Chronic Care Management that turns chronic patients into revenue.
Clinical oversight on every account
HIPAA Business Associate
Documentation inside your EHR
CPT 99490 / 99439 / 99487 / 99491
What Zenith handles every month
Trained clinical staff, working inside your EHR.
Monthly care calls
Structured check-ins with each enrolled patient on medications, symptoms, and follow-up.
Care plan management
Comprehensive, patient-specific care plans created and kept current in your EHR.
Medication reconciliation
Review and reconcile medications across every prescriber the patient sees.
Specialist coordination
Close the loop with specialists and outside providers between visits.
Audit-ready documentation
Time logs and notes that meet CMS requirements, inside your system.
Eligibility review
We run your panel against documented diagnoses to find who already qualifies.
How it works
Three steps from the first call to a program running inside your EHR.
Book a 15-minute call01
Find & enroll eligible patients
We run your panel for patients with 2+ chronic conditions, confirm Medicare Part B, and obtain documented consent.
02
Deliver monthly coordination
Our clinical team spends 20+ minutes per patient on calls, care plans, and medication reconciliation, inside your EHR.
03
You bill, Zenith invoices
Your practice bills CPT 99490 and add-ons; we invoice for the clinical labor. Monthly and predictable.
Who we serve
Eligibility is confirmed per patient and per payer at the time of service. The guidance below shows who this service is built for.
Eligible practices
Family Medicine, Internal Medicine, Geriatric Medicine, and General Practice.
Patients who can be billed
Medicare Part B patients with two or more chronic conditions expected to last 12 months or longer (for example hypertension, diabetes, COPD, chronic kidney disease, depression, or arthritis). The patient must provide documented consent.
Serving primary care, internal medicine, and geriatric practices.
What’s billed
| CPT | What it covers | ~Rate |
|---|---|---|
| 99490 | First 20 min/month of clinical staff time | ~$66 |
| 99439 | Each additional 20 minutes | ~$46 |
| 99487 / 99489 | Complex CCM, 60+ min, high decision-making | higher |
| 99491 / 99437 | Time personally performed by the physician | higher |
13,200 / mo
Representative: a 200-patient panel billing the base code alone. Actual results vary by locality and payer.
Plug in your real numbers to see the figure for your panel, the calculator runs entirely in your browser.
Estimate your panel sizeChronic Care Management (CCM) resources
- CPT 99490 Documentation Checklist: What Must Be in the Record Before You Bill
- How to Choose a CCM Vendor: 12 Questions to Ask Before You Sign
- CCM vs. RPM vs. PCM: Which Care Management Program Fits Your Panel?
- How CCM Billing Works: A Step-by-Step Guide for Physician Practices
- CCM Consent Requirements: What CMS Requires and How to Document It
- CPT 99439 vs. 99490: How the Add-On Code Works and When to Bill It
- CCM Time Tracking Requirements: What Counts, Who Can Log It, and What Auditors Look For
- CPT 99490 in 2026: Rates, Requirements, and the Documentation Auditors Actually Check
Patients with only one serious condition are often a better fit for Principal Care Management. See also: CPT code guide for care management.
Chronic Care Management (CCM): common questions
Related care management services
Fifteen minutes to see if it fits.
We’ll walk through how Chronic Care Management (CCM) works for your practice, confirm the fit, and tell you honestly whether Zenith is the right partner.