Connecting Care

Chronic Care Management That Works

Turn Medicare CCM into a reliable revenue stream—without adding staff. We handle the work between visits so you can focus on patient care.

Healthcare consultation
~$35K

Net profit per 100 patients/year

20+

Minutes monitoring monthly

100%

Audit-ready documentation

24/7

Care management access

Patient care at home

About Chronic Care Management

A Medicare Program for Patients with Multiple Chronic Conditions

CCM provides continuous, non-face-to-face care—monitoring, medication adherence, and 24/7 access—to keep patients stable between visits.

By enrolling eligible patients, practices can improve outcomes while generating significant new revenue through CMS reimbursement.

2+ Chronic Conditions
24/7 Access

Our Services

We Handle the Work Between Visits

A dedicated clinical monitor watches your population monthly. If something shifts, we coordinate same-day follow-up.

24/7 Care Access

Patients have round-the-clock access to care management services for urgent needs.

Structured Care Plans

Electronic care plans shared with your entire care team, updated in real-time.

Monthly Monitoring

20+ minutes of clinical staff time per patient each month, fully documented.

Eligibility Requirements

2+ chronic conditions expected to last 12+ months
Initiating visit completed (AWV/IPPE)
Electronic care plan shared with care team
24/7 access to care management services

Reimbursement

2026 CMS CCM Fee Schedule

Approximate reimbursement rates for Chronic Care Management services. Rates vary by location and payer.

CPT CodeDescriptionRate
99490Non-complex CCM (staff)~$66
99439Add-on to 99490~$50
99491Physician-driven CCM~$89
99487Complex CCM (staff)~$144
99489Add-on to 99487~$78
Healthcare analytics

Revenue Potential

~$35K

Net profit per 100 patients / year

20+

Minutes of monitoring monthly

100%

Audit-ready documentation

“Sante made CCM feel like an extension of our team—not extra work. Documentation is clean, and patients actually feel supported.”

— Office Administrator, Primary Care Clinic

Get Started

Ready to Add CCM?

We'll handle eligibility, documentation, and monthly monitoring—so your team can focus on the visit.

Questions about

Compliance & Documentation