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Home/Health Tech/Chronic Care Management Software

Chronic Care Management Software That Pays for Itself

Chronic Care Management (CCM) is a CMS-reimbursed care delivery model for patients with two or more chronic conditions. Purpose-built CCM software automates care plan documentation, clinical time tracking, patient outreach, remote monitoring data capture, and CPT billing — enabling practices to run profitable CCM programs without adding administrative overhead.

BUILD YOUR CCM PLATFORM
36M+
Medicare beneficiaries eligible for CCM
$83–$131
CMS reimbursement per patient per month (2026)
40%
Average reduction in hospitalizations in CCM programs
CPT 99490–99491
Primary billing codes automated

A Comprehensive Platform to Optimize CCM Delivery

Effective chronic care management requires structured workflows, consistent patient touchpoints, accurate time documentation, and seamless billing. Our CCM software platforms are designed to make all four frictionless for care teams.

Care Plan Management

Structured, evidence-based electronic care plans for patients with hypertension, diabetes, COPD, CHF, CKD, and other chronic conditions — with problem list management, goal tracking, medication reconciliation, and care team coordination.

ICD-10 Chronic ConditionsEvidence-Based PlansGoal TrackingMedication Reconciliation

Remote Patient Monitoring

Integrate with cellular and Bluetooth-connected RPM devices to capture blood pressure, blood glucose, weight, pulse oximetry, and peak flow readings — automatically alerting care managers when readings fall outside clinical thresholds.

Blood PressureCGM/Blood GlucoseWeight ScalePulse OximetryRPM Alerts

CCM Time Tracking & Billing

Automated clinical time capture for all CCM touchpoints — phone calls, secure messages, care plan updates, coordination activities. Generate CPT 99490, 99491, 99487, and 99489 claims automatically when monthly time thresholds are met.

CPT 99490CPT 99491CPT 99487Auto Time CaptureCMS Billing

CCM Software Features Built for Care Teams

Every module is designed to reduce documentation burden on care managers while improving patient outcomes and program profitability.

Population Health Dashboards

Identify high-risk patients with overdue care plan reviews, missed RPM readings, or approaching monthly time thresholds — and prioritize outreach accordingly from a single unified dashboard.

Patient Engagement Tools

Secure two-way messaging, automated appointment reminders, health education content delivery, medication adherence nudges, and self-monitoring apps that keep patients engaged between clinical touchpoints.

Automated CMS Billing

When a patient's monthly CCM time threshold is crossed, the system automatically generates the appropriate CPT claim — eliminating manual billing, reducing denials, and capturing revenue that manual processes miss.

Multi-Disciplinary Care Coordination

Enable seamless collaboration between primary care physicians, care managers, specialists, pharmacists, and social workers — with shared care plans, task assignments, and communication logs across the care team.

Compliance & Standards Coverage

CMS CCM Billing Requirements
Automated
CPT 99490 (20 min)
Automated
CPT 99491 (30 min, physician)
Automated
CPT 99487 (Complex, 60 min)
Automated
CPT 99489 (Additional 30 min)
Automated
HIPAA Security Rule
Compliant
CMS Consent Requirements
Built-In
EHR Integration (FHIR)
Supported

Why Care Programs Succeed with Woltrio

We build CCM platforms that care managers actually want to use — because intuitive software drives adoption, and adoption drives program revenue and patient outcomes.

CCM Program Expertise

We have deep knowledge of CMS CCM billing requirements, consent rules, time documentation standards, and exclusion criteria — ensuring your platform is audit-proof from day one.

EHR-Integrated Workflows

Our CCM platforms integrate bidirectionally with Epic, Cerner, Athenahealth, and 50+ other EHRs via FHIR — pulling problem lists, medications, and demographics without manual re-entry.

Measurable Program ROI

We build outcome tracking dashboards that demonstrate clinical improvement (HbA1c reduction, blood pressure control, readmission reduction) and financial ROI — critical for program sustainability and payer negotiations.

Our CCM Platform Implementation Process

From program design to full deployment, we set your CCM program up for clinical and financial success.

01

CCM Program Assessment

Evaluate your eligible patient population, existing care management workflows, EHR environment, and billing infrastructure.

02

Platform Configuration

Configure care plan templates for your chronic condition mix, time tracking rules, alert thresholds, and billing code mapping.

03

EHR & Device Integration

Implement FHIR-based EHR integration for patient data sync and connect RPM devices from your selected hardware partners.

04

Staff Onboarding & Training

Train care managers, physicians, and billing staff on the platform — with workflow guides, video training, and live Q&A.

05

Program Launch & Optimization

Launch with an initial cohort, monitor time capture rates, billing efficiency, and patient engagement — then optimize program workflows monthly.

Ready to Build Your Healthcare Software?

Let's discuss your project requirements and build something that delivers real clinical and business value.

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Frequently
asked Questions

Seeking basic information? Our FAQ section is a ready reckoner with precise answers to the most probable queries.

The primary CCM CPT codes for 2026 are: CPT 99490 — for at least 20 minutes of non-complex CCM services per month by clinical staff under physician supervision ($63–$67 average reimbursement); CPT 99491 — for at least 30 minutes of CCM services provided personally by a physician or other qualified healthcare professional ($83–$92); CPT 99487 — for complex CCM requiring at least 60 minutes and moderate-to-high complexity decision making ($131–$145); and CPT 99489 — for each additional 30 minutes of complex CCM beyond the initial 60 minutes. Our software automatically tracks time against these thresholds and generates claims when criteria are met.
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