AK

📋 Page Guide

This page tracks the patient's CCM billing status, compliance requirements, and revenue generated. It ensures all documentation meets CMS requirements for CCM billing.

  • Active/Billable — Patient meets CCM criteria and time requirements
  • Pending — Month not yet completed or minutes not met
  • Inactive — Patient not enrolled or consent lapsed

All four compliance items must be checked before a claim can be submitted. If any item is unchecked, resolve the issue before end of month.

Revenue YTD reflects payments received for CCM services billed to Medicare/Medicaid. CPT 99490 reimburses approximately $62/month. Complex CCM (99487) reimburses approximately $133/month.

Billing Compliance
Sarah Johnson  ·  MRN P-2024-042  ·  CCM Program
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Active
CCM Billing Status
Billable
📋
3 / 4
Consult Count (YTD quarters)
Q4 2025 consult pending review
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$847
Revenue YTD (2026)
Jan–Mar 2026  ·  CPT 99490
Billing History (2026)
Month CPT Code Units Billed Paid Insurance Status
March 2026 99490 1 $62.00 BlueCross PPO Pending
February 2026 99490 1 $62.00 $59.15 BlueCross PPO Paid
January 2026 99490 1 $62.00 $59.15 BlueCross PPO Paid
December 2025 99490 1 $62.00 $59.15 BlueCross PPO Paid
November 2025 99490 1 $62.00 $59.15 BlueCross PPO Paid
October 2025 99490 1 $62.00 $0.00 BlueCross PPO Denied
CCM Compliance Checklist — March 2026
Patient Consent Obtained
Signed CCM consent on file — last updated March 8, 2026
Compliant
20+ Minutes Documented
18 of 20 min logged — 2 min required before month close
Pending (18 min)
Care Plan Signed by Provider
Current care plan signed by Dr. A. Kumar on March 20, 2026
Compliant
Provider Supervision Confirmed
Dr. Arjun Kumar, MD supervising — NPI 1234567890
Compliant