Maximize CCM Revenue with AI-Powered Care Coordination
Identify CCM-eligible patients, automate care plan creation, and capture 99490/99491 revenue with compliant time tracking. Increase per-patient revenue while improving chronic disease outcomes.
Complete Chronic Care Management Platform
From patient identification to compliant billing, our platform automates every step of the chronic care management workflow.
CCM Billing Automation
Automated time tracking for CPT 99490/99491 with minute-by-minute documentation, threshold alerts, and Medicare compliance validation.
Remote Patient Monitoring
Integrate with RPM devices for blood pressure, glucose, weight, and oxygen saturation. Automated alerts for out-of-range readings.
Care Plan Management
Comprehensive care plans for multi-condition patients with medication reconciliation, self-management goals, and interdisciplinary coordination.
AWV & Transitional Care
Annual Wellness Visit integration with transitional care management (TCM) for hospital-to-home coordination and preventive screening schedules.
Chronic Care Management Lifecycle
Automated workflows guide your care team from patient enrollment through monthly monitoring and compliant billing submission.
Patient Identification
AI identifies CCM-eligible patients with 2+ chronic conditions
Care Plan Creation
Automated care plan generation with patient-specific goals
Monthly Monitoring
Continuous RPM data collection and clinical review
Billing & Documentation
Automated time tracking and compliant claim submission
Intelligent Care Coordination
Our AI engine identifies care gaps, stratifies patient risk, and predicts medication adherence to drive proactive chronic disease management.
AI Care Gap Detection
Machine learning algorithms analyze patient records to identify missed screenings, overdue labs, medication gaps, and preventive care opportunities.
Risk Stratification Engine
AI-powered risk scoring identifies high-risk patients for proactive intervention, predicting hospital readmission and ER utilization.
Medication Adherence Prediction
Predictive analytics identify patients at risk of medication non-adherence, enabling targeted outreach and intervention before gaps occur.
Why Choose Our CCM Platform
Purpose-built for chronic care management with Medicare compliance, RPM integration, and population health analytics.
Medicare Compliance Engine
Automated consent tracking, time documentation, and CMS guideline validation for CCM billing.
Multi-Condition Coordination
Unified care plans spanning diabetes, hypertension, heart failure, COPD, and more.
Interdisciplinary Care Teams
Coordinate between PCPs, specialists, pharmacists, and care managers in one platform.
Population Health Dashboard
Real-time analytics across your CCM population with quality measure tracking and benchmarks.
Medication Reconciliation
Automated med-rec workflows with drug interaction checking and formulary validation.
Patient Engagement Portal
Self-management tools, educational content, and secure messaging for enrolled patients.
Unlock Chronic Care Revenue
- Capture $62+ average monthly CCM reimbursement per patient
- Reduce ER visits by 30% through proactive chronic disease monitoring
- Improve chronic disease outcomes with AI care gap detection
- Ensure 100% Medicare CCM billing compliance with automated tracking
- Identify 40% more CCM-eligible patients with AI screening
Enterprise-Grade Compliance
Ready to Maximize CCM Revenue?
See how our AI-powered chronic care management platform can increase revenue and improve patient outcomes. Schedule a personalized demo today.
