Chronic Care Management — Northern Nevada

CCM for Northern Nevada Practices

Chronic Care Management Across Northern Nevada

Avanti Revenue Management Group is headquartered in Carson City and manages chronic care management programs for private practices throughout northern Nevada. We serve the full geographic footprint — from the Reno-Sparks metro and the Carson Valley to Fallon, Elko, and remote rural communities across the high desert.

CCM is designed for exactly the patient population prevalent in northern Nevada: Medicare patients managing multiple chronic conditions who benefit from ongoing care coordination between office visits. The program is non-face-to-face by design, making it accessible to rural patients and rural practices alike.

What Qualifies

CCM-Eligible Patients Across Northern Nevada

Two or more chronic conditions expected to last at least 12 months. Common qualifying combinations across northern Nevada practices:

  • Type 2 diabetes + hypertension
  • COPD + depression or anxiety
  • Chronic kidney disease + heart failure
  • Heart failure + atrial fibrillation
  • Obesity + type 2 diabetes
  • Any two qualifying chronic conditions on the CMS list
Revenue Projections

What Northern Nevada Practices Can Collect

  • CPT 99490 (first 20 min): $66.13/patient/month
  • CPT 99439 (add'l 20 min): $50.44/patient/month
  • CPT 99487 (complex CCM, 60 min): $144.29/patient/month

Stack CCM with RPM for eligible patients and total per-patient revenue reaches $211–$261/month.

The Revenue Gap

Why Northern Nevada Practices Miss CCM Revenue

Across northern Nevada — from Reno to Elko to rural Churchill County — the pattern is consistent: the patients qualify, the care coordination is happening, and the revenue isn't being collected. The most common missing piece is a time-tracking system. Without logged documentation showing 20 minutes of non-face-to-face care coordination per patient per month, there's no CPT 99490 claim — even if your clinical staff spent that time on medication calls, specialist coordination, and care plan updates.

For rural northern Nevada practices especially, CCM is one of the few Medicare programs that pays the same rate regardless of location — and where the patient population (older, higher chronic disease burden) drives eligibility rates well above the national average.

Common Questions

CCM in Northern Nevada — FAQ

Do you provide chronic care management services in northern Nevada?

Yes. Avanti Revenue Management Group is headquartered in Carson City and manages CCM programs for private practices throughout northern Nevada — Reno, Sparks, Carson City, Minden, Gardnerville, Fallon, Elko, Winnemucca, and rural communities across the region.

How much CCM revenue can a northern Nevada practice generate?

At 2026 Medicare rates, CCM pays $66.13/month per patient for the first 20 minutes of care coordination. A northern Nevada practice with 50 enrolled patients generates $3,306/month at the base rate. Adding CPT 99439 ($50.44) for 40-minute patients increases that to $5,828/month for the same panel.

Is CCM available to rural northern Nevada practices?

Yes. CCM is a non-face-to-face service by definition — the 20 minutes of care coordination happens remotely (phone, portal, care team activities). Rural northern Nevada practices in Fallon, Elko, Yerington, or Winnemucca access the same full CCM program as urban practices. Geography is not a barrier.

What is the biggest reason northern Nevada practices aren't billing CCM?

The most common reason is a missing time-tracking workflow. The care coordination is happening — medication calls, specialist coordination, care plan updates — but it isn't being logged in a way that generates a claim. We provide the documentation template and billing infrastructure to capture that work as monthly revenue.

Learn More

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