Reduction in Hospital Readmissions
Chronic Care Management
Stabilize High-Risk Patients and Strengthen Continuity
Our Chronic Care Management (CCM) services support patients living with multiple chronic conditions through structured monthly engagement, individualized care planning, and coordinated clinical oversight.
ROI Calculator
Use the sliders below to see estimated annual revenue.
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Estimated at $1,765.31 per patient
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Estimated at $1,398.84 per patient
Estimated Annual Revenue
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RPM: $0.00 + CCM: $0.00
Revenue projections are based on estimated annual gross revenue of approximately $1,765.31 per patient per year ($147.11 per patient per month) for RPM and $1,398.84 per patient per year ($116.57 per patient per month) for CCM.
These estimates are conservative and intended for planning purposes only. Actual revenue may vary significantly depending on patient eligibility, payer mix, CPT code utilization, documentation compliance, enrollment volume, and program adherence rates within each clinic.
Reimbursement rates and program requirements are subject to change in accordance with CMS guidelines and payer policies without prior notice. Historical reimbursement performance does not guarantee future payment levels.
TrueBlueMD provides structured workflows and billing-aligned documentation to support compliance; however, final reimbursement outcomes remain dependent on each clinic’s operations, patient population, payer rules, and regulatory updates.
A Complete CCM Model Built Around Your Practice
Improves patient outcomes, medication adherence, and care plan compliance
Creates personalized care plans tailored to each patient’s needs
Expands patient access through consistent monthly touchpoints
Generates predictable monthly reimbursement aligned with CMS guidelines
How Our CCM Model Works
Our chronic care management team integrates directly into your workflows and functions as an extension of your clinical team without increasing internal staffing burden. This approach transforms chronic care into a structured coordination framework that improves patient stability while strengthening financial performance.
Download CCM CPT Guide (PDF)
Understand CCM Reimbursement Structure
Successful CCM programs require accurate documentation and structured billing workflows. Download our CPT reference guide to understand the primary CCM codes and billing components.
Reduction
in Hospital Admissions Related to CHF
Reduction in Hospital
Readmissions for Diabetic Patients
Improvement in
Medication Adherence
Compliance with
HIPAA Security Standards
Chronic Care Management FAQs
01
How is CCM different from RPM?
Chronic care management focuses on care coordination, care planning, and monthly engagement. Remote patient monitoring centers on continuous physiologic data monitoring.
02
Can CCM and RPM be combined?
Yes. Dual enrollment strengthens patient oversight and optimizes reimbursement pathways.
03
How much time must be documented each month?
A minimum of 20 minutes of clinical staff time per patient per month is required for standard CCM billing.
Contact Us
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