Learn what MyHealth CCM is, how it works, its features, pricing, CCM billing support, and how it compares with other CCM platforms in 2026.
Chronic Care Management is one of Medicare's most consistently underutilized reimbursement programs. Practices that deliver care coordination for patients with multiple chronic conditions - phone calls, medication reconciliation, care plan updates, specialist communication - often do that work without billing for it. MyHealth CCM is a platform designed to change that: capturing the clinical work already happening, documenting it compliantly, and converting it into recurring monthly Medicare revenue.
This guide covers what MyHealth CCM is, how its model works, what it includes, and where it fits in the broader CCM software landscape.
What Is MyHealth CCM?
MyHealth CCM is a physician-centric software platform designed to streamline chronic care management for patients with multiple chronic conditions. Its clinically trained care managers help providers build stronger patient connections, increase engagement, and keep patients within the practice's network - while reducing staff workload.
The platform operates on a full-service model - meaning MyHealth CCM provides not just the software infrastructure but also the clinical staffing that executes care management on behalf of the practice. This distinguishes it from software-only CCM platforms, where the practice's own staff handles all patient outreach, time tracking, and documentation.
Core positioning:
- Physician-centric - the practice retains oversight and program control
- Fully managed - MyHealth CCM's care managers handle patient interactions
- EHR-integrated - documentation feeds directly into the practice's existing EHR
- Revenue-share model - providers retain 60% of CCM reimbursement generated
Per CMS's Chronic Care Management program requirements, CCM services may be delivered by clinical staff under the general supervision of a billing physician or qualified healthcare professional - making the full-service staffing model compliant within the CMS framework.
How MyHealth CCM Works
The platform follows a four-stage operational model from patient identification through monthly billing:
Stage 1 - Patient Identification
MyHealth CCM identifies eligible patients from the practice's existing patient panel - those with two or more qualifying chronic conditions, Medicare Part B coverage, and documented clinical risk. The practice does not need to run its own eligibility analysis; the platform performs this as part of onboarding.
Stage 2 - Enrollment and Consent
Clinically trained care managers contact eligible patients, explain the program, answer questions, and obtain the documented consent required by CMS before CCM billing can begin. Patient consent is stored within the platform and is accessible for audit purposes.
Stage 3 - Monthly Care Management
MyHealth CCM's care managers provide comprehensive support from identifying eligible patients to managing devices and ongoing monitoring. The platform documents everything within its system, ensuring the practice retains full program oversight.
Monthly care management activities include:
- Structured care plan review and updates
- Medication reconciliation and adherence monitoring
- Coordination with specialists, labs, and other treating providers
- Patient education and self-management support
- 24/7 access line for non-emergency clinical questions
Stage 4 - Documentation and Billing
MyHealth CCM updates the practice's EHR with detailed notes after each patient interaction and provides comprehensive, audit-ready billing reports for seamless CMS compliance. Providers retain 60% of the revenue generated from CCM services.
CPT Codes and Reimbursement Structure
MyHealth CCM supports billing across the full non-complex and complex CCM code families. The 2026 Medicare Physician Fee Schedule confirmed a 10% across-the-board increase in CCM reimbursement rates, the largest single-year increase since the program launched in 2015:
Under the 60/40 revenue split, a practice retaining 60% of a standard CCM patient generating $116 per month (99490 + one unit of 99439) nets approximately $70 per patient per month. At 100 enrolled patients, that represents approximately $84,000 in annual net revenue from clinical work the practice is already delivering. For a detailed breakdown of how CCM billing codes are structured and what each requires, understanding the full code family ensures the revenue model is accurately projected before enrollment begins.
Key Features
Physician-centric oversight model: Unlike fully outsourced CCM programs, where the provider has limited visibility, MyHealth CCM is structured to keep the physician informed - documentation flows into the practice's EHR after every patient interaction, and the practice retains full program oversight without managing the day-to-day operations.
EHR integration: Documentation from every care management contact is pushed directly into the practice's existing EHR system - maintaining a single source of truth for clinical records and supporting audit readiness without requiring separate documentation review.
Audit-ready billing reports: Monthly billing reports are generated with time-stamped activity logs, patient consent records, care plan documentation, and CPT code assignments - the exact documentation set required for CMS and payer audit compliance.
Flexible staffing support: MyHealth CCM's flexible staffing solutions provide support when needed, while compliance expertise ensures timely reimbursement and regulatory adherence, helping practices achieve sustainable revenue growth without the challenges of starting from scratch.
Who MyHealth CCM Is Best Suited For
MyHealth CCM is specifically designed for practices that want the revenue and clinical benefit of a CCM program without building internal care management infrastructure from scratch. The full-service model removes the enrollment, outreach, documentation, and compliance burden from practice staff - trading a share of revenue for operational simplicity.
How MyHealth CCM Compares in the 2026 CCM Market
The CCM software market in 2026 offers three primary service models:
- Software-only platforms (ThoroughCare, ChronicCareIQ) - Higher revenue retention; practice manages all operations internally
- Full-service platforms (MyHealth CCM, ChartSpan, CareHarmony) - Lower operational burden; revenue share model
- Unified multi-program platforms (Circle Health, HealthArc) - CCM alongside RPM, PCM, BHI, and TCM within one workflow
For practices where internal staffing capacity is the primary constraint, full-service platforms like MyHealth CCM solve the correct problem. For practices wanting to layer RPM billing on top of CCM for eligible patients - where the combined monthly reimbursement per patient doubles - a unified RPM and CCM platform may generate stronger financial returns than a CCM-only full-service arrangement.
Understanding the 2026 CMS code changes affecting both CCM and RPM reimbursement is the strategic context that should inform any platform selection - because the choice made today affects concurrent billing eligibility as programs scale.
Considerations Before Choosing MyHealth CCM
Revenue share vs. software-only economics: At 60/40 in the practice's favor, MyHealth CCM's model is competitive within the full-service segment. Practices with existing care management staff should model whether software-only platforms that retain 100% of reimbursement produce stronger net economics even after staffing costs.
RPM concurrent billing: Confirm whether MyHealth CCM supports concurrent RPM billing alongside CCM. For Medicare patients managing conditions like diabetes, hypertension, and CHF, concurrent RPM enrollment can add $97–150 per patient per month in additional reimbursement. Per HHS guidance on concurrent Medicare care management billing, RPM and CCM may be billed together for the same patient in the same month, provided clinical time is tracked and documented independently for each program.
EHR compatibility: Verify specific EHR compatibility before committing. Confirm the integration is bi-directional - that documentation pushes to the EHR and that patient data pulls from the EHR to support care plan accuracy.
For practices evaluating platform ROI before committing, a structured assessment of RPM and CCM program financial returns provides the financial modeling framework that vendor conversations alone rarely deliver.
Conclusion
MyHealth CCM addresses a genuine and common problem: practices delivering chronic care management work without capturing the reimbursement it generates. Its full-service model - clinically trained care managers, EHR-integrated documentation, audit-ready billing reports, and a 60/40 revenue structure - is purpose-built for independent and small-to-mid-sized practices that want a CCM program without the operational overhead of building one internally.
The decision to choose MyHealth CCM over alternative platforms comes down to three variables: how much internal care management capacity the practice has, whether concurrent RPM billing is part of the program strategy, and whether a revenue-share or software-only economics model produces the stronger long-term return at the practice's specific patient panel size.
Frequently Asked Questions
Q1. Does MyHealth CCM require practices to change their existing EHR?
No. MyHealth CCM integrates with existing EHR systems, allowing practices to continue using their current workflows without replacing their software.
Q2. What revenue split does MyHealth CCM offer?
Practices typically retain 60% of CCM reimbursement, while MyHealth CCM receives 40% for providing care management, documentation, and compliance support.
Q3. Who provides the care management services?
MyHealth CCM's care managers handle patient outreach, care coordination, and documentation, while the physician maintains clinical oversight.
Q4. How does MyHealth CCM ensure billing compliance?
The platform generates time-stamped records, patient consent documentation, care plans, and billing reports to support CMS compliance requirements.
Q5. Can MyHealth CCM support complex CCM patients?
Yes. The platform supports both standard and complex CCM services, including documentation for applicable CPT codes.
Q6. How long does it take to start billing?
Most practices begin billing within 30–60 days after enrollment, depending on onboarding and EHR integration requirements.
Q7. Can MyHealth CCM be used alongside RPM programs?
Yes. Practices can use MyHealth CCM with RPM programs, but they should confirm support for separate time tracking and concurrent billing requirements.