ZOO HEALTH
Chronic Care Management Billing United States
Medicare Compliant CCM Billing That Captures Recurring Revenue
Zoo Health provides specialized Chronic Care Management billing services across the United States to help practices capture recurring Medicare revenue while staying compliant with CMS requirements. We support CCM programs end to end from patient eligibility and consent to CPT coding, claim submission, denial management, and reporting so your team can focus on patient care while we protect and grow CCM revenue.
Why Choose Zoo Health
Deep CCM and Medicare expertise built around CMS rules and audit readiness
Onshore support with billing specialists and registered nurses on your account
Medicare compliant consent tracking and documentation workflows
Denial prevention and fast appeals to protect recurring monthly revenue
Transparent reporting on enrollment, engagement, claims, and collections
Percentage based pricing aligned with monthly collections with incentives case by case
Our Process
01
CCM Discovery and Eligibility Review
We assess patient population, current workflows, EHR setup, and CCM eligibility.
02
Program Setup and Compliance Alignment
We design an RCM automation plan combining AI workflows with human led oversight for compliance and control.
03
EHR Integration and Workflow Mapping
We align CCM documentation and enrollment workflows inside the EHR to support clean compliant billing.
04
Active CCM Billing and AR Management
We submit CCM CPT codes, post payments, manage AR, and resolve denials quickly.
05
Ongoing Reporting and Optimization
We provide performance dashboards, denial trend analysis, staff training, and program optimization.
Our Services
01
CCM eligibility review and patient identification support
02
Consent tracking workflows and care plan documentation support
03
CPT coding validation including 99490 and applicable care management codes
04
Claim submission, payment posting, denial management, and AR follow up
05
Monthly reporting on claims, collections, denial rates, and engagement metrics
06
EHR workflow mapping to support compliant time and activity tracking
Frequently Asked Questions
Can Zoo Health handle Medicare CCM claims for United States practices?
Yes. We support Medicare chronic care management billing including claim submission, documentation guidance, consent tracking, and denial management.
Which CPT codes are used for CCM billing?
Common CCM CPT codes include 99490 for non complex CCM along with codes for complex CCM and principal care management when criteria are met. We audit eligibility and code selection to support reimbursement accuracy.
What documentation is required for CCM claims?
CCM claims require a comprehensive care plan, documented patient consent, evidence of monthly clinical staff time, and ongoing care coordination notes aligned with the EHR. Zoo Health helps teams meet CMS documentation requirements.
Who can provide CCM services?
CCM services may be delivered by physicians, nurse practitioners, physician assistants, clinical nurse specialists, and qualified clinical staff under appropriate supervision. We support workflows for eligible care team members.
How do you confirm Medicare chronic care management eligibility for Medicare Part B patients?
We review Medicare Part B patient status, confirm two or more chronic conditions expected to last at least 12 months, and document significant risk factors such as functional decline or risk of acute exacerbation before billing CCM services.
What must be included in a comprehensive care plan for chronic care management billing?
A comprehensive care plan should reflect the patient health history, chronic conditions, care goals, medication management, planned care coordination, and the care team roles. We help structure the care plan and keep it aligned with electronic health record documentation.
Who can provide CCM services and who is the billing practitioner?
CCM services can be delivered by qualified healthcare professionals including physicians, nurse practitioners, physician assistants, clinical nurse specialists, and certified nurse midwives, with clinical staff performing allowed activities under supervision. We help define the billing practitioner and ensure care team members meet CMS rules.