Chronic Care Management and Remote Patient Monitoring, built and billed right
CCM and RPM let practices support patients between visits and earn recurring revenue, but only if enrollment, time tracking and documentation meet CMS rules. ClaimEdgeSolutions helps you identify eligible patients, run the program and bill every qualifying month.
Common problems we fix
If any of these are happening in your practice, revenue is slipping away every week.
- Eligible chronic-condition patients who are never enrolled
- Time thresholds missed so the month can't be billed
- Consent and care plan documentation gaps
- Uncertainty about which codes apply each month
How ClaimEdgeSolutions handles CCM & RPM Programs
Eligibility review
Patients with two or more chronic conditions identified from your panel.
Enrollment & consent
Patient outreach, consent capture and care plan setup.
Time & reading tracking
Monthly care-management minutes and device readings logged accurately.
Device logistics
Coordination of connected devices for RPM patients.
Monthly billing
CCM (99490, 99439, 99487), RPM (99453, 99454, 99457, 99458) and related codes billed when requirements are met.
Compliance documentation
Audit-ready records for every billed month.
Specialists who own your CCM & RPM Programs
You get named people who learn your providers, payers and workflows, not a rotating queue. Every open item has an owner and a deadline.
- Eligibility review
- Enrollment & consent
- Time & reading tracking
The metrics we report on
Your monthly report tracks these numbers for this service, alongside your overall revenue cycle KPIs.
Active in program
Months meeting requirements
Monthly recurring
From audit to results in four steps
Free revenue audit
We review your A/R aging, denial history, payer mix and coding patterns, then show you what is recoverable.
Onboarding
BAA signed, secure system access set up, workflows mapped and your dedicated team assigned.
Daily operations
Claims, payments, denials, A/R and patient billing are worked every business day.
Monthly review
A KPI report and a call with your account manager covering results and next steps.
Often paired with CCM & RPM Programs
Virtual Medical Scribe
Trained remote scribes who document in real time so providers can focus on patients.
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Workers' Comp Billing
Specialized billing, collections and litigation support for work-injury claims.
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Transcription & Document Indexing
Accurate transcription and organized, searchable patient records.
Explore serviceAvailable for every specialty, including
Frequently asked questions
Straight answers about how ClaimEdgeSolutions works with your practice.
Ask us anything01Who is eligible for CCM?
Patients with two or more chronic conditions expected to last at least 12 months that put them at significant risk. Exact rules depend on payer.
02Do patients need to consent?
Yes. Verbal or written consent must be documented before services begin. We handle and record it.
03Do you provide the RPM devices?
We coordinate device setup and data flow with your chosen device partner.
04Do you also handle Principal Care Management or BHI?
Yes. We can support PCM and Behavioral Health Integration programs as well.
05Do you sign a Business Associate Agreement?
Yes. A BAA is signed with every client before we access any protected health information.
See where your revenue is leaking
Get a free, no-obligation revenue audit. We review your A/R, denials and coding patterns and show you exactly what is recoverable.