Who’s Checking In on Your Patients Between Visits? How CCM Closes the Care Gap and Increases Patient Retention

Story by Connor Danielowski / December 2025 The Overlooked Driver of Patient Retention: What Happens Between Visits Every primary care practice focuses on patient acquisition, but the real determinant of long-term success is patient retention. Loyal patients follow treatment plans, communicate openly, trust their providers, and generate predictable recurring revenue....

How CCM Reduces ER Visits by 60% and Readmissions by 33%: Why Between-Visit Care Changes Everything

Story by Connor Danielowski / December 2025 What Really Drives ER Visits and Readmissions? (Hint: It’s Not Office Visits) Every provider knows the pattern: a patient appears stable during their appointment, leaves with a detailed care plan… and then reappears weeks later in the emergency room. What happened? The truth...

Turning Care Coordination into a Profit Center: The ROI of Chronic Care Management

For years, care coordination has been treated as a cost center — essential for outcomes, but difficult to sustain financially. But that equation has changed. With Medicare’s Chronic Care Management (CCM) program, practices can finally turn care coordination into a predictable, recurring revenue engine that strengthens clinical performance and the...

“Money Left on the Table”: How to Capture Untapped Medicare Revenue Through CCM (CPT Codes 99490 & 99439)

Most healthcare organizations don’t have a revenue problem, they have a capture problem. Every month, practices across the U.S. leave tens of thousands of dollars in unclaimed Medicare revenue sitting in plain sight. The culprit isn’t lack of opportunity. It’s lack of a fully operational Chronic Care Management (CCM) program...

How the 2026 Medicare Final Rule Strengthens Chronic Care and Remote Monitoring

When CMS released its 2026 Physician Fee Schedule Final Rule, it did more than update reimbursement rates—it drew a line in the sand. The message: coordinated, data-informed, continuous care isn't the future anymore. It's the standard. For organizations working with Chronic Care Staffing (CCS), this isn't news. It's validation. We've...

Healthcare Competitive Advantage 2025: Why Chronic Care Management Programs Drive Growth

How Does Chronic Care Management Create Competitive Advantage? Chronic Care Management (CCM) creates competitive advantage by enabling healthcare organizations to deliver proactive continuous patient engagement while generating predictable recurring revenue. CCM programs improve patient retention, quality scores, and financial performance simultaneously—creating sustainable differentiation in value-based healthcare markets. Quick Answer: CCM...

CCM Compliance Requirements: Complete Guide to CMS-Ready Chronic Care Management Documentation

What Are CMS CCM Compliance Requirements? CMS (Centers for Medicare & Medicaid Services) establishes specific compliance requirements for Chronic Care Management programs to ensure proper Medicare reimbursement. These requirements cover documentation standards, time tracking, patient consent, care plan elements, and billing procedures. Quick Answer: CCM compliance requires documented monthly encounters...

Chronic Care Management Patient Outcomes: How CCM Reduces ER Visits and Improves Health Between Appointments

What Happens to Patients Between Doctor Visits? Between medical appointments, patients with chronic conditions face a critical gap in healthcare support. This period—when patients manage medications independently, coordinate specialist visits, and respond to changing symptoms—often determines health outcomes more significantly than the office visits themselves. Quick Answer: The care gap...

How Chronic Care Management (CCM) Generates Revenue: Complete Guide for Healthcare Practices 2025

What Is Chronic Care Management and How Does It Work? Chronic Care Management (CCM) is a Medicare reimbursement program that pays healthcare practices for coordinating care for patients with two or more chronic conditions. Under CPT codes 99490 and 99439, eligible practices can receive up to $152.35 per patient per...

OIG Calls for Stronger Compliance in Remote Patient Monitoring Programs

Remote Patient Monitoring (RPM) is no longer a niche add-on—it’s a mainstream care management tool with fast-rising adoption. The HHS Office of Inspector General (OIG) just released a new data snapshot on Medicare RPM billing patterns for 2024. Below, we break down what changed, what OIG is watching, and how...

Chronic Care
Management Benefits
Outsourcing Chronic
Care Management
Improve
Patient Care
Generate Greater
Practice Revenue
Remote
Patient Monitoring
Highly Qualified
Care Coordinators
What is Chronic
Care Management?
Who is Eligible for Chronic
Care Management?