Chronic Care Management

What is Chronic Care Management?

In 2015, Medicare implemented a series of major reimbursement changes impacting beneficiaries with two or more chronic conditions expected to last 12+ months or until the death of the patient. Using Current Procedural Terminology (CPT) code 99490, Medicare will now reimburse at a rate of approximately $42 per month for each patient receiving 20 minutes or more of non-face-to-face care coordination services fulfilled by the provider or a subcontractor.

2/3 of seniors have 2+ chronic diseases

~$42 Medicare reimbursement monthly

20 minutes every month

Components of CCM

Certified EHR

An Electronic Health Record certified to 2011 or 2014 standards as required for key information such as patient demographics, medications, and allergies.

Access to Care

24/7 access to care management services through non-face-to-face mechanisms such as secure messaging video chat sessions.

A Care Plan

Comprehensive patient-centered care plan required, which includes proposed approaches for items such as symptom management and treatment goals.

Managed Care

Systematic assessments of patient needs, including medication reconciliation and review of adherence and follow-ups in the event of ER visits or hospitalization.

Let DocsConnect Help

DocsConnect’s comprehensive telemedicine/behavioral health solution is the best on the market.
Our Chronic Care Management services are exactly what you need to create a top of the line Chronic Care Management Program.

24/7 Cloud
Based Platform

DocsConnect provides 24/7 access to our virtual Internet-based healthcare platform.

Support for
200+ Devices

CCM requires more than phone calls and video chats. We integrate with over 200+ devices covering 10 key vital signs used to better manage care

Integration With
Top EHRs

To give you immediate access to patient information, we can provide you with an Electronic Health Record or we can integrate our telemedicine platform with top-quality third-party EHRs.

Health Network

DocsConnect provides access to an international network of physicians, nurses and specialists to help provide, augment, and manage your patients’ care options

Establish a CCM Program

Whether you are looking to outsource or build your very own Chronic Care Program, DocsConnect has you covered every step along the way. Our experts will work with you to establish the four key steps of a Chronic Care Management Program.


DocsConnect will work with you to securely analyze your patient data to identify and target eligible patients likely to enroll in the program.

Educate & Consent

We will then provide you with materials to educate your patients and the forms necessary to enroll them into the program.


Consented patients will receive a welcome package and have an initial phone or video assessment for their medication reconciliation and any necessary training.

Manage & Bill

Each month patients will receive 20 minutes + of managed care based on their conditions. DocsConnect can even handle the billing and send you a check monthly.