- +(62) 21 2002-2012
- help@medsuresolutions.llc
Maximize CCM revenue, reduce billing complexities, and ensure compliance with our specialized Chronic Care Management billing solutions. We help primary care practices, specialty clinics, and ACOs bill for monthly non-face-to-face care coordination services to Medicare and commercial payers.
We verify patient eligibility (two or more chronic conditions), obtain written consent, and document start date for CCM services.
Certified coders ensure accurate documentation of clinical staff time (20+ minutes monthly), apply CPT® 99437, 99439, 99490, 99491, and submit claims.
We post payments, appeal denials, manage retroactive enrollments, and provide audit-ready time log documentation.
CCM billing is complex with strict time tracking, consent rules, and monthly service requirements. Our team ensures you get paid for every qualifying patient.
CCM billing is the process of submitting claims for monthly non-face-to-face care coordination services for patients with two or more chronic conditions expected to last at least 12 months.
CCM requires monthly time tracking (20+ minutes), written patient consent, a comprehensive care plan, and 24/7 patient access to clinical staff. Office visits bill per encounter.
Yes — CPT® 99490 (clinical staff, 20 min), 99491 (practitioner, 30 min), 99437 (practitioner, additional 30 min), 99439 (clinical staff, additional 20 min), and G0511 for FQHCs/RHCs.
We review time logs, verify consent documentation, confirm chronic condition criteria, and resubmit with corrected dates or modifiers.
Absolutely. We follow HIPAA-compliant processes, encrypted data transmission, and signed BAA agreements with every practice.
Yes — from 10-bed rural hospitals to 500+ bed academic medical centers.
