Chronic Care ManagementServices
Comprehensive chronic care management billing and coding services. Expert CCM services to help practices maximize reimbursements for chronic care management.
Chronic Care Management (CCM) is a Medicare program that reimburses providers for non-face-to-face care coordination services for patients with two or more chronic conditions. Despite covering millions of eligible Medicare beneficiaries, most practices leave CCM reimbursement unclaimed due to billing complexity. MedSure helps you launch, bill, and optimize your CCM program to generate significant new monthly revenue from patients you're already seeing.
Chronic Care Management Solutions
Specialized chronic care management services designed to streamline your workflow.
Key Features
- CCM code selection and validation
- CCM billing and claim submission
- Compliance with CCM requirements
- CCM documentation review
- CCM patient eligibility verification
- CCM reporting and analytics
Benefits
- Maximized CCM reimbursements
- Compliance with all CCM requirements
- Expert CCM coding and billing
- Comprehensive CCM support
- Improved patient care coordination
- 24/7 CCM billing support
How It Works
Our proven process delivers results for your practice.
Patient Eligibility Identification
We analyze your patient panel to identify Medicare beneficiaries with two or more chronic conditions who qualify for CCM. We screen for common qualifying conditions: diabetes, heart disease, COPD, hypertension, depression, and other chronic diagnoses documented in your EHR.
Patient Consent & Enrollment
We coordinate patient outreach and consent documentation. Medicare requires written consent before billing CCM — we prepare consent forms and document the required CCM care plan elements in your EHR or our platform.
Time Tracking & Documentation
CCM billing requires 20 minutes of non-face-to-face care coordination per month per patient. We track time logs, document care coordination activities, and ensure every billed minute meets CMS documentation requirements for audit protection.
Monthly Billing & Revenue Reporting
We bill CPT 99490, 99491, 99487, and 99489 as appropriate each month based on documented time. Monthly reports show enrolled patients, time logged, codes billed, and revenue generated — giving you full visibility into your CCM program performance.
Frequently Asked Questions
Get answers about our Chronic Care Management services.
What CPT codes are used for CCM billing?
The primary CCM codes are CPT 99490 (20-59 minutes/month, non-complex) and 99491 (30+ minutes with physician involvement). For complex CCM (60+ minutes), CPT 99487 is used with CPT 99489 for each additional 30 minutes. We select the appropriate code based on documented time each month.
How much revenue can CCM generate for my practice?
Revenue depends on panel size and enrollment rate. The national average CCM reimbursement is $42-$62 per patient per month under Medicare. A practice with 100 enrolled CCM patients can generate $4,200-$6,200 in additional monthly revenue — approximately $50,000-$75,000 annually.
What chronic conditions qualify for CCM?
Medicare defines a chronic condition as one expected to last at least 12 months or until death. Common qualifying conditions include diabetes, hypertension, heart failure, COPD, coronary artery disease, depression, osteoporosis, and asthma. Patients must have two or more qualifying conditions.
Do we need special software to participate in CCM?
MedSure can work with your existing EHR system to document CCM activities, or we can provide a standalone CCM platform. The key requirement is the ability to document and timestamp non-face-to-face care coordination activities. We handle the setup and integration.
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