Chronic Care Management (CCM)

Chronic Care Management is one of the most impactful and consistently underutilized reimbursable programs available to healthcare providers today. Medicare patients with two or more chronic conditions qualify — and most practices have hundreds of them. The challenge has never been eligibility. It has been execution. BloomCare operationalizes CCM from the ground up, providing the virtual RN infrastructure, documentation systems, and compliance framework that allow practices to run a high-performing CCM program without hiring, training, or managing additional internal staff. Providers who have launched CCM through BloomCare report immediate improvements in patient engagement, measurable reductions in hospitalizations, and a reliable monthly revenue stream that grows as enrollment grows.

What's Included

• Virtual RN-led care management for all enrolled patients
• Monthly clinical touchpoints meeting CMS time and documentation requirements
• Individualized care plan development and ongoing updates
• Medication reconciliation and care coordination across providers
• 24/7 care access support for enrolled patients
• Full documentation within Bloom360™, audit-ready at all times
• Monthly reporting on enrollment, touchpoints, and outcomes

Why Choose BloomCare for CCM

• Practices consistently launch within 30 to 60 days with no internal hiring required
• Per-patient-per-month model generates predictable, recurring revenue from day one
• Built-in QA and compliance systems reduce audit exposure across every enrolled patient
• Virtual RN teams managed entirely by BloomCare — zero operational burden on your staff
• Modular platform allows CCM to expand into RPM, BHI, and specialty pathways over time

Program Details

CCM is billed under CMS codes CPT 99490, 99439, 99487, and 99489, covering non-complex and complex chronic care management. Eligible patients include Medicare beneficiaries with two or more chronic conditions expected to last at least 12 months. BloomCare manages eligibility screening, patient consent, enrollment, monthly care management, and documentation — providing practices with a fully operational program and complete billing support.

Ready to activate CCM in your practice? Contact BloomCare to schedule your program assessment.