Avanti Revenue Management Group manages chronic care management programs for Reno and Sparks private practices. Based in Carson City — just 30 miles away — we are the local northern Nevada partner for practices that want direct access to their CCM billing team rather than routing through a national vendor.
CCM is among the most under-billed Medicare programs in Reno-area primary care. The patients qualify, the coordination work is being done, and the revenue isn't being captured. We build the billing infrastructure — time-tracking, documentation templates, claim submission — so that work generates monthly reimbursement.
Two or more chronic conditions expected to last at least 12 months. Common qualifying combinations in Reno-area practices:
The most common reason Reno-area practices aren't billing CCM isn't patient eligibility — it's the absence of a time-tracking workflow. Your care coordinators and clinical staff are spending time on medication management calls, care plan updates, and specialist coordination every month. That time counts toward CCM. But without documented logs showing 20 minutes per patient per month, there's no CPT 99490 claim — and the revenue disappears into unlogged overhead.
We provide the documentation infrastructure — time-tracking templates, monthly billing workflow, and claim submission — so that the coordination work your Reno team is already doing generates consistent monthly revenue.
Two or more chronic conditions expected to last at least 12 months. Common qualifying combinations in Reno and Sparks practices:
Typically 30–50% of a northern Nevada primary care panel qualifies. Most Reno practices have never run an eligibility audit against their Medicare population.
Yes. Avanti Revenue Management Group manages CCM programs for private practices in Reno, Sparks, and the Truckee Meadows. We are based in Carson City — 30 miles from Reno — and provide direct access to our team for northern Nevada practices managing chronic care programs.
At 2026 Medicare rates, CCM pays $66.13/month per patient for the first 20 minutes of care coordination (CPT 99490). A Reno practice with 50 CCM-enrolled patients generates $3,306/month at the base rate. Adding CPT 99439 ($50.44) for patients requiring 40+ minutes brings that to $5,828/month for the same cohort.
Each patient requires a documented care plan, and each month requires 20 minutes of logged non-face-to-face care coordination activity — medication management, care plan updates, specialist coordination, patient follow-up. Avanti RMG provides the time-tracking template and billing workflow so your team's coordination activities generate claims rather than going unlogged.
Yes. If a Reno 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 — generates $211–$261/patient/month at 2026 rates. This is one of the most consistently missed revenue opportunities in northern Nevada primary care.
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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.
Visit with patients over the web, securely. Reduce costs and expand your reach. Runs on any internet connected device.
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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