Simplifying Chronic Care Management for your practice

myDMR Chronic Care Management


myDMR CCM is a cloud-based, end-to-end CCM service that streamlines your workflow — from enrollment through to billing — allowing your staff to proactively improve the health outcomes of chronically-ill patients while increasing the revenue of your practice.

Our software uses encrypted communications and clinical document repository to empower patients to grant other healthcare providers access to their clinical information, such as when travelling, after clinic hours or during a transition of care. 

myDMR provides the following capabilities:

Care Coordination


  • Create, review and update a patient’s comprehensive care plan
  • Leverage built-in task management tools:  customize default tasks, create new ones and set recurring reminders for routine tasks
  • Automatically log the time spent on non-face-to-face tasks, and manually capture ad-hoc tasks when needed
  • View high-level info in patient dashboard and quickly identify patients needing added care in the current month
  • Customize user functions based on role (care manager, billing provider, etc.)

CCM Eligibility


  • Automatically identify which patients are eligible for CCM
  • Track each patient’s enrollment status (qualified, enrolled, declined, etc.)



  • Easily submit a patient’s monthly billing report to your EMR
  • Retain records for potential CMS audit

After Hours Support


  • Print a wallet card at the clinic for CCM-enrolled patients
  • The wallet card provides directions for a clinician (e.g. in Emergency Department) to view the patient’s summary care record (CCD) in myDMR

Patient Engagement

  • Empower patients with online access to their care plan and summary care record (CCD)

Improved quality of life for your patients, enhanced sustainability for your practice

Ready to see how myDMR can benefit your practice?