Tap into a new recurring revenue stream with ChartSpan's Chronic Care Management

Patient Care ChartSpan

Give your patients 24/7 access to care management with ChartSpan and the nation’s largest and most successful Chronic Care Management (CCM) program. ChartSpan’s highly trained care team will reach out each month, telephonically, to your enrolled patients – those with multiple chronic conditions who are most in need of attention and support. We act as an extension of your care coordination team so that your patients with chronic conditions have access to a clinician, 24/7.

ChartSpan’s turnkey solution handles every step of the program, from identifying eligible patients, and the initial outreach for enrollment, to providing around-the-clock access to nurses. We even support your Quality team in accomplishing your MIPS or QIP measures. We deliver a robust solution that doesn’t interrupt your daily, clinical your workflow, reduces staff workload, and delights your patients.

We provide you with reports that let you know exactly how the program is progressing so you can enjoy the success, without the heavy lifting that CCM programs usually involve.

Let your staff focus on providing in-person healthcare to patients, and ChartSpan will focus on the rest.

  • Assistance with medication refills

  • Support in achieving health care goals that you establish

  • Assistance with transportation and mobility needs

  • Assistance in finding home care

  • Help in making doctor or specialist appointments

  • Support for caregivers and family members caring for a loved one

  • Assistance in accessing labs, x-rays and tests

  • Continuously building a comprehensive care plan for each patient

We built our proprietary CCM software to allow our care team to easily track time, document interactions, review patient status and report all progress back to you each month. We record every patient phone call and make it available at a moment's notice.

Identify and engage eligible Medicare beneficiaries

Medicare beneficiaries must have two chronic conditions to be eligible to participate in Chronic Care Management. Since three out of four people older than 65 have two or more chronic conditions, a large number of your patients should be eligible to participate.

Additionally, the Chronic Care Management program requires that each enrolled patient have:

  • An office visit within the previous 365 days

  • 20 minutes per month of non-face-to-face care

  • 24/7 access to care management

  • Only one provider billing for CCM services (CPT code 99490)

Enrollment Process

Most practices that attempt an in-house CCM program enroll only 10% of their eligible Medicare patients. ChartSpan has learned that the best way to enroll CCM patients is with a group of trained Enrollment Specialists who are experts at engaging patients on the benefits of Medicare’s CCM services and overcoming patient objections. As a result, ChartSpan averages 60%+ patient enrollments. Our team will:

  • Construct Eligible Patient Lists

  • Reconcile Missing CPT Codes and Establish Coinsurance Estimates

  • Obtain Patient Consent with Proven Marketing Strategies

  • Manage the daily churn-in and churn-out of patients

How We Help Providers



New stream of monthly-recurring revenue



Medicare patients remain attributed to your practice



MIPS consultants drive compliance and performance



CCM participation is proven to improve patient outcomes

How We Help Patients



Coordinated care between you and patient's other providers



Access to our triage nurse line for 24/7 support



CCM patients save $240 per year and see 20% less hospitalization on average



Care teams review with patients their adherence to provider developed health care plans and goals

CCM is Available for A Variety of Practice Types

Chronic Care Management can be billed by a variety of practice types. ChartSpan currently provides CCM services to several types of healthcare clientele including primary care, specialty practices, FQHC and RHCs.

Chronic Care Management ChartSpan

If You Are an FQHC or RHC

Recognizing that patients who benefit the most from Chronic Care Management are served by providers who qualify for Federal Qualified Health Center (FQHC) or Rural Health Clinic (RHC) status, Medicare has made significant changes to CCM reimbursements in the past two years that can bring big advantages to your practice – and your patients.

CMS increased Chronic Care Management reimbursements from an average of $42 to more than $66 per encounter with a minimum of 20 minutes of care. The CCM billable code for this is G0511.

The Workflow Process – End-to-End Support from ChartSpan:

ChartSpan handles all moving parts of the CCM process, so you don’t have to. From continuously identifying eligible Medicare enrollees, to closing care gaps through our clinical interactions and improving performance on quality measures, we make CCM effortless for our clients.

chronic care management

We’ll Work With Your EHR

The Electronic Health Record (EHR) is a crucial tool for pulling eligible CCM patient lists, pushing out patient comprehensive care plans, and billing each month. ChartSpan has experience with every major EHR in the industry, and ChartSpan works with practices to establish data feeds, such as an HL7, API, or encrypted VPN.

Common EHRs We Work With

Empower your providers and delight your patients!

Schedule a call with a subject matter expert to see how you can help increase revenue, expedite reimbursements, deliver valuable support, and improve patient outcomes.

ChartSpan’s unique approach to Chronic Care Management services ensures full compliance and goes above and beyond to ensure your program is successful. Don’t miss out on this opportunity to provide better care, increase patient satisfaction and receive ongoing reimbursement.

Follow the Money:
Medicare’s New Gold Mine is Chronic Care Management

Read the CCM data that everyone has been trying to get their hands on. This retrospective claims analysis proves the financial success of CCM.