Chronic Care Management Services

Want to improve your Chronic Care Management (CCM) process? Dastify Solutions helps your practice turn non-face-to-face care for Medicare patients into reliable, reimbursable, high-value CCM services without adding administrative burden or extra costs. Our CCM program streamlines workflows, ensures CMS compliance, and manages billing end-to-end. With a focus on disease progression management and a multi-disciplinary team approach, we help you deliver proactive, coordinated care that improves outcomes and boosts your practice’s revenue.

Modernize Your Care. Maximize Your Revenue

Need help with the CCM Program?

Chronic Care Management (CCM) is a Medicare Part B service that provides comprehensive care coordination for patients with 2 or more chronic conditions. This preventive health program helps patients better manage their chronic illnesses through personalized care plans, medication management, and ongoing clinical support between regular office visits.

 

Dastify Solutions brings the future to your present. If your practice or hospital still relies on manual patient follow-ups, scattered documentation, and reactive care, it’s time to move forward. Traditional methods often lead to missed reimbursements, patient drop-offs, and increased administrative burden. Our CCM services transform outdated workflows into automated, data-driven Chronic Care Management systems that deliver better outcomes while reducing your workload.

Who Qualifies for CCM Services?

Two or More Chronic Conditions

Significant Health Risk

Medicare Part B Enrollment

Informed Consent

Common Chronic Conditions Covered

129 million+ Americans live with chronic diseases.

While healthcare costs are rising, traditional care models are failing.

Remote monitoring is already transforming practices like yours & your competitors are profiting. Are you ready to join them?
Dastify Solutions provide you:

How Dastify Solutions Stays Ahead of the Curve

CCM Enrollment Rate

65% enrollment conversion

Patient Retention Rate

85% ongoing Long-term Patient Care

Increase in Care Manager Productivity

60% increase with automation

Revenue Increase

35% revenue boost

Smarter Monitoring. Healthier Patients.

Extend Care Without Expanding Your Workload, Or Your Budget

With Dastify Solutions’ Chronic Care Management (CCM) Services, you can deliver continuous, high-quality patient care while keeping your operational costs in check. We help practices stay connected with patients through ongoing care between visits.

Moreover, our intelligent monitoring systems ensure that every patient with chronic conditions gets the attention they deserve. From medication reminders and follow-up scheduling to lifestyle coaching and progress tracking, we handle the behind-the-scenes coordination that keeps your patients healthier and more engaged.

Benefits of HIPAA-Compliant AI-Powered Chronic Care Management Services:

Chronic Care Management (CCM) CPT Codes and 2025 Reimbursement Rates

CPT Code Description 2025 Reimbursement Rate
99490 Standard CCM requires at least 20 minutes of clinical staff time per month for non-face-to-face care management of patients with multiple chronic conditions. $60.49/month
99439 Add-on code for each additional 20 minutes of non-complex CCM services provided by clinical staff. $45.93 per 20 minutes
99487 Complex CCM requires at least 60 minutes of care management, including high-intensity or complex care plans. $131.65/month
99489 Add-on code for each additional 30 minutes of complex CCM services provided by clinical staff. $70.52 per 30 minutes
99491 The billing practitioner personally provides CCM for at least 30 minutes per month. $82.16/month

Dastify’s Approach: Patient-Centric, Compliance-Driven, Revenue-Smart

We deliver end-to-end CCM Services designed to preserve quality while optimizing revenue:

1. Comprehensive, Ongoing Care for Chronic Conditions:

We design and implement individualized care plans tailored to each patient’s chronic conditions and health goals.

2. Care Coordination:

We help orchestrate coordinated care across primary care, specialists, pharmacies, home health, and community resources, reducing fragmentation and duplication.

3. Patient-Centric Approach:

Our processes focus on the patient, addressing individual goals, lifestyle coaching, and patient education to boost self-management and adherence.

4. Multi-disciplinary Team:

We align billing and documentation strategies with the clinical team, nurses, care managers, pharmacists, and behavioral health specialists, so the entire care team’s work is recognized and reimbursed.

5. Revenue growth:

Our CCM billing experts handle every financial and compliance aspect of your CCM program. We handle coding and submit accurate claims for monthly CCM time and care coordination efforts.

Our Preventive Care Services Are Designed to Support

Dastify CCM services are a 360° solution that benefits everyone, ensuring no detail is overlooked and no opportunity is missed.

Our 5c’s CCM Strategy Never Fails.

We provide tailored Chronic Care Management services customized to each patient’s condition, backed by clear communication and robust patient data protection under full HIPAA compliance.

Frequently Asked Questions

What conditions qualify a patient for a CCM program?
Patients are eligible for a CCM program when they have two or more chronic conditions expected to last at least 12 months (or until death) and are at risk of functional decline, exacerbation, or death. Eligible conditions often include: cardiovascular conditions (e.g., hypertension, heart failure), respiratory diseases (e.g., COPD, asthma), endocrine/metabolic disorders (e.g., diabetes), neurological or renal conditions, and other combinations of multiple conditions. By clarifying eligibility early, providers can ensure proper enrollment, documentation, and billing of their CCM Program.

Effective CCM implementation hinges on several key elements:

  • Enrolling eligible patients with proper consents and documentation.
  • Creating and maintaining individualized care plans, which cover the patient’s conditions, goals, medication management, preventive care measures, and coordination across providers.
  • Documenting non-face-to-face time (such as care coordination, phone outreach, and monitoring) and aligning with payer or CMS guidelines for CCM services.
  • Integrating with electronic health record (EHR) systems and workflows, and ensuring that billing and claims submission processes capture CCM codes and time appropriately.

A robust CCM strategy offers significant benefits to both patients and providers:

  • For patients: Continuous care coordination, enhanced medication management, structured follow-up, preventive care, and lifestyle coaching, all aimed at improving outcomes and preventing complications.
  • For providers: A repeatable, scalable program that supports chronic disease management, streamlines workflows, strengthens compliance and documentation, and opens a recurring monthly revenue stream via CCM billing.
  • By aligning clinical work, care coordination, patient support, and revenue cycle processes, CCM becomes a win-win solution.
Talk to Our Chronic Care Management Expert Today!

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