Patient Identification & Enrollment
Patients with two or more chronic conditions are identified from your records, and consent is collected to enroll them in the program.
Patient enrollment, care plan documentation, monthly time tracking, and claim submission — handled so CCM revenue stops slipping through the cracks between visits.
Most practices are already coordinating care for patients with chronic conditions — the calls, medication reviews, and care plan updates between visits. What often doesn't happen is tracking that time consistently enough to bill for it. Dynamic MBS builds that tracking and documentation into a repeatable monthly process, so the work already being done turns into revenue that's actually collected.
Six areas, one dedicated team — built to turn care coordination you're already doing into revenue you actually collect.
Patients with two or more chronic conditions are identified from your records, and consent is collected to enroll them in the program.
Each patient's care plan is built around their specific conditions and needs, and kept current as their situation changes.
Care coordination minutes are logged consistently each month, so the required threshold for billing is met and documented.
Regular check-ins keep patients engaged with their care plan, which supports both outcomes and consistent monthly billing.
Time and documentation are matched to the correct CPT code (99490, 99439, 99487, and related codes) and submitted accurately.
Every claim is backed by documentation that meets CMS requirements, reducing audit risk and denial exposure.
Most of these build up quietly — by the time they show up as a denied claim, the gap has usually existed for weeks.
Our fix: Monthly time is logged consistently, so care coordination that's already happening turns into billable minutes.
Our fix: Every claim is backed by documentation that meets CMS requirements before it's ever submitted.
Our fix: Eligible patients are identified from your records and enrolled with proper consent on an ongoing basis.
Our fix: Care plans are reviewed and updated on a regular schedule, not created once and forgotten.
Our fix: Logged time is matched to the correct code — 99490, 99439, 99487, or related codes — before submission.
Our fix: A dedicated team owns enrollment, tracking, and billing, so it never gets pushed aside by daily demands.
From identifying an eligible patient to a submitted claim, every step is tracked on a monthly cycle.
We identify patients with two or more chronic conditions from your records and collect consent to enroll them in CCM.
A personalized care plan is built for each patient and shared with your clinical team for review.
Care coordination time is logged consistently throughout the month, so nothing is estimated after the fact.
Each patient's monthly record is reviewed against CMS requirements before it moves to billing.
Time and documentation are matched to the correct CPT code and submitted, with any denials followed up promptly.
Enrollment, time tracking, and billing are handled by people who work this program every day, not as a side task.
You see enrolled patients, logged time, and claim status whenever you want, not just at month-end.
Consistent follow-up and updated care plans support patients between visits, not just at billing time.
Documented standards for handling patient health information, in line with CMS and HIPAA requirements.
Time and documentation are matched to the code that fits, whether it's the base CCM service or additional complex care.
Before you change anything, see what's being missed. We review your patient list for CCM-eligible patients, your current time-tracking process, and recent claims, then show you exactly where revenue is slipping. The findings are yours to keep either way.
CCM billing covers the non-face-to-face care coordination Medicare pays for under codes like 99490, 99439, and 99487 — monthly time spent managing a patient's chronic conditions between visits.
Patients with two or more chronic conditions expected to last at least 12 months, or until the patient's death, that place them at significant risk of decline typically qualify.
Time spent on care coordination, medication review, and care plan updates is logged each month. Once the required minimum is met, it's billed under the matching CPT code with supporting documentation.
Yes. We support patient identification, consent collection, and enrollment, along with the ongoing documentation CMS requires.
Pricing depends on enrolled patient volume and scope of work. A free CCM program review gives you an exact quote before you commit to anything.
No. We work with your existing EHR and care management tools, connecting without a migration or platform change.
Yes. All care coordination and documentation follows HIPAA-compliant handling, with access to patient systems controlled and logged throughout.
Get a free, no-obligation CCM program review and see exactly how much eligible revenue is currently going untracked.