What is chronic care management?

Chronic Care Management (CCM) is defined by the Centers for Medicare and Medicaid Services (CMS) as coordinating care for patients with multiple chronic conditions outside regular office visits. These conditions are expected to last at least 12 months or until the patient passes away.

What are the benefits of chronic care management?

CCM helps practices create personalized care plans, improve adherence to care guidelines, streamline documentation, and support a more efficient billing workflow. The goal is to improve outcomes, reduce complications, and stay aligned with CMS requirements.

How does chronic care management work?

CCM typically includes patient enrollment, creation of a care plan, ongoing monthly care coordination and patient communication, and accurate documentation for billing and reimbursement.

What services are included in chronic care management?

CCM services can include identifying chronic conditions, developing care plans, coordinating referrals, reviewing results, medication support, documenting monthly communication time, and recording billable actions for compliance.

What are Chronic Care Management CPT codes?

CCM CPT codes are billing codes used to report chronic care management services. Common codes can include 99490, 99439, 99487, 99489, 99491, and related codes, depending on the service level and time.

How do Chronic Care Management CPT codes work?

Practices use CCM codes to bill for specific care coordination services based on eligibility, documented activities, and time thresholds. Proper documentation supports accurate reimbursement and transparency for the care delivered.

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Discover How RPM Logix Can Double Your RPM or CCM Revenue in Just 5 Minutes

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Share Your Last Month Billing Report

Provide your last month's billing report, including code units—no sensitive data required.

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On a quick call, we’ll show you the gaps and potential for improvement based on our averages.

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Learn how we can help you increase your billables by 2-3x with no additional patients.

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This is what we sets us apart from the others!

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Billing Reports

Monthly Billing Summary – CPT Code & Units

CPT Code	Monthly Units Billed
99453 - RPM Setup	1
99454 - RPM Daily Monitoring	124
99457 - RPM First 20 Minutes	261
99458 - RPM Additional 20 Minutes	290
99490 - CCM	169
99439 - CCM Additional	84
99487 - CCM Complex	21
99489 - CCM Complex Additional	31

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“We Increased This Practice’s Revenue by 300% in Just 3 Months”

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Frequently Asked Questions

How much does it cost to work with RPM Logix?

Our pricing is variable and is guaranteed based on reimbursement. There are no fees unless a patient is eligible for billing. Want to learn more? Contact us today!

What if I already have an RPM or CCM program?

We can transfer your program in as little as two days. We specialize in expanding existing programs 2-3x their current revenue.

How often will your diabetes educators and registered dietitians be available to our patients?

We offer certified Diabetes Educators and Registered Dietitians for all of our programs.
Dual enrolled RPM and CCM patients are eligible for 100 minutes monthly