Capture unbilled revenue and the admin hours you can't hire for.
Care Management
Five Medicare programs that reimburse your practice for coordinating, monitoring, and transitioning care. Your practice bills; Zenith delivers the labor.
Which program fits which patient?
A quick side-by-side of the five care-management programs. Reimbursement figures are 2026 Medicare national averages and vary by locality and payer.
| Program | Eligibility | Primary CPT | Base reimbursement | Who can bill |
|---|---|---|---|---|
| CCM | 2+ chronic conditions, 12+ months | 99490, 99439, 99487/99489, 99491 | ~$66/mo | Physician, NP, PA, clinical staff |
| PCM | 1 high-risk condition, 3+ months | 99424, 99425, 99426, 99427 | ~$68-$88/mo | Physician, NP, PA, clinical staff |
| RPM | Acute/chronic condition + connected device | 99453, 99454, 99445, 99457, 99458, 99470 | ~$150-$200+/mo | Physician, NP, PA |
| RTM | Respiratory/MSK condition, app or device | 98975, 98976/98977, 98980, 98981 | ~$90-$150/mo | Physician, NP, PA, PT, OT, SLP |
| TCM | Post-discharge, 30-day window | 99495, 99496 | $220-$299/episode | Physician, NP, PA |
Revenue Cycle Management
Billing, coding, credentialing, and A/R follow-up handled inside your practice-management system, so more of what you earn is coded right, billed clean, and collected.
Virtual Staffing & Admin Support
Trained remote medical professionals who absorb the clinical admin that slows your team down, inside your systems, under a signed BAA, at a flat monthly rate.
Who we serve, at a glance
Which practices can offer each service, and which patients can be billed. Eligibility is confirmed per patient and per payer at the time of service.
| Service | Eligible practices | Patients who can be billed |
|---|---|---|
| CCM | Family Medicine, Internal Medicine, Geriatrics, General Practice | Medicare Part B, 2+ chronic conditions, 12+ months, documented consent |
| PCM | Cardiology, Endocrinology, Pulmonology, Nephrology, Neurology, Primary Care | Medicare Part B, 1 high-risk condition, 3+ months |
| RPM | Cardiology, Endocrinology, Pulmonology, Nephrology, Primary Care | Medicare Part B, acute/chronic condition, device data, consent |
| RTM | Orthopedics, PT/PM&R, Pain Management, Pulmonology | Respiratory/MSK monitoring, FDA-defined device or app, consent |
| TCM | Hospitalist, Cardiology, Primary Care, Internal Medicine | Recently discharged patients, contact within 2 business days, visit within 7 to 14 days |
| Revenue Cycle Management | Any practice, any specialty | Works on existing claims across all payers, not patient-enrolled |
| Virtual Staffing | Any practice, any specialty | Administrative and operational support, not a billable program |
Not sure which services fit your practice?
Book a 15-minute call and we’ll map out which programs your patients qualify for and which roles would take the most off your team, and what it could mean for your monthly revenue.