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Chronic Care Management

Deliver CCM programs in-house or through our service centers

CCM Reimbursement

Don't just buy into a generic chronic care management program. We have been in the business for many years and have optimized our offering.


CPT: 99490

  • 20 mins of service
  • Every calendar month
  • Prior Consent Needed
  • One billing provider 

CPT: 99489

  • Extra 20 mins of service
  • Add-on to 99490
  • Every calendar month
  • Complex Patients

CPT: 99487

  • Alternative to 99490
  • Every calendar month
  • 60 mins of service
  • Complex Patients

CPT: G0506

  • Patient Enrollment
  • Care Planning service
  • face-to-face requirement
  • CCM Initiation
Custom Software

Custom Software

Delivering a chronic care management program requires a specialized set of tools and features. Ranging from marking appropriate conditions as Chronic Conditions, categorizing timings, and notes to create automated care plans. Doing this within the EHR or with Excel files is simply too much of a hassle.

With our software, patients can be preloaded through automatic export from the EHR. Then, when chronic conditions are marked, pre-built care plans are automatically generated. These pre-built care plans can be used to provide further care for the patient and deliver exceptional reporting through our dashboards.

Full Service

Full-Service Offering

Many practices do not have the capacity to go through hiring personnel & training to offer these programs.

Fortunately, AstuteDoc has just the right tools to enable practices to execute the chronic care management programs without any involvement except initial enrollment. We will work with you to identify key patients to enroll and then transition the patients to our service center. The care coordination staff will call the patients on the providers' behalf and coordinate with the practice for escalation scenarios.

Prebuilt Clinical Protocol

Pre-Built Clinical Protocols

One of the rigorous tasks of executing a clinical program is the creation of clinical protocols to get started on the project. Each condition needs a care plan and its associated care scripts for month-to-month interactions.

With AstuteDoc, all the clinical protocols come pre-built in. When you identify patients, chronic conditions, the care plans are automatically generated and modifiable according to the patient needs. We also provide you with up to date clinical call scripts to keep the patients engaged and informed.

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