Care Program Revenue — How It Works
Four CMS care-management programs. One documented workflow. Eligible care work is timed, attributed and documented as it occurs — helping your billing team capture work that might otherwise go unrecorded.
CMS Care Management Programs
Four CMS care-management programs, one workflow: enrollment, time tracking, documentation, and monthly billing summaries -- generated as the work happens, ready for your billing team.
CCM -- Chronic Care Management
CPT 99490 -- monthly care coordination for patients with 2+ chronic conditions. Enrollment and consent are captured up front, coordination time is timed and attributed as it occurs, and a monthly billing summary is generated for your billing team.
RPM -- Remote Patient Monitoring
CPT 99453-99458 -- device-based monitoring between visits. Device setup, data transmission days, and clinical review time are each documented as they happen and rolled into a monthly billing summary.
PCM -- Principal Care Management
CPT 99424 -- focused care management for a single high-complexity chronic condition. Eligible time is timed and attributed to the treating clinician, with documentation created alongside the care itself.
RTM -- Remote Therapeutic Monitoring
CPT 98975-98981 -- 30-day post-acute monitoring after discharge or therapy initiation. Enrollment, monitoring activity, and clinical review are documented throughout the episode and summarized monthly.
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