How EHR Software Empowers Providers to Improve Chronic Care Management

The Complexities of Chronic Care Management

Managing chronic conditions goes beyond regular checkups. With illnesses like diabetes, heart disease, and COPD, care needs to be consistent, coordinated, and personalized. That’s the goal of chronic care management (CCM)—supporting patients between visits to keep their health on track. With the growing emphasis on interoperability in healthcare, seamless data sharing between providers plays a crucial role in delivering that level of connected, long-term care. 

However, CCM also comes with its unique set of challenges. Providers encounter various moving parts each day, including:

• Coordinating long-term care: CCM involves managing multiple specialists, appointments, lab results, and transitions in care, all without letting anything slip through the cracks.

• Keeping patients engaged: Helping patients understand their condition, stay motivated, and take an active role in their health isn’t always easy.

• Staying on top of follow-ups: Frequent check-ins, remote monitoring, and adjusting care plans require time and often involve more staff than you have.

• Encouraging medication adherence: From forgetfulness to cost concerns, getting patients to stick to their prescriptions can be a daily challenge.



• Meeting documentation and reporting requirements: Medicare CCM programs come with strict billing guidelines and compliance checklists that entail hours of administrative tasks.

These tasks add up fast. Without the right chronic care management platform, they can take time, energy, and your attention away from patient care. That’s where IMS steps in to lighten the load. 

Key IMS Features That Supercharge Chronic Care

Chronic care demands consistency, coordination, and clarity. IMS delivers all three on a robust EHR software platform, purpose-built to support long-term care. It helps you stay on top of every detail so your patients get the attention they need, every step of the way. 

From optimizing workflows to improving patient engagement, these powerful IMS features strengthen every part of your chronic care management process:

Comprehensive Patient History Tracking

Understanding each patient’s full health picture is key to delivering truly personalized care. With IMS, you can easily track vitals, lab results, medications, and long-term trends—giving you the insights needed to tailor treatment to every individual. 

Personalized Care Plan Management

Once you have a clear understanding of the patient’s condition, IMS helps you turn that insight into customized care planning. Build CMS-compliant care plans that evolve with your patients’ needs. Update and share treatment plan details across your care team and involve patients with built-in patient engagement tools throughout each touchpoint of their treatment. 

Patient Engagement and Communication Tools

Keep patients in the loop with the help of IMS Care and its patient portal software feature. Patients can view care plans, request refills, upload documents, manage billing, and access educational materials at any time, from anywhere.

Task and Follow-Up Management

No more missed steps. IMS keeps your team on track with automated alerts for follow-ups, lab work, screenings, and other critical tasks, ensuring every patient stays on schedule and receives the consistent, well-coordinated care they deserve.

Real-Time RPM Data Integration

Connect seamlessly with remote patient monitoring (RPM) devices to bring vital metrics, such as blood pressure or glucose levels, directly into the patient’s chart. Access real-time data that supports more informed decisions and stronger, continuous care. 

Automated Billing, Compliance, and Reporting

Simplify your revenue cycle management with automated superbill creation, CMS-1500 claims processing, and built-in support for CCM billing codes. IMS also handles MIPS, HEDIS, and UDS reporting to help you stay compliant and audit-ready.

Flexible and Interoperable Platform

Whether you prefer cloud-based or on-premise deployment, IMS adapts to your workflow. It connects seamlessly with labs, pharmacies, imaging centers, and a wide range of external healthcare systems via HL7, FHIR, and SSO standards.

The Future of Chronic Care

Chronic care is evolving fast, and Meditab is leading the charge. IMS is built to meet today’s demands and prepare your practice for what’s next, from AI-driven tools to scalable, population-based care strategies. 

Here’s what Meditab brings to take you to the future of chronic care:

• AI-Powered Decision Support: IMS is advancing predictive tools to identify risks early, guide interventions, and improve outcomes through real-time insights.

• Built-In Support for Value-Based Care: With MIPS tracking and population health dashboards, IMS helps you meet quality goals while delivering better, more coordinated care.

• Scalable Solutions for Any Practice: Whether you’re a solo provider or a growing multi-site clinic, IMS adapts to your workflow, specialty, and chronic care needs.

Empowering Providers, Enabling Better Outcomes

Caring for patients with chronic conditions doesn’t have to slow down your practice. With an EHR designed for flexibility, automation, and patient engagement, you can turn complex routines into opportunities for better care. Meditab’s IMS is a robust chronic care management platform that simplifies your workflow, strengthens patient outcomes, and keeps you ahead of the demands of long-term care.

Whether you're aiming to streamline coordination, stay compliant, or reduce the burden of ongoing care, IMS is built to support you every step of the way. It’s a platform that grows with your practice and your patients.

Adopt the EHR Built for Long-Term Care Success

Frequently Asked Questions