CCM Solution

Chronic Care Management at Scale

Daily AI wellness calls give your CCM patients consistent touchpoints, medication adherence checks, and care plan follow-up — all documented and ready for billing.

$66

Non-Complex CCM / Mo

$144

Complex CCM / Mo

99490

First 20 Min — $66

99487

Complex 60 Min — $144

What Is Chronic Care Management?

Chronic Care Management (CCM) is a Medicare program that reimburses providers for non-face-to-face care coordination services for patients with two or more chronic conditions. Services include care plan development, medication management, and ongoing patient communication.

CMS requires at least 20 minutes of clinical staff time per patient per month for standard CCM (99490), with additional codes for more complex patients (99487) and additional time blocks (99439). The challenge is documenting this time and maintaining consistent patient contact across large populations.

How Positive Check Supports CCM

Structured daily calls provide the consistent patient touchpoints your CCM program needs.

Medication Adherence

Daily calls include medication check-ins, asking patients about doses taken, side effects, and refill needs — key documentation for CCM.

Care Plan Follow-Up

Structured wellness questions align to each patient's care plan, generating documented follow-up touchpoints for CCM billing.

Alert-Triggered Callbacks

When a call flags a concern, care teams receive immediate alerts — generating additional documented care coordination time for CPT 99439.

Complex Patient Support

For patients with multiple chronic conditions, daily monitoring with escalation protocols supports the higher documentation bar for CPT 99487.

CCM Billing Codes

2026 Medicare national average reimbursement rates for Chronic Care Management.

CPT CodeDescription2026 Rate
99490CCM — first 20 min non-complex chronic care management$66
99439CCM — each additional 20 min non-complex CCM$48
99487Complex CCM — first 60 min for patients with multiple chronic conditions$144

Why Providers Choose Positive Check for CCM

Consistent daily patient touchpoints without manual outreach

Medication adherence tracking built into every call

Documented care coordination time supports 99490 and 99439 billing

Escalation protocols for complex patients meet 99487 requirements

Real-time alerts when patients report changes or concerns

Works alongside your existing care management workflows

Combine with RPM for $159-$237/patient/month in revenue

HIPAA-compliant with full audit trail

Ready to Scale Your CCM Program?

See how Positive Check can automate your CCM patient engagement and maximize reimbursable revenue across your chronic care population.