However, for many independent practices, the administrative and clinical weight of running a comprehensive CCM program can be a significant burden. This has led many providers to explore outsourcing as a way to deliver high-quality care without compromising their practice’s efficiency.
In this article, we explore the strategic advantages of outsourcing your CCM program and how it can benefit both your patients and your practice’s financial health.
The primary goal of any CCM program is to improve patient health. Outsourcing allows your practice to provide a level of "continuous care" that is difficult to achieve in a traditional office setting. Specialized CCM partners provide:
By delegating these tasks to experts, your patients receive the dedicated attention they need to stay out of the emergency room and maintain a higher quality of life.
Building an in-house CCM team is a major undertaking. It requires recruiting, hiring, and training care coordinators, as well as investing in the technology to track "non-face-to-face" time.
Outsourcing removes these barriers. It allows you to gain access to an experienced clinical team and a proven workflow without the high costs of additional payroll, benefits, and office space. This shift from a "fixed cost" to a "variable cost" model is often much more sustainable for growing practices.
CCM is highly regulated, with strict requirements for patient consent, care plan documentation, and the use of specific CPT codes. Professional CCM vendors are experts in these complexities, ensuring that all interactions are documented to meet Medicare guidelines, which:
The financial benefits of CCM are significant, especially with the 2025 and 2026 reimbursement updates. Below is a breakdown of the national average reimbursement rates for the most common CCM services.
|
CPT Code |
Service Description |
2025 Est. Rate |
2026 Est. Rate* |
|
99490 |
Standard CCM (First 20 min/month) |
~$60.49 |
~$66.30 |
|
99439 |
Standard CCM Add-on (Each add'l 20 min) |
~$45.93 |
~$50.56 |
|
99491 |
Physician-led CCM (First 30 min/month) |
~$82.16 |
~$89.00 |
|
99487 |
Complex CCM (First 60 min/month) |
~$131.65 |
~$144.00 |
*Rates are based on early 2026 CMS Final Rule projections and may vary slightly by geographic location (MAC locality).
For a practice with 100 eligible patients enrolled in a standard 20-minute CCM program (99490), this represents over $72,000 in gross annual revenue (based on 2025 rates), with virtually no increase in your internal staff's workload when using an outsourced partner.
Patient volume is rarely static. If your practice experiences a surge in new patients or decides to expand its chronic care offerings, an outsourced partner can scale their services instantly. Conversely, you aren’t left with "idle" staff if the patient volume fluctuates.
Perhaps the greatest benefit of outsourcing CCM is the time it returns to your internal staff. When your nurses and medical assistants aren't tied up with monthly care coordination calls, they can focus on the patients currently in your waiting room. This allows your team to focus on their core strengths: diagnosis, treatment, and face-to-face patient engagement.
Outsourcing Chronic Care Management is no longer just about "checking a box" for reimbursement; it is a strategic move to enhance the quality of care and the financial health of your practice. By partnering with experts, you can ensure your patients with chronic conditions are never left to navigate their health alone, while your practice remains focused on delivering top-tier clinical care.
At Amazing Charts, we are dedicated to helping our clients find the most efficient pathways to success. We have recently partnered with Esrun to help make this transition seamless for your practice.