Chronic Care Management (CCM) — Subscription. CCM revenue ↑, outcomes ↑
The CCM service by Remote Practice Managers, Inc. helps practices deliver structured, CMS‑compliant care coordination for patients with chronic conditions—improving outcomes, boosting engagement, and generating predictable monthly reimbursement.
💲 $6,900.00 per month (per practice location)
- Includes program design, compliance support, patient identification, workflow integration, and monthly dashboards.
- Optional add‑on: $1,750.00 per month for advanced analytics, multilingual patient outreach, and quarterly provider training workshops.
Chronic Care Management (CCM)
Engagement: Subscription | Delivery Time: 3-4 weeks | Tier: Growth
Project Summary: Build-and-run CCM compliant with time thresholds and billing.
Deliverables
- Patient enrollment
- Monthly coordination
- Billing enablement
ROI Impact: CCM revenue ↑, outcomes ↑
Great For: Medicare-heavy panels
Chronic conditions account for the majority of healthcare costs and patient complexity. Yet many practices struggle to consistently deliver the care coordination required to improve outcomes and capture available reimbursement. The Chronic Care Management (CCM) service provides a turnkey framework to operationalize CCM, ensuring compliance with CMS requirements while creating a sustainable revenue stream.
What’s Included:
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Program Design & Compliance
- CMS‑compliant CCM program tailored to your patient population.
- Documentation templates and workflows aligned with CPT codes (99490, 99439, 99487, 99489).
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Patient Identification & Enrollment
- Data analysis to identify eligible patients with two or more chronic conditions.
- Outreach campaigns to engage and enroll patients into the CCM program.
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Care Coordination & Management
- Structured monthly non‑face‑to‑face care management activities.
- Medication reconciliation, care plan development, and coordination with specialists.
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Staff Training & Workflow Integration
- Training for providers and staff on CCM documentation and billing requirements.
- Seamless integration into EHR and scheduling systems.
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Revenue Optimization
- Guidance on accurate coding and billing for CCM services.
- Ongoing monitoring to ensure maximum reimbursement capture.
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Performance Dashboards
- Real‑time visibility into patient enrollment, care management activities, and revenue impact.
- Monthly executive reports linking CCM performance to financial and clinical outcomes.
Why It Matters
CCM is more than a billing opportunity—it’s a strategic care model that improves patient outcomes, reduces hospitalizations, and strengthens value‑based care performance. With CCM Optimization, your practice gains a structured, compliant, and profitable approach to managing chronic conditions while building stronger patient relationships.
♻️ Before & After CCM Snapshot
| Before (Fragmented Chronic Care) | After (With CCM Optimization Service) |
|---|---|
| Patients with multiple chronic conditions receive sporadic follow‑up | Structured monthly care management ensures consistent engagement |
| High rates of avoidable ED visits and hospitalizations | Proactive monitoring and coordination reduce acute care utilization |
| Missed CMS reimbursement for CCM codes (99490, 99439, 99487, 99489) | Predictable recurring revenue captured through compliant billing |
| Providers lack visibility into care plans and patient progress | Centralized care plans and dashboards track outcomes in real time |
| Staff overwhelmed by manual tracking and documentation | Standardized templates and automated workflows streamline operations |
| Patients disengaged from self‑management | Education and regular outreach improve adherence and satisfaction |
| Leadership uncertain about ROI of chronic care efforts | Executive reports tie CCM performance directly to financial and clinical results |
♻️ Value Proposition: Chronic Care Management (CCM)
Why Choose Chronic Care Management? Because fragmented chronic care leads to higher costs, lower outcomes, and missed revenue opportunities.
✅ Improve Patient Outcomes – Structured monthly care coordination reduces hospitalizations and strengthens long‑term health. ✅ Capture Predictable Revenue – CMS‑compliant CCM billing (CPT 99490, 99439, 99487, 99489) generates recurring monthly reimbursement. ✅ Streamline Workflows – Standardized templates, automated processes, and dashboards keep your team efficient and audit‑ready.
Result: A turnkey CCM framework that transforms chronic care from a burden into a strategic advantage—improving outcomes, engaging patients, and driving sustainable revenue growth.