How CCM improves clinical outcomes
Boost patient participation and engagement
Strengthen Patient Engagement for Better Results
Improve Billing Accuracy and Practice Efficiency
ProWellCare simplifies billing and CPT code management, helping practices improve accuracy, efficiency, and revenue capture.
Frequently Asked Questions
Chronic Care Management supports patients with two or more long-term conditions through non-face-to-face care. It focuses on care coordination, treatment planning, and regular follow-ups to improve health outcomes and continuity of care.
Medicare provides monthly payments per patient based on time and complexity. Four main CPT® codes—99490, 99439, 99491, and 99437—are used for billing. CCM services can be combined with RPM or RTM. FQHCs and RHCs can bill via G0511.
CCM is ideal for managing chronic illnesses such as heart failure, COPD, diabetes, hypertension, dementia, arthritis, and cancer.
Yes, third-party clinical teams can support CCM, but services must be performed under a Qualified Healthcare Professional’s supervision.
Yes, patients must have two or more chronic conditions expected to last 12 months or more to qualify for CCM services.
Develop a personalized care plan
Coordinate care with specialists
Manage prescriptions
Support chronic condition self-management
Coordinate care with specialists
Manage prescriptions
Support chronic condition self-management