Chronic Care Billing,
Engineered for Precision.
Chronic Care Mgmt
Scanning Zone...Select a clinical focus area on the scanner or list below to reveal the specific CPT codes, time requirements, and documentation standards our certified coders master to secure your chronic care revenue.
Chronic Care Management (CCM)
Precise billing for non-complex CCM (99490/99439) and complex CCM (99487, 99489, 99491). We meticulously track the required 20 minutes of clinical staff time per month, verify patient consent, and prevent duplicate-service denials with other care management programs.
Remote Patient Monitoring (RPM)
Accurate coding for device setup and supply (99453/99454) and treatment management (99457/99458). We strictly monitor the mandatory 16-day data collection window and proper consent requirements to keep RPM claims clean and reimbursable.
Principal Care Management (PCM)
Expert billing for PCM (99425, 99426, 99427) designed for patients with a single high-risk chronic condition. We track the 30-minute monthly time requirement, ensure the designated provider meets the billing criteria, and prevent overlap with CCM services.
Transitional Care Management (TCM)
Navigating TCM codes (99495, 99496) for post-discharge follow-up within 30 days. We verify the interactive contact within 2 business days, correct medical decision making (MDM) complexity level, and prohibited overlap with discharge-day services.
Chronic Care Billing is Complex.
We Make It Profitable.
Time Tracking Overlaps
The HBS Solution
Consent & Initiation
The HBS Solution
TCM & Concurrent Care
The HBS Solution
The HBS Chronic Care Advantage
98% First-Pass Clean Claim Rate
Our proprietary scrubbing engine catches time-overlap errors, missing consent documentation, and invalid concurrent billing before the claim ever leaves our system.
Automated Monthly Rollover
We efficiently track calendar-month resets for CCM and 30-day windows for RPM, ensuring nothing falls through the cracks and billable cycles aren't missed.
Audit-Ready Compliance
We ensure your care plans, 16-day transmission logs, and interactive time logs are flawlessly linked to claims, shielding you from Medicare recoupments.