Chronic Care Management

Chronic Care Management (CCM) is the active coordination of care and services completed outside of regular patient visits on patients with multiple (2 or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation or decompensation, or functional decline.

Medicare (CMS) recognizes CCM as one of the critical components of primary care that contributes to better health and care for individuals, as well as reduced overall healthcare spending. CCM enhances patients’ access to qualified health care professionals and clinical staff working on their behalf.

Medicare Chronic Care Management Service Provider

Chronic illness is on the rise and is not going away anytime soon! As per 2020 CMS data,

  • 22 M over 22 Million Medicare patients are eligible for the CCM program
  • 4 in 10 4 in 10 adults in the US have a chronic disease
  • 2 in 3 2 in 3 Medicare beneficiaries have 2 or more chronic conditions
  • 83.4 M By 2030, patients with 3 or more chronic diseases will nearly triple to 83.4 Million

How do Patients Benefit from CCM?

Medicare CCM services are typically non-face-to-face and ensure a higher level of care coordination. Patients with two or more chronic medical conditions and above the age of 65 can stay connected through telephone, web, or mobile applications with their care providers for regular monitoring and in case of emergencies.

Such coordinated care improves their overall wellbeing and reduces readmission rates and ER visits. For patients who are both Medicare and Medicaid eligible, there is no copay or fee.

Medicare Chronic Care Management Service Provider

How It Works

Chronic Care Management (CCM) program by CMS is more extensive than what is typically involved in a doctor or NP visit. CCM includes a structured recording of patient health information, maintaining a comprehensive electronic care plan month to month, managing transitions of care and other care management services, and coordinating and sharing patient health information timely within and outside the facility and practice.

  • Medicare Chronic Care Management Program 1 Identify Eligible Patients
  • Medicare Chronic Care Management Services 2 Consent and Enroll
  • CMS Chronic Care Management Program 3 Create Care Plans
  • CMS Chronic Care Management Services 4 Provide Service
  • Medicare CMS Chronic Care Management Program 5 Track Time
  • Care Coordination Services for Medicare Chronic Care Management Program 6 Reporting and Billing

Benefits of Medicare CCM Program

  • Medicare CCM Program

    Engage patients in between office visits

  • Medicare CCM Services

    Increases ease of access to care and wellness resources

  • CMS Medicare CCM Program

    Frees up providers to focus on in-office encounters

  • Medicare CCM Care Programs

    Improved patient experience, satisfaction, and outcomes

  • CMS CCM Program

    Reduced overall healthcare cost

  • Vendor for Medicare CCM Service

    Increased reimbursements and MIPS scores

Challenges in Delivering Chronic Care Management

Nearly 70% of the 67.7 million Medicare patients in 2020 are challenged with two or more chronic conditions. However, most healthcare providers don’t have the capacity or infrastructure to give them the help and attention they need on a monthly basis.

Most providers acknowledge one or more of these issues when it comes to patient engagement during chronic disease management.

  • Inability to track patient’s health progress after office visits
  • Lack of patient compliance and consistent follow-up
  • Poor treatment compliance and medication adherence at home
  • No financial leverages for time spent with patient outside an office

LevelUp Chronic Care Management Services

Seamlessly implement the Medicare Chronic Care Management Program for your practice. Our team of skilled experts can assist in developing a simple implementation plan suitable for your practice needs with no setup fees or additional costs.

  • Secure Online Web Portal for Medicare CCM Program

    Secure Online Web Portal The providers will have access to their own secure and HIPAA-compliant web portal.

  • Simple Setup and Configuration for Medicare CCM Program

    Simple Setup and Configuration​ Our hassle-free setup does not involve any complex installations. You can be up and running in just 48 hours!

  • Accelerated Patient Enrollment for Medicare CCM Program

    Accelerated Patient Enrollment Our specialized enrollment team will contact patients, educating and enrolling those who consent.

  • CMS Audit Documentation for Medicare CCM Program

    Documentation for CMS Audits We mitigate the risks of CMS audits with meticulous time tracking, documentation, and reporting.

  • CMS Guidelines for Medicare CCM Program

    CMS Guideline Changes We are flexible enough to accommodate the CMS changes and additional CPT codes based on the practice needs.

  • Data Analytics & Reports for Medicare CCM Program

    Data Analytics & Reports Our provider dashboard offers customizable reports and insights, helping you make informed decisions.

Medicare CCM Reimbursement Codes

The billing practitioner must be a physician or a qualified health care practitioner (QHCP). FQHCs and RHCs may bill for the CCM services under the G0511 care management code.

CPT Code Average Reimbursement / Month Minimum Service Time / Month
99490 $42.80 / patient 20 min
99490 + 99439 (99439 for additional 20 mins) $79.40 / patient 40 Min
99490 + 2*(99439) $118.01 / Patient 60 Min
99487 $93 / patient 60 Min
99487 + 99489 (99489 for additional 30 mins) $140 / patient 90 Min


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