CHRONIC CARE MANAGEMENT
A full CCM program — care manager and billing, handled end to end.
AviRex RCM delivers Chronic Care Management as a complete, done-for-you program. Our care management staff handles the monthly patient outreach and care-plan documentation, and our billing team maps every minute to the correct CPT code — backed by over 5 years of hands-on CCM billing experience.
WHAT'S INCLUDED
A complete, hands-on service — not a checklist.
Care manager included
Our care management staff performs the monthly non-face-to-face outreach and coordination — your team doesn't need to add headcount to run the program.
Care plan documentation
A comprehensive care plan is documented and kept current, as required for CCM billing.
Patient consent
Enrollment consent (verbal or written, per payer requirement) is confirmed and documented.
Accurate CPT coding
Time is mapped to the correct code set — 99490/99439 for staff-directed CCM, 99491/99437 when the billing practitioner personally performs the work, and 99487/99489 for complex CCM.
Monthly reconciliation
Each enrolled patient's time is reviewed before month-end so eligible minutes aren't lost.
Care team coordination
Our care manager works alongside your clinical staff rather than adding to their workload.
REVENUE ESTIMATOR
What could CCM add to your practice?
Adjust the patient count and tier to see an illustrative monthly and annual estimate based on current Medicare national-average rates.
Estimate uses 2026 Medicare national-average non-facility rates: 99490 (~$66), 99439 add-on (~$50), 99487 complex CCM (~$144), 99489 complex add-on (~$78). Actual reimbursement varies by payer, region, patient complexity and documented time — this tool is for planning discussion only, not a guarantee of revenue.
OUR PROCESS
How we run this service day to day.
Patient enrollment
Eligible patients with two or more chronic conditions are enrolled with documented consent.
Care plan development
A comprehensive, patient-centered care plan is created and kept current in the record.
Monthly outreach & time logging
Our care manager performs the monthly care-coordination outreach and logs time throughout the month.
Threshold mapping
Logged time is mapped to the correct CPT code — standard, physician-personal, or complex — once the monthly minimum is met.
Reconciliation & submission
Each patient's CCM billing is reviewed and submitted at month close.
WHY IT MATTERS
What this means for your practice.
- ✓One program covers care-manager staffing and billing — no separate hire required.
- ✓5+ years of hands-on CCM billing experience behind every claim.
- ✓Fewer missed months due to incomplete time documentation.
- ✓A current, compliant care plan on file for every enrolled patient.
RELATED SERVICES
This service works closely with:
COMMON QUESTIONS
Chronic Care Management (CCM) Billing & Staffing — FAQ
Generally, patients with two or more chronic conditions expected to last at least 12 months (or until death) that place the patient at significant risk of death, acute exacerbation, or functional decline — confirmed per current payer policy.
No — our care management staff performs the monthly outreach and documentation as part of the program, so your practice can offer CCM without adding headcount.
Depending on how the service is delivered, we bill 99490 (first 20 minutes, clinical staff) with 99439 as the add-on, 99491/99437 when the billing practitioner personally performs the work, or 99487/99489 for complex CCM requiring moderate-to-high complexity decision-making.
In many cases yes, provided the time logged for each program is distinct and not double-counted; we track this separation as part of monthly reconciliation.
Ready to put this to work for your practice?
Tell us about your practice and we'll show you where revenue is slipping through the cracks.