Chronic Care Management (CCM)
Proactive, monthly management for patients with multiple chronic conditions — improving continuity of care while generating predictable revenue for independent clinics and clinic-based systems, including RHCs and FQHCs.
Chronic Care Management that pays—and stands up to audit.
Eligibility, consent, care plans, time, and attestations are captured clearly and signed in your EMR—so CCM is billable, defensible, and review-ready.
- CCM programs designed around CPT 99490 and 99439, with explicit documentation, time tracking, and supervision rules built in.
- One-provider-per-month safeguards that prevent double billing, overlap, and attribution errors across sites.
- Audit-ready time tracking and monthly service evidence that supports compliant CCM billing and payer review.
Outcomes We Target
- •Better adherence and self-management
- •Fewer avoidable ED visits and readmissions
- •Higher patient satisfaction with proactive touchpoints
What to Expect Operationally
- •Minimal impact on provider schedules
- •Standardized templates and summaries
- •Monthly program reporting with KPIs
How LOGIC Runs CCM
- 1
Patient eligibility confirmation and documented consent captured in your EMR
- 2
Monthly outreach by U.S.-based RN/MA team
- 3
Medication reconciliation, SDOH screening, goal review, and care coordination
- 4
Escalation to provider when clinical thresholds or concerns are met
- 5
Audit-ready documentation and time logs in your EMR
- 6
Provider reviews and signs the monthly summary; your billing team submits 99490/99439 using LOGIC documentation.
Billing integrity and audit readiness
CCM activity is tracked with clear timestamps, responsible staff attribution, and program designation, so CCM time is cleanly separated from RPM and other services. We surface one-provider-per-month checks, consent status, and attestation prompts inside your EMR, and we can export logs that support internal audits, payer reviews, and compliance inquiries.
Medicare policies and payment rules vary by locality and change over time. Coverage and reimbursement depend on patient eligibility, documentation, and payer requirements. Always confirm current billing rules prior to submission.
Related programs
CCM is most effective when delivered alongside related CMS programs. LOGIC combines CCM with RPM, AWV, BHI, and CHI to wholistically care for patients with chronic conditions.
Remote Patient Monitoring (RPM)
Connected devices + nurse-led monitoring for early risk detection.
Annual Wellness Visits (AWV)
Preventive visits that drive risk identification and downstream care.
Transitional Care Management (TCM)
Post‑discharge coordination to prevent readmissions.
Launch CCM with LOGIC Healthcare Management
Start delivering proactive chronic care management without adding staff.