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Creating Care Management Programs
Course Overview
With nearly 6 in 10 U.S. adults having at least one chronic disease, the need for quality chronic care and proactive health care delivery is undeniable. After an overview of disease management and the Chronic Care Model, examine three care management programs and their requirements according to the Centers for Medicare & Medicaid Services.

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Course Information
Course Description
This course explores the development and implementation of care management programs designed to improve outcomes for patients with chronic conditions. Learners will examine disease management principles, the Chronic Care Model, and the role of care coordination in ambulatory practice. The course reviews Chronic Care Management (CCM), Principal Care Management (PCM), and Transitional Care Management (TCM) services, including eligibility requirements, documentation standards, patient consent, coding, billing, and reimbursement considerations. Learners will also discover how medical assistants contribute to care coordination, patient engagement, chronic disease management, and population health initiatives that support quality improvement and more efficient care delivery.

Learning Objectives
As a result of completing this course, learners will be able to:
  • Describe the purpose of disease management and care management programs in improving patient outcomes.
  • Explain the Chronic Care Model and its role in population-based chronic disease management.
  • Identify key requirements for Chronic Care Management (CCM), Principal Care Management (PCM), and Transitional Care Management (TCM) services.
  • Apply documentation, care planning, and patient engagement strategies that support coordinated care.
  • Recognize the medical assistant’s role in supporting care management services, quality improvement, and practice success.
Course Contributors
Aimee Wicker, CMA (AAMA), PCMH CCE
Content developer, "Creating Care Management Programs".
Intended Audience
This course is designed for medical assistants, CMA (AAMA) professionals, and other ambulatory care team members involved in chronic disease management, care coordination, and population health initiatives. Learners will gain practical knowledge to support patient engagement, improve continuity of care, contribute to quality improvement efforts, and assist with care management program implementation.
Retake Information
Please note that retakes for this online course require repurchase.
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Earn the Population Health Module Digital Badge
Want to earn the Population Health Module digital badge? 
Learners who’ve passed all six individual courses of the Population Health Module become eligible to purchase the final exam ($20 for AAMA members and $40 for nonmembers), which is worth 1 AAMA CEU, through an AAMA staff representative. Learners can call 800/228-2262 and speak with a Continuing Education Department representative or email ContinungEducation@aama-ntl.org to arrange for payment and access.

If the learner passes the final exam, they will have earned and will receive the Population Health Module digital badge.

Note: Learners can pass the six individual courses in any order, without a particular time frame restriction.
Summary
Availability:
On-Demand
Expires 14 days after start
Cost:
Member: $20.00
Nonmember: $30.00
CEU Offered:
2 Gen/Adm/Clin CEUs
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