Job Description
Enrollment Criteria:
2 Chronic Conditions
Appointment within the past 12 months
Medicare Insurance Primary
Once Eligibility has been verified:
Introduce yourself to the patient and verify your are speaking to the correct patient.
Verify Date of Birth
Describe the reason you are calling as I’m calling to tell you about the Chronic Care Management program which a program offered by Medicare Part B. This program will help fill the gaps between your appointments and be a resource for your if you have any medical needs. The program can only be provided by one provider each month and is optional so you can opt out at any time. There is cost-share associated with the program but we expect your Medicare insurance to help cover that cost.
Make sure you discuss Medicare Part B, optional, one provider and cost-share.
Patient Name: Jane Doe
Date of Birth: 01/15/1957 (Age 66)
Primary Insurance: Medicare Part B
Secondary Insurance: Aetna
Last Office Visit: 10/20/2025
Chief Complaint: Routine follow-up and evaluation of current health conditions.
History of Present Illness:
Mrs. Doe is a 66-year-old female presenting for a routine follow-up. She reports intermittent shortness of breath and occasional chest discomfort over the past week. She also mentions mild lower back pain since last night and has had a low-grade fever since yesterday.
Acute Conditions:
Acute bronchitis
Urinary tract infection
Low back strain
Chronic Conditions:
Hypertension
Type 2 diabetes mellitus
Hyperlipidemia
Osteoarthritis, bilateral knees
Medications:
Lisinopril 20 mg daily
Metformin 1000 mg twice daily
Atorvastatin 20 mg nightly
Acetaminophen 500 mg as needed
Allergies: NKDA
Vital Signs:
BP: 138/82 mmHg
HR: 78 bpm
RR: 18
Temp: 99.1°F
SpO2: 96%
Physical Exam:
General: Alert, in no acute distress
Lungs: Mild wheezing bilaterally
Heart: Regular rate and rhythm, no murmurs
Abdomen: Soft, non-tender
Musculoskeletal: Mild tenderness in lower back, knees with crepitus
Assessment:
Acute bronchitis
Urinary tract infection
Low back strain
Hypertension, well-controlled
Type 2 diabetes mellitus
Hyperlipidemia
Osteoarthritis, bilateral knees
Plan:
Treat acute bronchitis with supportive care
Start antibiotics for UTI (per culture results)
Recommend NSAIDs and rest for low back strain
Continue current medications for chronic conditions
Encourage lifestyle modifications: low-sodium diet, exercise as tolerated
Follow-up in 2 weeks or sooner if symptoms worsen
Monitor labs for diabetes and hyperlipidemia at next visit
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