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Updated: Apr 11, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Chronic care coordination.

Steve G Peters¹, Kari S Bunkers²

¹Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Mayo Foundation for Medical Education and Research, Rochester, MN.

|June 5, 2015

Summary

This summary is machine-generated.

Chronic care management (CCM) involves coordinating care for patients with multiple chronic conditions, extending beyond office visits. New monthly codes in 2015 recognize CCM

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Last Updated: Apr 11, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Area of Science:

Health Services Research
Primary Care Medicine
Geriatric Medicine

Background:

Chronic conditions are a leading cause of morbidity and mortality.
Managing multiple chronic conditions requires coordinated, multidisciplinary care.
Traditional healthcare models often fail to adequately address the complexities of chronic illness.

Purpose of the Study:

To describe the scope and importance of chronic care management (CCM).
To highlight the introduction of new CCM codes for 2015.
To emphasize the applicability of CCM to both primary care and specialist providers.

Main Methods:

Review of existing literature and healthcare policy regarding chronic care.
Analysis of new Current Procedural Terminology (CPT) codes for CCM services introduced in 2015.
Discussion of the components of comprehensive CCM, including care coordination, patient education, and health information exchange.

Main Results:

New CPT codes for 2015 facilitate reimbursement for CCM services provided monthly.
CCM services encompass care coordination, patient education, and communication among providers.
These services are crucial for patients with two or more chronic conditions.

Conclusions:

Chronic care management is essential for improving outcomes in patients with multiple chronic conditions.
The new 2015 CCM codes support the delivery of coordinated, multidisciplinary care.
Both primary care physicians and specialists play vital roles in effective CCM.