Solutions · CCM
Chronic Care Management
20-minute monthly outreach that meets CMS billing rules.
All programs
Track time, document interactions, and bill CPT 99490/99439 with a worklist tailored to chronic-condition patients.
Highlights
- Auto-rolled monthly time logs
- Care-plan templates with PDF export
- Compliance-ready audit trail
Related programs
Often runs alongside
PCMPrincipal Care Management
Single-condition focus, with the same compliance rigor.
Surface high-need patients with a single complex condition and drive structured outreach against CPT 99424–99427.
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BHIBehavioral Health Integration
Care for whole-person needs, including mental health.
Coordinate behavioral health screening and follow-up against CPT 99484 with shared notes across the care team.
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RPMRemote Patient Monitoring
Devices in, insights out — without spreadsheet wrangling.
Ingest readings from connected devices, surface out-of-range alerts, and bill 99453/99454/99457/99458 with confidence.
Learn moreStand up CCM on 31M.
We’ll help you migrate from your current process — most teams go live in two to three weeks.