The Standard of Chronic Care Management
CPT 99490: Foundational Care Coordination
Chronic Care Management (CCM) is defined by CMS as the non-face-to-face management of Medicare patients with two or more chronic conditions expected to last at least 12 months. CPT 99490 covers the initial 20 minutes of clinical staff time per calendar month, directed by a physician. This critical service ensures that complex patients receive the continuous oversight necessary to prevent acute episodes and reduce hospital readmissions.
CPT 99439: Scalable Support for Complex Needs
Recognizing that many patients require more intensive support, CPT 99439 facilitates billing for each additional 20-minute increment of clinical staff time. Essential components include a comprehensive electronic care plan, 24/7 access to care, and systematic management of care transitions. Our integrated partnership model achieves a 92% monthly billing rate by ensuring every compliance check is met without adding administrative burden to your medical practice.
Patient Eligibility & CMS Guidelines
Imagine Health Care, LLC ensures your practice adheres to strict Medicare criteria for Chronic Care Management billing, focusing on patients who need it most.
Dual Chronic Conditions
Eligible patients must have two or more chronic conditions expected to last at least 12 months, or until the death of the patient.
Significant Risk Severity
Condition severity must place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline.
Comprehensive Management
CCM requires the establishment and continuous revision of a patient-centered care plan, coordinated by an integrated partner.