The Practice
A 12-provider multi-specialty group practice including primary care, internal medicine, and endocrinology. Approximately 14,000 active patients with a Medicare-eligible population of roughly 2,400.
Practice leadership had identified Chronic Care Management (CCM) as a strategic revenue opportunity for two years but had been unable to launch it. Every internal attempt stalled on the same set of problems: who would manage time tracking? How would care plans be standardized? Who would handle the monthly billing rules across CPT 99490, 99439, 99491, and 99437?
The Challenge
1. Operational complexity. CMS CCM rules require structured care plans, time tracking to the minute, monthly check-ins, and bullet-proof documentation. The practice's EHR had limited native support; building a workflow on top would require months of customization.
2. Staffing. CCM is care-coordination work, not clinician work. The practice needed dedicated coordinators but couldn't justify hiring three FTEs for a program that hadn't yet proven revenue.
3. Patient enrollment friction. Eligibility scoring, consent collection, and care-plan establishment for a Medicare-eligible cohort of thousands felt insurmountable as a manual process.
The Engagement
Medviz proposed deploying DAWAM with a phased patient-enrollment ramp. The Services Agreement covered DAWAM software access, AI-driven enrollment outreach, and managed care-coordination support during the ramp period.
Day 1–6 (Discovery to Go-Live). BAA executed, EHR integration configured, eligibility-scoring rules tuned to the practice's patient population, and care-plan templates customized for the practice's three most common CCM-eligible conditions (Type 2 Diabetes, CHF, and Hypertension with comorbidities).
Week 2. First cohort of 50 high-eligibility patients identified by DAWAM's scoring engine. AI-driven enrollment outreach (SMS + automated voicemail) achieved a 38% consent rate within 72 hours — substantially above the practice's expected baseline of 15–20%.
Weeks 3–6. Continued cohort expansion at a sustainable pace. By week six, 320 patients were active in the CCM program, with monthly minimum time-tracking met automatically through DAWAM's interaction logging.
The Outcome
320 active patients in the CCM program by end of week six — equivalent to ~$240K in annualized Medicare CCM reimbursement at average per-patient-per-month rates.
65% reduction in care-coordination administrative time compared to the practice's projection for an in-house build, freeing the small care-coordinator team to focus on patient interaction rather than documentation and billing prep.
Six-day go-live from signed BAA — versus the 4–6 month internal-build estimate the practice had received from their EHR vendor.
Compliance posture maintained. Every patient interaction is logged with CMS-required documentation; monthly billing reports are generated automatically per CPT code with audit-ready evidence.
The practice has since expanded DAWAM into Behavioral Health Integration (BHI) and is evaluating Remote Patient Monitoring (RPM) for its CHF cohort.
"We'd been trying to launch CCM for two years and never got past the planning phase. With DAWAM we had paying patients enrolled in week two. The platform took the operational complexity off the table — we just had to focus on patient relationships."