Chronic Care Management for Primary Care Practices

Chronic Care Management · CPT 99490

Your practice already qualifies for this revenue. The staffing to capture it is what’s missing.

Medicare pays to coordinate care for your chronically ill patients. Most primary care practices bill a fraction of it — because enrolling patients takes hundreds of phone calls nobody on staff has time to make.

$66.30
Per patient · per month

A practice with 800 Medicare patients is typically eligible for roughly $70,000 a year it isn’t currently capturing.

We are the clinical arm of your practice — increasing revenue and operational efficiency without adding a single person to your payroll.

The problem

The revenue is approved. The phone calls are the wall.

To enroll one patient, someone has to reach them by phone, explain the program, disclose the monthly copay, capture and document verbal consent, and schedule an initiating visit. Most patients take three or four attempts to reach at all.

For a practice with 400 eligible patients, that’s several hundred hours of outbound calling. It’s why CCM programs stall at practices that fully qualify — and why the ones that start often wind down quietly within a year.

Revenue calculator

What is your Medicare panel actually worth?

Enter your Medicare patient count. You’ll see eligible patients, realistic enrollment, annual revenue — and the two staffing walls that stop most practices from capturing it. No email required to see your number.

~442Eligible patients after exclusions
~88Enrolled at a conservative 20%
~$70kAnnual revenue, at 800 Medicare patients
~66 hrsOf outbound calling to enroll them

How enrollment works

Four steps. Your front desk answers the same phones they answered yesterday.

1

We identify eligible patients

Working from your existing patient data, we find Medicare patients with two or more chronic conditions who qualify.

2

Our AI reaches them

Automated outbound calling contacts patients on your behalf, at the times they actually answer, across as many attempts as it takes.

3

Live patients transfer to coordinators

The moment a patient is willing to talk, they transfer to a live coordinator who handles explanation, copay disclosure and consent.

4

Enrolled patients receive care

The clinical team delivers and documents the monthly coordination. You receive billing data. Your practice bills the service.

The limits, stated plainly

What the AI does not do.

It never gives clinical advice. Any clinical question transfers to a person immediately.

It never discusses diagnoses or conditions.

It identifies itself as an automated assistant at the start of every call.

It honors a do-not-call request permanently, on first request.

Its time never counts toward billable clinical minutes. Those are delivered by licensed clinical staff under your physician’s general supervision — which is what the code pays for.

Most vendors lead with what their AI can do. In healthcare, what it refuses to do matters more.

Why me

I’ve been selling into medical practices since 2005.

I built Brilliant Medical selling diagnostic and treatment systems to practices — revenue-generating equipment physicians and administrators had to justify on a spreadsheet. Twenty-one years of that teaches you what it takes for a practice to say yes to something new, and how fast a program dies when it lands on an already-overloaded front desk.

Before that, in 1993, I launched one of Florida’s first internet development firms. I watched businesses spend fifty thousand dollars on websites nobody visited — and watched other businesses quietly use the same technology to take orders without a phone call, and win. Same technology, same year, completely different outcomes. The difference was never the technology.

Chronic care management isn’t a new idea, and neither is calling patients. What’s new is that the calling can finally be done at the volume the program actually requires. That’s the only reason I’m bringing this to you now.

— Keith Kravitz

Next step

Find out what your panel is worth.

Twenty minutes. We’ll go through your numbers, what enrollment would realistically look like at your practice, and whether this is a fit. If it isn’t, I’ll tell you.

Prefer to look at your numbers first? Run the revenue calculator.