We review the documentation available for a patient against current Medicare eligibility criteria, helping your clinical team confirm that a patient's chronic conditions, prognosis, and risk profile are clearly reflected in the chart before CCM enrollment moves forward.

We help build a repeatable process for identifying likely CCM candidates from your existing patient panel, so eligible patients aren't relying on one staff member remembering to flag them.

We help structure how consent conversations are captured and stored, so the required elements, cost-sharing disclosure, single-practitioner billing, the right to stop services, are consistently documented rather than inconsistently worded from patient to patient.

We review CCM-related documentation for completeness before claims are built, flagging gaps between what was clinically done and what the record currently supports, while the gap can still be addressed.

We review monthly time logs for consistency, specificity, and whether staff versus practitioner time is properly separated, catching thin or reconstructed-looking entries before they become part of a submitted claim.

We apply the correct CCM code based on who performed the time and how much was documented, accounting for concurrent-billing restrictions between non-complex and complex CCM and other services billed in the same period.

We make sure qualifying CCM activity that's been documented and time-tracked actually gets translated into a claim, closing the gap where legitimate billable work never makes it onto a bill.

We submit CCM claims according to current payer requirements, reducing the technical rejections that come from formatting, sequencing, or payer-specific submission issues rather than clinical or coding problems.

We monitor submitted claims through adjudication rather than waiting for a denial to surface on its own, so status issues get addressed while there's still time to act.

We post payments accurately and reconcile them against what was billed, so underpayments and adjustments are visible rather than absorbed silently into the AR.

We investigate the specific reason behind each CCM denial, eligibility, documentation, time, coding, or payer-specific requirement, and pursue correction or appeal when the claim supports it.

We track outstanding CCM claims by age and value, following up before appeal or resubmission windows close and identifying underpayments that would otherwise go unnoticed.

We periodically review a sample of CCM claims against the underlying documentation to identify systemic issues, and provide reporting that shows where the CCM billing workflow is performing well and where it isn't.

We track enrollment, claim, and denial trends over time, so practice leadership has ongoing visibility into the CCM program rather than a one-time snapshot.