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Chronic Care Management

Coordinate Care for Complex Patients

Chronic Care Management (CCM) provides ongoing support for patients with multiple chronic conditions. Build care plans, coordinate between providers, and bill for non-face-to-face care time.

Chronic Care Management

Comprehensive chronic care support

CCM helps you manage patients with two or more chronic conditions through ongoing care coordination.

Care Plan Management

Create comprehensive, personalized care plans for each patient.

Regular Check-Ins

Monthly calls ensure patients stay on track with their health goals.

Care Coordination

Coordinate between specialists, pharmacies, and community resources.

Medicare Reimbursement

Bill CPT 99490, 99439, and 99487 for non-face-to-face care time.

CCM Care Planning
Patient Eligibility

Who qualifies for CCM?

Medicare patients with two or more chronic conditions expected to last at least 12 months qualify for CCM services.

  • Two or more chronic conditions
  • Conditions expected to last 12+ months
  • Conditions place patient at significant risk
  • Patient consents to CCM services
  • Medicare Part B coverage

Ready to improve care for your complex patients?

See how Hoss-Kick CCM can help you deliver better outcomes while generating new revenue.

Get Started