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.
Goal: Reduce hospitalizations, improve adherence, and lower healthcare costs.
Eligible Conditions (Must Have 2+)
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.
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.
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Best CCM Companies
Top CCM Software
To ensure accurate reimbursement and compliance with Medicare guidelines, healthcare providers should:
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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).
Patients and families can access various resources, including support groups, educational materials, and online platforms that provide information and connect them with healthcare professionals.
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