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Our PCM and CCM solutions enable providers to deliver continuous care beyond office visits while maximizing reimbursement. We ensure accurate, compliant coding, patient eligibility management, and coordinated care, while reducing denials through AI-powered pre-billing validation and end-to-end revenue cycle management, keeping patients engaged and practices properly reimbursed.
Collection Ratio
96%
Trusted by
100+ Providers
Revenue Increase
35%
Serving Specialties
50+
Strong principle care management solutions are central to effective PCM programs. Our PCM solutions validate care plans, care coordination notes, and non-face-to-face clinical activities. We ensure documentation clearly supports the time spent managing chronic conditions. This allows providers to focus on patient outcomes while maintaining clean, compliant records that fully support principle care management billing.
Principal Care Management (PCM) is designed for patients with one serious chronic condition that requires focused, high-touch care coordination between office visits. PCM enables providers, particularly specialty practices to deliver personalized care plans, proactive follow-ups, and continuous patient engagement, ensuring better clinical outcomes while supporting appropriate reimbursement for the time and resources invested in managing complex, condition-specific care.
Our chronic care management solutions begin with accurate patient enrollment and eligibility checks. We manage Mediknocx eligibility validation and enrollment tracking using proven chronic care management enrollment solutions. This ensures only qualified patients are enrolled and billed. By setting up CCM programs correctly from day one, we help practices avoid audits, reduce billing errors, and build a stable, compliant CCM foundation.
Real-time eligibility checks
Automated status monitoring
We provide dependable chronic care management billing solutions that follow CMS rules for time-based CCM services. Our team validates monthly time logs, confirms CPT thresholds, and reviews documentation before billing. This ensures claims are accurate, compliant, and submitted on time. With consistent and correct billing, practices can rely on predictable monthly revenue while staying fully aligned with Mediknocx CCM requirements.
Our solutions use AI-powered pre-billing checks to catch issues before claims are submitted. We review eligibility, consent status, time logs, and medical necessity upfront. This proactive process reduces denials, prevents payment delays, and protects monthly CCM revenue. By fixing problems early, we help practices maintain steady cash flow and avoid repeated billing issues.
Our comprehensive CCM and PCM revenue cycle management solutions support practices across the entire care management lifecycle, from patient enrollment and eligibility verification to coding, claim submission, payment posting, and A/R follow-up. With integrated care management services, real-time reporting, and proactive payer communication, we streamline workflows, reduce administrative burden, and minimize denials. Practices benefit from improved visibility into performance, stronger collections, and the confidence to scale both chronic and principal care management programs without added operational complexity.
Mediknocx delivers comprehensive denial management services for healthcare practices of all sizes. Our denial management in medical billing solutions includes:
Precise patient data extraction from EHR systems ensures accurate time logs and care plan documentation, supporting proper CCM/PCM billing.
We track patient care activities and monitor chronic conditions with specialized software, ensuring compliant billing for non-face-to-face care.
Real-time patient monitoring data is seamlessly integrated, ensuring the required time thresholds for 99454 and 99457 are met.
Automated code generation and CPT validation ensure CCM/PCM billing is compliant and timely with accurate coding for all services.
Accurate time tracking for non-face-to-face care ensures 20-minute monthly thresholds are documented and supported for billing.
We streamline patient enrollment, consent management, and eligibility verification, ensuring compliance with CCM service requirements.
Analytics platforms provide insights into care data, identifying trends and ensuring billing accuracy, while audit readiness is maintained.
Our AI-powered claims management tools help verify codes, manage denials, and ensure proper billing for accurate reimbursement of CCM/PCM services.
We provide chronic care management billing services and support PCM CPT codes, including 99490, 99439, 99487, 99489, 99491, and PCM codes, with strict monthly time tracking and documentation validation before billing.
Our fee is a transparent starts from 2.99 % of net collections—no hidden charges.
We import your payer rules, set up ERA/EFT, and go live in 14 days.
CCM can be billed once per calendar month per patient when at least 20 minutes of qualifying non-face-to-face care is provided and documented.
Bill 99490 for the first 20 minutes of CCM time and 99439 for each additional 20 minutes in the same month when time thresholds are met.
CPT 99490 requires patient consent, an active care plan, and at least 20 minutes of non-face-to-face care per month documented by clinical staff.
Yes, Mediknocx covers CCM services for eligible patients with two or more chronic conditions expected to last at least 12 months.
Mediknocx does not cover therapy itself under CCM, but care coordination and management activities related to chronic conditions are covered.
CCM services can be billed by physicians and qualified healthcare providers, such as NPs and PAs, who oversee patient care. Our billing for CCM services supports providers by managing enrollment, documentation, coding, and compliance to ensure accurate and timely reimbursement.
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+1 434 201 9720A member of our team will get in touch with you in 12 hours.
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