Avanti Revenue Management Group manages chronic care management programs for Nevada private practices — handling the billing workflow, documentation structure, and time-tracking infrastructure that most practices are missing. CCM is one of the most consistently under-billed Medicare programs in primary care: the patients qualify, the work is being done, and the revenue isn't being collected.
At 2026 Medicare rates, a patient with two or more chronic conditions generates $66.13–$116.57/month in CCM revenue. For a Nevada practice with 50 qualifying patients, that's $3,306–$5,828/month in revenue currently sitting uncollected.
Two or more chronic conditions expected to last at least 12 months. Common qualifying combinations seen in Nevada practices:
Stack CCM with RPM for eligible patients and total per-patient revenue reaches $211–$261/month.
The most common reason Nevada practices aren't billing CCM isn't lack of qualifying patients — it's lack of a time-tracking workflow. The care coordination is happening: medication refill calls, specialist coordination, care plan updates, patient follow-up. But it isn't being logged in a format that generates a monthly claim. Without a documented 20-minute threshold per patient, there's no billable event — even if the clinical time was spent.
We provide the documentation template, time-tracking process, and billing infrastructure that converts existing care coordination activities into monthly revenue. For most Nevada practices, this adds $3,000–$6,000/month within 90 days of launch without changing how care is delivered.
Chronic care management (CCM) is a Medicare program that reimburses practices for non-face-to-face care coordination for patients with two or more chronic conditions expected to last at least 12 months. Common qualifying combinations include diabetes + hypertension, COPD + depression, and chronic kidney disease + heart failure. Most Nevada primary care panels have 30–50% of patients who qualify.
At 2026 rates, CPT 99490 pays $66.13/month for the first 20 minutes of care coordination. CPT 99439 pays $50.44 for each additional 20 minutes. Complex CCM (CPT 99487) pays $144.29 for the first 60 minutes. Most practices target $66.13–$116.57/patient/month depending on care complexity.
Yes — and most practices should. If a patient is enrolled in RPM and has two or more chronic conditions, they likely qualify for CCM as well. Billing both correctly — with separate documentation for each service — generates $211–$261/patient/month at 2026 rates. Avanti RMG manages the documentation structure to ensure both are billed compliantly.
Medicare requires at least 20 minutes of documented non-face-to-face care coordination per month per patient to bill CPT 99490. This includes activities like medication management, care plan updates, specialist coordination, and patient follow-up calls. Most practices are already spending this time — they just aren't logging it in a way that generates a claim.
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“No headache” billing service that still gives you full control of your patient records.
Customized solution that will parallel the current workflow of your practice.
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Thorough review of your coding, billing, and reimbursement processes.
We have a proprietary analysis tool that can generate a detailed report, outlining solutions for virtually every aspect of your practice.
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