Hipaa compliant CCM

Chronic Care Management Billing Services

CCM Billing, Enrollment, and Revenue Cycle Management

Dastify Solutions helps your practice turn non-face-to-face Medicare care coordination into reliable, recurring revenue without adding administrative burden.

Dastify Solutions helps your practice turn non-face-to-face Medicare care coordination into reliable, recurring revenue without adding administrative burden.

HIPAA Compliant
HITECH Certified
SOC 2 Type II
SSL/TLS Encrypted
CMS/CPT Certified
HL7/FHIR Compliant
ONC Certified EHR
BBB Accredited
HIPAA Compliant
HITECH Certified
SOC 2 Type II
SSL/TLS Encrypted
CMS/CPT Certified
HL7/FHIR Compliant
ONC Certified EHR
BBB Accredited

— Eligibility

What Is Chronic Care Management and Who Qualifies?

Chronic Care Management is a Medicare Part B service that provides comprehensive care coordination for patients with two or more chronic conditions. With 129 million Americans managing chronic conditions (CDC), Medicare’s CCM program creates a documented, recurring revenue stream for practices providing ongoing care coordination.

Patient eligibility requires:

Common chronic conditions covered:

Our physician group billing services support organizations operating across multiple providers, locations, specialties, and payer structures. We help healthcare organizations reduce billing inefficiencies, improve operational consistency, and strengthen financial performance.

Your clinical team delivers the care. We verify eligibility, capture consent, track time and bill accurately so you get paid for the work you are doing.

— Performance

Results Our CCM Billing Clients See Within 6 Months

93%

Net Collection Ratio

First Pass Clean Claims Rate

Lowest Denial Rate

7-14D

Day Turnaround Time

30%

Overhead Reduction

— Compliance

CCM Billing Compliance Requirements

Patient Enrollment and Consent

Before billing the first CCM claim, Medicare requires documented patient consent confirming the patient was informed of the CCM service, the cost-sharing implications (approximately 20% coinsurance) and the right to stop at any time. We manage the consent workflow, generating required disclosure language, capturing documented consent in the EHR and flagging patients who have not consented before their first monthly claim is submitted.

Time Documentation Requirements

Medicare requires that CCM time be tracked in real time, not estimated retroactively. Each documented interaction must include the date, duration and clinical purpose. The comprehensive care plan must be accessible electronically to the care team 24/7. We configure time-tracking workflows in your EHR that generate compliant time logs automatically, ensuring every minute of care coordination is captured with the audit trail Medicare requires.

One Provider Per Month Rule

Medicare allows only one provider to bill CCM for a patient per calendar month. For patients seen by multiple providers, the billing provider must be designated and documented before the first monthly claim. We verify CCM billing history for every patient before monthly claims are generated, preventing duplicate billing denials that occur when CCM is billed without confirming no other provider has already billed that patient for the same month.

— What We Handle

What We Handle for Your CCM Billing Program

Our CCM billing platform manages the administrative and revenue cycle workload between visits without adding clinical staff burden. Every interaction is documented in real time, keeping your claims compliant and your revenue predictable.

Patient consent capture and EHR documentation workflows

Real-time non-face-to-face time tracking and audit-ready logging

CPT code assignment (99490, 99439, 99487, 99489, 99491)

Monthly claim submission and payer follow-up

Denial management, appeal resolution and underpayment recovery

Patient cost-sharing statements and payment collection workflows

Compliance auditing and CMS reporting readiness

— Why Dastify

Chronic Care Management (CCM) CPT Codes and 2026 Reimbursement Rates

CPT Code Description 2026 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. $66.13 per month
99439 Add-on code for each additional 20 minutes of non-complex CCM services provided by clinical staff. $50.44 per 20 minutes
99487 Complex CCM requires at least 60 minutes of care management, including high-intensity or complex care plans. $144.29 per month
99489 Add-on code for each additional 30 minutes of complex CCM services provided by clinical staff. $78.16 per 30 minutes
99491 The billing practitioner personally provides CCM for at least 30 minutes per month. $89.00 per month
CCM billing services for these codes require complete time documentation, documented consent and a current care plan accessible 24/7. Missing any of these triggers claim denial or audit recoupment.

— Our Approach

Dastify Solution's Approach: Compliance-First and Revenue-Driven

We deliver end-to-end CCM billing services designed to protect compliance while maximizing recurring revenue.

Compliance-First Enrollment

We manage consent workflows and eligibility verification so every patient meets CMS requirements before the first claim is submitted.

Precision Time Tracking

We configure EHR workflows to capture every billable minute with audit-ready documentation that survives CMS review.

Accurate Coding and Submission

Our certified coders apply the correct CCM CPT codes, verify add-on code eligibility and submit clean claims monthly.

Denial Prevention and Recovery

We track payer responses, resolve rejections quickly and appeal underpayments to protect your revenue stream.

Revenue Optimization

We analyze your CCM performance monthly, identifying missed add-on codes, documentation gaps and payer-specific billing opportunities that leave money on the table.

Choose Your Plan

Transparent Pricing with no hidden Cost

Starter

For Solo & Small Practices

Starting @ 3.99%

of collections

Most Popular

Growth

For Group Practices & Clinics

Starting @ 2.99%

of collections

Enterprise

Hospitals & Large Systems

Custom

Volume-based pricing

— Proven Expertise in

50+ EHR/EMR/PMS

— 5C Framework

The Dastify 5C CCM Billing Framework

We provide tailored chronic care management billing workflows customized to your practice size, payer mix and monthly CCM volume, backed by clear communication and full HIPAA compliance.

Control

Preventing revenue leakage through precise time tracking and accurate code selection.

Compliance

Ensuring every claim meets CMS consent, documentation and billing rules.

Complications

Proactively resolving denials and payer discrepancies before they age into write-offs.

Communication

Clear patient billing statements and consent workflows that reduce disputes and improve collections.

Customization

Payer-specific billing configurations built around your specialty mix, EHR environment and contract terms.

Common Questions

Frequently Asked Questions

What conditions qualify a patient for a CCM program?
Patients are eligible when they have two or more chronic conditions expected to last at least 12 months and are at risk of functional decline, exacerbation or death. Eligible conditions include cardiovascular conditions (hypertension, heart failure), respiratory diseases (COPD, asthma), endocrine and metabolic disorders (diabetes), neurological or renal conditions and other combinations. Clarifying eligibility early ensures proper enrollment, documentation and billing from the first month.
Effective CCM implementation requires enrolling eligible patients with proper documented consent, creating and maintaining individualized care plans covering conditions and goals, tracking non-face-to-face time in real time rather than estimating retroactively, and integrating with EHR systems so billing captures CCM codes and time correctly. Missing any of these steps creates audit exposure and claim denials. We handle the billing, compliance tracking and claim submission so your clinical team can focus on care delivery.

Medicare allows only one provider to bill CCM per patient per calendar month. When a patient sees multiple providers, the billing provider must be identified and agreed upon before claims are submitted. Billing CCM when another provider has already billed for the same patient in the same month triggers duplicate claim denials and potential recoupment. We verify CCM billing history before every monthly claim generation to prevent this.

Ready to Turn Your CCM Program Into Predictable Monthly Revenue?

Your clinical team is already delivering the care. The only question is whether every billable minute is being captured, coded correctly and submitted on time. We make sure it is.

Stephanie Jason,CPC

Anum Naveed,CHCA

Last Updated

June 4, 2026