OPX Global manages your entire Chronic Care Management program — from patient enrollment to monthly outreach, care plan documentation, and end-of-month billing reports with CPT code support for seamless claim submission — so your practice captures a new revenue stream without adding staff or workload.
CCM is one of the few programs that improves care and adds predictable monthly revenue. Drag the slider to see what your panel generates — and what it looks like at scale.
Estimates use ~$62/patient/month for CPT 99490 (first 20 minutes of care coordination), minus a $25/patient OPX program fee — about $37 net per patient, every month. Additional reimbursement is available: CPT 99439 adds ~$47/mo per patient for each additional 20-minute increment, and complex patients billing under 99487/99489 generate even higher monthly reimbursement. Actual reimbursement varies by payer, location, and patient complexity; we’ll build a customized projection from your specific panel during a free consultation.
CCM is one of the most underutilized Medicare reimbursement opportunities available. CMS reimburses practices monthly for coordinating care for patients with two or more chronic conditions — but most practices lack the staff to run it consistently. OPX handles everything, so you capture the revenue and your patients get better care.
We audit your panel to identify every Medicare beneficiary who qualifies, then manage the full consent and enrollment process — quickly and compliantly.
Each enrolled patient is assigned a dedicated OPX care coordinator who learns their history, conditions, medications, and goals — so nothing falls through the cracks between visits.
We conduct a minimum of 20 minutes of non-face-to-face care coordination per patient each month — phone check-ins, medication reviews, care-gap follow-up, and specialist coordination.
Every enrolled patient has a comprehensive, individualized electronic care plan documenting conditions, medications, goals, and care team contacts — maintained in real time.
Every minute of care coordination is documented in your EHR with time logs that support billing under the appropriate CPT codes — audit-ready at all times.
We capture all applicable CCM codes each month — including CPT 99490, 99439, 99487, and 99489 — ensuring you’re reimbursed for every eligible minute.
Your dedicated Account Manager provides education to clinical staff on face-to-face patient enrollment, qualifying criteria, and billing the G0506 G-code — an additional revenue opportunity available to eligible patients.
CCM is available for Medicare and Medicare Advantage patients who meet specific criteria. Your practice is likely a strong candidate if:
Our team understands both the clinical and compliance dimensions of CCM — CMS guidelines, billing requirements, and what makes a program sustainable long term.
All outreach and care coordination is conducted over secure, HIPAA-compliant channels, with audit-ready documentation.
All OPX CCM staff are US-based, experienced Certified Medical Assistants (CMAs) — pre-trained in chronic disease management, EHR documentation, and CCM compliance, and ready to begin engaging your patients from day one.
We hold ourselves accountable to the metrics that matter — enrollment, outreach completion, documentation accuracy, and revenue captured.
| Category | In-House CCM Attempt | OPX Global CCM |
|---|---|---|
| Monthly Outreach | ✗ Inconsistent — depends on staff availability | ✓ Consistent — dedicated coordinators every month |
| Care Plans | ✗ Often incomplete or outdated | ✓ Maintained and updated in real time |
| CPT Code Capture | ✗ Frequently missed or undercoded | ✓ Fully optimized across all applicable codes |
| Compliance & Audit | ✗ Self-managed, high risk | ✓ Audit-ready documentation at all times |
| Staff Burden | ✗ High — pulls clinical staff from other duties | ✓ Zero — fully managed by OPX |
| Program Fee | ✗ Hidden costs: staff time, training, turnover | ✓ $25 per completed 99490 — transparent & predictable |
| Scalability | ✗ Limited by internal capacity | ✓ Scales with your enrolled patient volume |
We review your panel, identify every qualifying Medicare beneficiary, and show you exactly what that means for your monthly revenue potential.
Our team handles outreach, consent documentation, and enrollment at a pace that fits your practice and keeps patients informed.
We create individualized care plans, assign dedicated coordinators, and establish documentation workflows in your EHR.
Each month: outreach completed, care plans updated, time documented, all CPT codes captured — with monthly revenue reporting.
Let OPX Global identify your eligible patients, estimate your monthly net revenue, and launch your CCM program — at no added burden to your team.