Nearly seven in ten of your Medicare patients qualify. Fewer than one in twenty-five is enrolled anywhere. CCM pays your practice every month a qualifying patient gets the care coordination they should already be getting — and the reason most practices skip it is staffing, not eligibility.
Eligible Medicare patients vs. patients actually enrolled anywhere.
Sources: CMS, 2017 · Avalere Health, 2019
An illustration, not a quote. Give us your own patient numbers and we will model it against your locality’s fee schedule.
Patients who fail any one of these are never enrolled, and never appear on a claim.
The care plan is a live document in your EMR, not a PDF nobody opens.
The billable event is time, so the log is built as the work happens rather than reconstructed at month end.
It is billable once per patient per calendar month, and cannot be billed in the same month as transitional care management or home health supervision for that patient. We track the conflicts so the claim does not bounce.
Standard Medicare cost-sharing applies unless the patient has supplemental coverage. We explain it plainly during the consent call — patients who are surprised by a bill do not stay enrolled.
A dedicated care coordinator assigned to your practice, working under your providers’ direction, with an implementation manager and a quality manager behind them.
They enter a structured re-engagement sequence. If two consecutive months pass with no qualifying contact, we tell you before anyone is dropped — and no month goes on a claim without documented time behind it.
A 30-minute call. Tell us roughly how many Medicare patients you see, which EMR you use and what you already run in-house. We come back with which programs your patients qualify for, what each one would take to run, and what it is likely to be worth.
Same-day reply. Nothing is billed and no patient is enrolled from this form — it starts a conversation, nothing more.
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