Smart Chronic Care Management (CCM) Platform
RemoteCareHub’s AI-driven Chronic Care Management Platform streamlines documentation, automates time tracking, simplifies billing, and strengthens patient relationships securely.
Millions rely on ongoing support to manage chronic conditions beyond the clinic. Keep patients connected and care teams fully informed.
4/10
U.S. adults live with two or more chronic conditions.
90%
of annual healthcare spending goes toward chronic diseases.
top causes of death are chronic illnesses.
What is Chronic Care Management Plateform?
Chronic Care Management Plateform (CCM) is continuous, coordinated care delivered to patients between clinical visits. Medication management Monthly follow-ups Care coordination Health coaching Remote monitoring insights Personalized care plans Time-based billing RemoteCareHub automates all the manual admin tasks so your team can focus on what truly matters—better patient care.
This includes:
Create a Living Care Plan
A chronic care plan shouldn’t be a static document—it should evolve with the patient. Our Chronic Care Management Platform allows providers to create dynamic, patient-centric care plans that update continuously as conditions, medications, vitals, lifestyle factors, and risk scores change. This ensures every plan stays aligned with the patient’s current health status and long-term goals. Care plans are automatically personalized based on assessments, diagnoses, and clinical guidelines. Providers can set actionable goals, track progress, assign tasks, and monitor adherence from a single dashboard. Any changes made by nurses, care coordinators, or physicians are synced instantly, creating a real-time shared view for the entire care team.
Stop Chasing Minutes — Let Automation Track Them
Manually counting care minutes is error-prone and time-consuming. With RemoteCareHub, every qualifying patient interaction is automatically detected and logged. Our intelligent timer notifies your team the moment they cross the threshold for CPT 99490, 99439, 99487, and 99489, helping your practice increase revenue and reduce staff workload.To ensure complete compliance and stay updated with federal standards. .
Find Every Eligible Patient
Identify overlooked CCM-eligible patients through automated record reviews, maximizing practice revenue opportunities.
Launch Their Care Plan Instantly
Create compliant, outcomes-driven care plans with just a few clicks—no manual paperwork or repetitive tasks.
Automated Time Tracking & Billing
Our platform tracks every qualifying activity, generates monthly reports, and prepares billing files effortlessly.
Launch a CCM Program That Works for Your
Patients—And Your Practice.
Key CPT Codes for Chronic Care Management Platrform
CPT Code 99490
The foundational code for 20 minutes of non-face-to-face clinical staff time per month.
Standard CCM (20 Mins)
CPT Code 99487
For patients requiring substantial care plan revision or crisis management, covering 60 minutes of clinical staff time.
CPT Code 99489
An add-on code for each additional 30 minutes of complex care management provided in a month.
CPT Code G0511
The primary code for general care management services (20 minutes) provided by FQHCs and RHCs.