CHRONIC CARE MANAGEMENT (CCM)

Keep chronic care patients connected and supported between visits.

Focus on what truly drives your practice — healthier patients, compliant programs, and sustainable growth. With the right team, technology, and expertise, your CCM program can deliver real results.

Keep chronic care patients connected and supported between visits.

A complete solution for CCM success

Empower patients to actively manage their health while your practice unlocks consistent revenue. Even one Medicare enrollee can generate steady monthly income — all while improving outcomes and satisfaction. Whether you're launching CCM or optimizing an existing program, Circle Health helps you navigate compliance, streamline billing, and deliver measurable results.

Everything you need for CCM Success

Billing & Codes

Auto-capture time & notes to bill accurately for CPT 99490 & 99439.

Integrations

Connect with your EHR, simplify patient communications & secure messaging.

Security & Compliance

HIPAA-compliant platform with encrypted data, full audit trails & role-based access control.

Platform Highlights

AI-powered value-based care programs

Spot eligible patients instantly

Get real-time alerts when patients qualify for CCM. Our smart workflows integrate with your EMR and annual wellness visits, helping your team identify, enroll, and engage eligible patients in minutes.

Spot eligible patients instantly

Stay audit-ready and compliant

Automated checks and reminders help your team capture consent, complete documentation, and stay aligned with billing and regulatory standards.

Stay audit-ready and compliant

Build personalized care plans in minutes

Design customized plans faster with smart, editable templates. Our streamlined process helps practitioners focus on quality care instead of paperwork.

Build personalized care plans in minutes

Turn data into action with AI-driven intelligence

Uncover patterns, risks, and opportunities in real time. Our clinically trained AI reviews patient history and delivers actionable insights to guide more proactive, personalized care.

Turn data into action with AI-driven intelligence

Turn patient support into sustainable revenue

Our CCM platform simplifies Medicare compliance and billing, ensuring your team is reimbursed for the 20 minutes a month spent supporting patients between visits — without adding extra admin work.

Turn patient support into sustainable revenue

Simplify your CCM revenue cycle

Track every patient interaction effortlessly and consolidate them into one ready-to-bill report. Review, approve, and submit — it's that seamless.

Simplify your CCM revenue cycle

CPT Codes for CCM

Understanding reimbursement for Chronic Care Management

Frequently Asked Questions

A strong CCM program helps practices improve outcomes for patients with chronic illnesses through consistent engagement and proactive care. It also reduces administrative strain by streamlining patient follow-ups and introduces an additional revenue stream by converting non-billable touchpoints into compensated care.

CCM gives patients continuous, coordinated support outside of office visits. It includes regular check-ins, medication reviews, and personalized care plans — helping patients stay adherent, connected, and more in control of their health journey.

CCM is best suited for patients managing one or more chronic conditions like diabetes, hypertension, or heart disease. Providers evaluate each patient's health goals and care needs to determine whether they would benefit from ongoing monitoring and communication.

CCM services are billed monthly for eligible patients. Providers review participation regularly to ensure that patients are receiving timely care coordination and continued support.

Yes. Circle Health's CCM platform is fully HIPAA and SOC 2 compliant, using advanced encryption and access controls to keep patient data safe. Security and confidentiality are built into every layer of the system.

Ready to strengthen your care management program?

Let's design a program that improves care and grows your practice.