We are your extension for managing complex chronic conditions, providing the high-touch, non-face-to-face care that your patients need and Medicare mandates. Our focus is on quantifiable results that benefit both the patient and your practice.

Outcome Metric	Patient Impact	Practice Benefit
Reduced Hospitalizations by 18%	Higher quality of life and better adherence to care plans.	Fewer readmissions and improved MIPS scores.
70% Patient Reported Improvement	Increased engagement and understanding of their conditions.	Stronger physician-patient relationship and loyalty.
New Revenue Stream	Continuous, coordinated care between appointments.	Monthly Medicare reimbursement without increasing in-office staff overhead.

Key Clinical Outcomes

• Proactive Monitoring & Early Intervention: Our nurses use continuous remote monitoring to detect potential crises (e.g., blood pressure spikes, glucose volatility) before they require an ER visit.
• Medication Management Support: Dedicated support to ensure adherence, reconcile prescriptions, and educate patients on potential side effects.
• Comprehensive Care Plan Integration: We create and maintain a shared, electronic care plan accessible to both your practice and the patient.

Operational Advantages for Your Practice

• Zero Administrative Burden: We handle all CCM documentation, consent forms, billing, and regulatory compliance (including the required $\ge 20$ minutes of non-face-to-face service).
• EHR Integration & Communication: Our platform integrates with major EHR systems (e.g., Epic, Cerner, AthenaHealth) for real-time data exchange and streamlined communication.
• Dedicated Practice Liaison: A specific point of contact to ensure smooth implementation and address any workflow questions.

We are not just a service, we are a dedicated, compliant extension of your care team. Our services are built to drive tangible improvements in both clinical outcomes and practice financials, with zero overhead for your staff.

Practice Benefit	Clinical Impact	Service Deliverable
New, Predictable Monthly Revenue	Maximize compliant billing for CPT Code 99490 and beyond.	We track, document, and manage the $\ge 20$ minutes of non-face-to-face service time required by CMS.
Reduced Staff Burden	Frees up your nurses and clinical staff from time-intensive administrative tasks.	Our dedicated RNs handle all patient outreach, documentation, consent collection, and care coordination calls.
Mitigated Compliance Risk	Ensures all CCM services meet strict HIPAA and CMS regulatory standards.	We guarantee audit-ready documentation and maintain industry-leading security certifications.

Your partnership with S2 Healthcare means aligning with a service provider that meets the highest standards of medical and data security governance.

Our Dedicated CCM Team

We are an extension of your staff, not a replacement. All non-face-to-face care is delivered by U.S.-based, licensed nursing professionals.

• Clinical Oversight: Guided by a Board Certified Medical Director with extensive chronic care expertise.
• Staffing Guarantee: All Care Coordinators are licensed RNs or LPNs rigorously trained in CCM protocols and specific chronic disease management.

Regulatory Guarantees & Certifications

We protect your practice from administrative and legal exposure.

HITRUST Certified: We maintain industry-leading security standards for protecting patient health information (PHI).

HIPAA Compliant: Full compliance guaranteed for all data transmission and storage.

CMS Regulatory Guarantee: Our processes are continually updated to ensure adherence to all CMS final rules for CCM and subsequent complex care codes.

Frequently Asked Questions