Chronic Care Management That Delivers Outcomes

Vironix Health helps providers turn CCM into measurable clinical, operational, and financial success — eliminating friction with end-to-end Virtual Care Management solutions and services.

Healthcare organizations are under growing pressure to improve chronic disease outcomes, strengthen patient loyalty, reduce avoidable utilization, and create recurring reimbursement beyond the traditional office visit. Chronic Care Management (CCM) remains one of the most proven Medicare programs to achieve all four.

What is Chronic Care Management?

Chronic Care Management is a Medicare-supported program that reimburses providers for non-face-to-face care management services delivered to patients with two or more chronic conditions expected to last at least 12 months (or until death) and that place the patient at significant risk of decline, exacerbation, or functional impairment.

CCM supports the critical work that happens between visits — care coordination, medication management, preventive follow-up, patient coaching, transitions of care support, care plan development and maintenance, and communication with specialists and caregivers.

CCM rewards providers for proactive longitudinal care — and Vironix Health helps you deliver it at scale.

Non-Complex CCM (2026)

CPT CodeDescriptionApprox. Payment
99490At least 20 minutes of clinical staff time directed by physician/QHP, per month~$50
99439Each additional 20 minutes clinical staff time, add-on~$40

Complex CCM (2026)

CPT CodeDescriptionApprox. Payment
99487Complex CCM, at least 60 minutes clinical staff time, moderate/high complexity medical decision-making~$145
99489Each additional 30 minutes complex CCM, add-on~$75

Physician / QHP Personal Time CCM (2026)

CPT CodeDescriptionApprox. Payment
99491At least 30 minutes physician/QHP personal time per month~$85

Why Vironix for CCM

Patient enrollment & consent

Compliant outreach and consent workflows that activate eligible patients quickly.

Monthly outreach cadence

Reliable, disciplined monthly engagement — not one-off check-ins.

Care plan development

Personalized care plans maintained and updated as conditions evolve.

Documentation & billing

Time tracking and notes aligned to CMS requirements out of the box.

Specialist coordination

Closed-loop communication across specialists, caregivers, and care teams.

KPI & revenue reporting

Population dashboards and ROI tracking for every panel.

Outcomes That Matter

Patient

  • Better medication adherence
  • Improved chronic disease control
  • Earlier intervention before escalation
  • Reduced hospitalizations and ER visits
  • Stronger continuity of care
  • Improved patient satisfaction

Provider

  • Less internal staff burden
  • Reliable monthly workflows
  • Better patient retention
  • Stronger quality metrics
  • Improved care coordination
  • Reduced burnout pressure

Financial

  • Monthly reimbursable care management services
  • Strong ROI without adding overhead
  • Improved value-based care readiness
  • Higher lifetime patient value
  • Better panel retention and engagement

End-to-End Solutions

Strategy & Program Launch

  • Financial opportunity assessment
  • Patient eligibility identification
  • Workflow design
  • Consent processes
  • Staff training

Monthly Program Operations

  • Patient outreach and engagement
  • Care plan updates
  • Medication review support
  • Coordination with specialists
  • Escalation protocols
  • Documentation completion

Technology & Analytics

  • Population dashboards
  • Task management workflows
  • Patient communication tools
  • KPI reporting
  • Revenue performance tracking

Eligibility & Billing

Vironix Health partners with independent practices, medical groups, FQHCs, RHCs, ACOs, IPAs, health systems, and value-based organizations to deploy or scale CCM rapidly and profitably.

Ready to Build a High-Performing CCM Program?

Turn chronic care complexity into measurable success. Improve patient outcomes. Empower providers. Grow recurring revenue.