Chronic Care Management
Better Outcomes, Reimbursed Every Month
Medicare pays for the care coordination you're probably already doing informally. Healthcare SBC runs the entire CCM program (enrollment, monthly outreach, documentation, time tracking and billing) as recurring revenue with no added staff.
The program, not just the software
Most practices know CCM is reimbursable and never launch it, because the administrative requirements (consent, care plans, 20 minutes of documented monthly time and meticulous records) are more than a busy clinic can absorb.
Healthcare SBC operates the program on your behalf. Our clinical staff identifies and enrolls eligible patients, conducts the monthly check-ins under your supervision, documents every minute in your chart, and submits the claims.
Your patients get consistent contact between visits. Your practice gets a predictable monthly revenue stream and better-managed chronic conditions.
Capabilities
What's included
A turnkey CCM program that pays for itself
Eligibility & enrollment
We identify qualifying patients from your data and manage consent and enrollment conversations.
Monthly clinical outreach
Licensed staff conduct structured monthly check-ins covering medications, symptoms, barriers and care-plan progress.
Compliant time tracking
Every minute is logged and documented to CMS requirements, producing audit-ready records automatically.
Integrated CCM billing
Claims for 99490, 99439, 99487, 99489 and 99491 submitted correctly and tracked through payment.
Why it matters
The outcomes practices actually measure
We are evaluated on the numbers that change in your operation, not on features shipped or tickets closed.
- New recurring revenue
- A properly run CCM program generates predictable monthly reimbursement per enrolled patient.
- Fewer avoidable admissions
- Consistent contact catches deterioration early, reducing ER visits and readmissions.
- No new hires
- Our clinical staff runs the program under your supervision, so it doesn't consume your existing team.
- Value-based readiness
- Documented care coordination strengthens performance in shared-savings and value-based contracts.
Frequently paired with
FAQ
Chronic Care Management, frequently asked questions questions
- Which patients qualify for chronic care management?
- Medicare patients with two or more chronic conditions expected to last at least twelve months or until death, and that place the patient at significant risk of death, acute exacerbation or functional decline, generally qualify. Patient consent is required before services begin.
- What CPT codes are used for CCM?
- Common codes include 99490 for the first 20 minutes of non-complex CCM, 99439 for each additional 20 minutes, 99487 and 99489 for complex CCM, and 99491 for care management performed personally by a physician or qualified health professional.
- Does CCM require 20 minutes of documented time?
- Non-complex CCM under 99490 requires at least 20 minutes of qualifying clinical staff time per calendar month, directed by the billing practitioner and documented contemporaneously. Our platform tracks and documents that time automatically.
We're here to help
Ready to see what your revenue cycle could be doing?
Start wherever makes sense: a demo, a free assessment, or a straight conversation with someone who does this every day.