer
A
Ambiance Regional Medical Group
Southern Maryland · NP-Led Multispecialty Practice
Medicare Credentialed

Chronic Care Management —
A Critically Underutilized Medicare Benefit
Your Patients Already Qualify For

A no-cost collaborative program that helps reduce hospitalizations, improve chronic disease outcomes, and support the complex patients you serve — without disrupting their existing care relationships.

⚠

Fewer than 5% of eligible Medicare patients are currently enrolled in CCM — despite its proven impact on reducing avoidable hospitalizations and ER visits. The patients in your care deserve this benefit now.

```

What Is Chronic Care Management?

CCM is a covered Medicare Part B benefit providing structured monthly clinical support for patients with two or more chronic conditions. It fills the critical gap between office visits — coordinating care, managing medications, and keeping patients out of the hospital.

Each Enrolled Patient Receives
  • Monthly clinical check-ins by phone or telehealth
  • Comprehensive, updated electronic care plan
  • Medication management & reconciliation
  • Specialist coordination & referral tracking
  • 24/7 access to an ARMG care team member
  • Community resource navigation & health education
Facilities & Settings We Partner With
🏥
Hospital Systems
Warm handoffs for complex Medicare patients at discharge.
🩺
Skilled Nursing Facilities
CCM coordination for patients transitioning back to the community.
🏡
Assisted Living Facilities
Residents with Medicare and multiple chronic conditions are ideal candidates.
🌳
Independent Living
Proactive enrollment keeps residents healthier and reduces care escalations.
👥
Senior Centers
Community-dwelling seniors are among the most underenrolled nationally.
🏠
Group Homes
Residents with cognitive or physical disabilities on Medicare qualify.
🌐
Healthcare Networks
We integrate with existing care coordination teams across health systems.
🛋
Homebound Patients
Telehealth and in-home options for patients unable to travel to a clinic.
What Your Team Needs to Know
Patients Keep Their Own Doctor
CCM enrollment does not require patients to leave their primary care provider. ARMG functions as a collaborative care partner — supplementing, not replacing, their existing physician relationship.
Zero Cost to Your Facility
There is no cost to your organization. CCM is billed directly to Medicare Part B. Patients with supplemental coverage typically pay nothing out of pocket.
Proven Reduction in Hospitalizations
CCM has been shown to reduce avoidable hospitalizations and ER utilization among chronically ill Medicare patients — directly impacting quality metrics that matter to your facility.
We Are Your Collaborative Partner
ARMG functions as an extension of your care team. We coordinate with your staff, keep case managers informed, and support the patients already in your care — at no burden to your team.
Patients Qualify With 2 or More of These Conditions
Diabetes Hypertension Heart Failure COPD / Asthma Chronic Kidney Disease Coronary Artery Disease Depression / Anxiety Obesity Obstructive Sleep Apnea Hyperlipidemia Alzheimer's / Dementia Parkinson's Disease Stroke / TIA History Atrial Fibrillation Peripheral Vascular Disease

Let's Start a Conversation

If you are a case manager, social worker, discharge planner, or health administrator, we want to be your go-to referral partner for chronic care. Request a 15-minute intro call — we'll come to you.

📠 Ready to refer? Fax completed patient consent forms directly to (877) 349-7840 — we handle the rest.

📞
Phone
301-471-8846
📠
Fax Consent Forms To
(877) 349-7840
✉
Email
dpc@ambiancehealth.com
🌐
Website
www.ambiance-health.com
```
Ambiance Regional Medical Group
Medicare Credentialed · Medicaid · SBA WOSB Certified · SAM.gov Registered