Chronic Care Management
Turn Complexity into Revenue & Better Outcomes

Deliver Smarter, Coordinated Care While Generating Predictable Monthly Revenue

Scale sustainably with a Medicare-compliant Chronic Care Management program — fully managed for your practice from start to finish
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Enrolled Patients

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Annual Revenue

Why Chronic Care Management ?

The Chronic Care Crisis

Chronic diseases like diabetes, hypertension, CHF, and COPD account for over 75% of U.S. healthcare spending. Yet millions of patients receive fragmented care, leading to hospitalizations, low medication adherence, and high costs

A Program Built for Better Care

Medicare’s Chronic Care Management program (CPT codes 99490, 99439, 99491) empowers practices to:
Support high-risk Medicare patients between visits

Deliver better health outcomes through consistent follow-up

Generate $62–$128+ per patient/month in new revenue
200 enrolled patients = $150,000–$250,000+ annually

CCM Billing Breakdown

CTPDescriptionReimb.
9949020+ mins$62/mo
99439Add 20+ mins$47/mo
9949130+ mins by MD$84/mo

CCM At a Glance:

currency-revenue-solid
$100K–$200K in net annual revenue for most clinics
Focus on 2+ chronic conditions expected to last 12+ months
15–20% boost in patient satisfaction
70% improvement in med adherence
Learn More About CCM Billing Guidelines

What We Provide: Turnkey CCM Solution

Full-Service Enrollment & Monthly Care Delivery

We take care of patient outreach, consent, onboarding, and ongoing check-ins. You stay informed — but we do the heavy lifting

Custom Care Plans for Each Patient

Personalized, diagnosis-based care plans built and updated by our clinical team of RNs and chronic care coordinators

Certified Billing & Coding

We manage all documentation, CPT coding, claims submission, and audits — ensuring compliance and maximizing reimbursement

In-House Chronic Care Educators & Dietitians

Patient education for diabetes, hypertension, COPD, CHF, obesity, and 20+ other chronic conditions

HIPAA-Secure Technology

Audit-ready logs, care notes, care plan versions, and compliance time tracking all in one place — accessible 24/7

Monthly Analytics & ROI Reporting

Track how many patients are engaged, time logged, outcomes improved — and how much revenue you’re generating every month

Read About HIPAA Compliance For PCM

Who Qualifies for CCM?

Eligible Patients:

  • Have 2+ chronic conditions expected to last 12+ months
  • Are Medicare or Medicare Advantage beneficiaries
  • Are at risk of hospitalization, decline, or complications

Ideal for Practices:

  • Focused on value-based care or ACO/QPP participation
  • Wanting to grow revenue without adding visit volume
  • Lacking internal staff to handle chronic care compliance

Proven Impact of CCM Programs

30% decrease in emergency visits

 

20%+ fewer hospitalizations

15–20% boost in patient satisfaction

70% improvement in med adherence

$100K–$200K in net annual revenue for most clinics

Backed by CMS data, AAFP studies, and performance results across our provider network

Read the AAFP CCM Evidence Summary

Why Act Now?

Chronic Care Management (CCM) is more than compliance — it’s a strategic way for doctors to improve care coordination for chronic conditions while unlocking consistent Medicare reimbursement. With CPT 99490 and 99439, a turnkey CCM program delivers measurable ROI, supports better outcomes, and helps practices thrive without added complexity

CCM Revenue Calculator

Ready to Launch Your CCM Program?

Let us handle the staffing, billing, documentation, care plans, compliance, and platform — so you can deliver better care without extra burden

Medicare-Compliant | Audit-Ready | Turnkey Setup | High ROI