Chronic Care Management, or CCM, reimburses practices for the non-face-to-face care coordination work already happening for patients managing multiple chronic conditions — phone calls, medication reviews, care plan updates, and coordination with other providers. Much of this work has traditionally gone unbilled.
Who Qualifies for CCM
Generally, patients with two or more chronic conditions expected to last at least a year (or until the patient's death), and that place the patient at significant risk of decline, are eligible for CCM enrollment.
What Counts as Billable CCM Time
- Reviewing and updating the patient's comprehensive care plan
- Coordinating care with specialists, pharmacies, and other providers
- Medication management and reconciliation
- Phone or secure messaging check-ins between office visits
Why CCM Matters Financially
CCM converts time your clinical staff is often already spending — coordinating referrals, managing medication questions, checking in on chronic patients — into a billable, recurring monthly service, rather than uncompensated administrative work.
What Makes CCM Billing Work
CCM requires a compliant care plan, patient consent, and consistent monthly time tracking to support the claim. Practices that treat it as an afterthought tend to under-bill for legitimate work; practices with a dedicated tracking process capture the full value of the program.