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Specialized Billing Expertise

Chronic Care Management (CCM) Program Billing

CCM billing enables practices to generate recurring revenue by tracking at least 20 minutes of non-face-to-face care per month for patients with multiple chronic conditions.

Clean Claim Rate
99.5%
AR Cycle Average
18 Days
Denial Rate
0.8%
Audit Recovery
99.2%
Chronic Care Management (CCM) Program Billing
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Claims Scrubbing Lifecycle
Active Flow
1
Time Logs Accumulation
2
Care Plan Agreement Check
3
Monthly Auto-Billing
Target: 98%+ Clean Claim Rate99.5% Live Approval
1

Time Logs Accumulation

Compiling staff telephone and email checkup records into monthly logs.

2

Care Plan Agreement Check

Confirming patient's active consent is logged.

3

Monthly Auto-Billing

Filing CCM codes on a calendar-month schedule.

Claims_Audit.log
SECURE HIPAA
LINE 01 // INIT CLAIMS_AUDIT_SEQUENCE...
LINE 02 // SPECIALTY_SLUG = "chronic-care-management-billing"
LINE 03 //CPT 99490→SCRUBBED_OK
LINE 04 // AUTO-ROUTING TO CLEARINGHOUSE...
STATUS: ACTIVE RUN18 Days Average AR

Patient Enrolment

Obtain and log patient consent and diagnostic status.

Monthly Logs Tracking

Record clinical staff telephone and care coordination hours.

Code Assignment

Assign CPT 99490 once 20-minute threshold is surpassed.

Reconcile Payments

Verify Medicare payments match established CCM fee rates.

Modifier Audit Performance99.2% Recovery
First-Pass Clean Claim Rate99.5%
Denial Rate Prevention99.2%
Clean Claim Target: 98%HIPAA Audits Reprocessed
CPT 99490CCM services, first 20 minutes of clinical staff time
CPT 99439Each additional 20 minutes of CCM time
CPT 99491CCM services provided by physician, 30 minutes
CPT 99457Remote patient monitoring (RPM) management

Denial Recovery Performance

98.5% Recovery

We resolve CCM denials by presenting signed patient consent forms and detailed clinical care coordination logs.

100% HIPAA compliant claims reprocessing

Optimize Your Chronic Care Management Billing Today

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CLIENT TESTIMONIAL

“Success Seekers RCM has completely transformed our Chronic Care Management billing. Our collections are up 28% and billing stress is gone.”

— U.S. Clinical Director, Chronic Care Management Specialist Group