Get paid for the non-face-to-face care you already provide. We manage the strict time-tracking, compliance protocols, and CPT coding required to successfully bill Medicare for Chronic Care Management (CCM).
Medicare created CCM codes to reimburse providers for managing patients with multiple chronic conditions. However, the documentation burden is so high that many practices simply leave this revenue on the table to avoid audits. We remove the burden entirely.
CCM requires precisely 20 minutes (CPT 99490) or 60 minutes (CPT 99487) of clinical staff time per calendar month. We aggregate these non-face-to-face minutes from your EHR to ensure valid claims are dropped.
We ensure that comprehensive care plans are documented, electronically accessible, and regularly updated in the patient's record to withstand any potential Medicare audit.
Managing the overlapping rules between CCM, Transitional Care Management (TCM), and RPM. We apply the correct modifiers to prevent bundled payment denials when these services overlap.
We ensure your claims meet all 4 core CMS requirements before submission.
The patient must have two or more chronic conditions expected to last at least 12 months, or until the death of the patient.
Verbal or written patient consent must be documented in the medical record, acknowledging the service and potential copays.
Establishment, implementation, revision, or monitoring of a comprehensive care plan using certified EHR technology.
At least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month.
Let Probiz handle the administrative overhead of CCM billing so you can focus on patient care and collect the revenue you are entitled to.
Consult a CCM Billing ExpertWe combine certified expertise with proprietary technology to deliver unmatched revenue cycle performance.
Our advanced rules-based scrubbing engine runs every claim against millions of payer-specific rules before submission, practically eliminating front-end rejections and accelerating your cash flow.
We don't use generalists. Your account is managed by specialty-specific certified coders who understand the nuances of your exact clinical discipline, ensuring maximum compliant reimbursement.
Stop waiting for end-of-month reports. Our proprietary BI dashboards give you real-time visibility into collection rates, A/R aging, and denial trends.
We work seamlessly within your existing software via secure, HIPAA-compliant VPNs. Zero data migration required, and zero disruption to your clinical workflow.
Switching billing partners shouldn't disrupt your cash flow. Our meticulously engineered onboarding process ensures a smooth, parallel transition.
We establish secure remote access to your EHR/PMS and map your existing workflows without interrupting your current team.
We audit your past claims to identify immediate revenue leakage, coding errors, and systemic denial trends.
Our rules-based scrubbing engine is programmed with your specific payer matrix and local coverage determinations to prevent future denials.
We take over day-to-day operations, instantly applying our optimized workflows to accelerate your cash flow and reduce days in A/R.
Common questions about our process, integration, and security.
