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Chronic Care Management (CCM) A Complete Guide

A professional women tell the person about the medicare chronic care management.

What is Chronic Care Management (CCM)?

Chronic Care Management (CCM) is important in improving healthcare for patients with long-term conditions. Medicare recognizes CCM services as essential in reducing healthcare costs while ensuring better patient care.

  • 24/7 care coordination (outside office visits)
  • Personalized care plans
  • Monthly check-ins (medication reviews, health monitoring)
  • Emergency provider access

Goal: Reduce hospitalizations, improve adherence, and lower healthcare costs.

Who Qualifies for CCM?

Eligible Conditions (Must Have 2+)

  • Diabetes
  • Hypertension
  • Heart disease (CHF, CAD)
  • COPD/Asthma
  • Arthritis
  • Depression/Anxiety
  • Chronic kidney disease

Patient Requirements

  • Enrolled in Medicare Part B (or Medicaid in some states)
  • Conditions expected to last ≥12 months
  • Consent to enroll in CCM (opt-out available).

Medicare Coverage & Costs

CPT Codes & Reimbursement (Rates)

CPT Code

Service

Time

Medicare Payment

Patient Cost (20% coinsurance)

99490

Basic CCM

20+ mins/month

~$62

~$12.40

99487

Complex CCM

60+ mins/month

~$134

~$26.80

99489

Additional 30 mins

Extra time

~$62

~$12.40

Note: No deductible for CCM under Medicare’s Annual Wellness Visit benefit.

About Us

Our goal is to streamline your healthcare revenue cycle management, give you the financial freedom your practice deserves, and take control with a partner specializing in provider RCM optimization and services excellence. 

Our Services

Company Info

Access essential company data with a simple click through the 'Download Company Info' feature.

Let's Talk

+1 (917) 994-9941

3811 Ditmars Blvd# 1124,

Astoria, NY 11105

Top CCM Providers & Software

Best CCM Companies

  • CareHarmony (care coordination)
  • Lightbeam Health (population health)
  • Cognify (AI-driven analytics)

Top CCM Software

  • Athenahealth (EHR integration)
  • Epic Care Management (hospital systems)
  • NextGen Healthcare (small practices)

Best Practices for CCM Billing

To ensure accurate reimbursement and compliance with Medicare guidelines, healthcare providers should:

  • Maintain detailed documentation of all CCM activities, including patient communications, medication adjustments, and care coordination efforts.
  • Establish comprehensive care plans tailored to each patient’s needs.
  • Provide 24/7 patient access to clinical support and ensure continuity of care.
  • Regularly assess patients’ medical, functional, and psychosocial needs to update their care plans accordingly.

About Cures Medical Billing Solutions

Cures Medical Billing Solutions (CuresMB) is a famous family practice billing organization specializing in tailor-made billing solutions for family physicians. Our knowledge in medical billing guarantees correct coding, timely claim submissions, and efficient handling of denials. With a focal point on optimizing revenue and simplifying the billing procedure, CuresMB is dedicated to helping healthcare companies. Contact CuresMB these days at info@curesmb.Com or  1 (917) 994-9941 to discuss your billing needs.

Frequently Asked Questions (FAQs)

Yes, but varies by state (e.g., Texas and Florida cover it; check local rules).

Yes, but private insurers may have different codes (e.g., 99491 for non-Medicare).

  • Coordinates specialists, refills medications, and tracks lab results.
  • Ask your primary care provider.
  • Sign a CCM consent form.
  • Receive your first check-in call within 2 weeks

Patients and families can access various resources, including support groups, educational materials, and online platforms that provide information and connect them with healthcare professionals.

Discover Cures Medical Billing Services Across Different States

Your Success Is Our Success

We are a team of national medical billing service experts based in Astoria, NY, committed to providing ongoing value to our customers. We leverage technology and implement best practices to provide high-quality and cost-efficient medical billing solutions from domestic locations, enabling customers to achieve their business goals. Cures Medical Billing is the best option for any medical billing needs.

Medical billing around Astoria, NY, and beyond is our core competency and our specialists will efficiently manage all your billing needs. Our medical billing specialists have over 12 Plus years of experience with all security technologies to ensure data integrity for our customers. Using our medical billing service, anyone can make their medical billing task less resource-consuming.

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Contact Our RCM

Our Services

Health services billing effortlessly with Cures MB. Our skilled professionals are dedicated to ensuring financial success through transparent and secure practices. Trust Cures MB for precise and careful handling of all your billing needs.

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