Chronic Care Management for CardiologyTalk to us

For cardiology practices · Sponsored by Medicare & Medicare Advantage

Keep your cardiac patients healthier between visits. Add revenue. Add zero work.

Chronic Care Management (CCM) is a Medicare benefit that pays your practice every month to keep patients with two or more chronic conditions on track. GenieMD runs the entire program in your practice’s name — outreach, consent, care plans, monthly care management, documentation and billing. All you do is qualify the patient.

Talk to us about your panel See how it works

chronic conditions is all it takes to qualify

~$66

per patient, per month (CPT 99490, 2026 national avg.)

added workload for your staff

A month in the life of your patient

Week 1

Care manager check-in. Medications reconciled, home BP log reviewed, questions answered.

Week 2

Weight up 4 lb in 3 days. Heart-failure flag escalated to your office — a visit is booked for Thursday.

Week 3

Refill coordinated. Statin refill handled with the pharmacy before the patient ran out.

Week 4

Care plan updated. Monthly summary delivered to your chart; CCM claim submitted under your NPI.

Every touchpoint happens in your practice’s name.

The program

What Chronic Care Management is

CMS created Chronic Care Management in 2015 as a Medicare Part B benefit. It pays physician practices to deliver at least 20 minutes a month of non-face-to-face care management to patients with two or more chronic conditions expected to last a year or more — a comprehensive care plan, medication management, 24/7 access to a care team, and coordination with the patient’s other providers.

It is reimbursed by traditional Medicare and covered by the large majority of Medicare Advantage plans, and it is billed monthly under your NPI. Because CCM requires only general supervision, your care team does not have to deliver it personally — which is exactly where GenieMD comes in.

Your panel already qualifies

Cardiology patients on Medicare rarely have just one diagnosis. A patient with heart disease and diabetes, or heart disease and obesity, meets the two-condition threshold. Any two of the conditions below, expected to last 12 months or more, qualifies a patient for the program.

Coronary artery diseaseHeart failureHypertensionAtrial fibrillationHyperlipidemiaType 2 diabetesObesityChronic kidney diseasePeripheral artery diseasePrior MI or strokeCOPDValvular diseaseSleep apneaDepression

Between visits is where cardiac patients get into trouble.

A few pounds of fluid, a missed beta-blocker refill, a week of high home readings, a new symptom nobody mentioned until the ED. A quarterly visit cannot catch those. A monthly care-management touchpoint, with escalation back to your office, can.

Why practices run it

What the program does for your practice

CCM is one of the few programs that is good for the patient, good for the relationship, and good for the practice at the same time.

Healthier patients between visits

A licensed care manager checks in every month: medication reconciliation and adherence, home blood pressure and weight review, symptom screening, diet and activity coaching, and coordination with the PCP and pharmacy. Problems surface early — a heart-failure weight gain, a BP trend, a lapsed statin — and get routed to you before they become an ED visit or readmission.

Stronger patient loyalty

Every call, text and care plan is delivered in your practice’s name. Patients experience a cardiology practice that looks after them all month, not just on appointment day. That is the kind of relationship patients stay in, talk about, and bring their spouse to.

More visits to your clinic

Care managers are trained to recognize when a patient needs to be seen — new or worsening symptoms, an overdue follow-up, a missed echo, lipid panel or device check — and to book the appointment with your front desk. We also remind patients before scheduled visits, so fewer slots go empty.

New, recurring revenue

CCM reimburses your practice per enrolled patient, per month, for as long as the patient stays in the program. It is billed under your NPI and paid to you. The downstream visits, imaging and procedures it generates are on top.

Illustrative revenue

What enrollment looks like in dollars

Based on the 2026 national average for CPT 99490 (first 20 minutes of clinical-staff CCM), roughly $66 per patient per month. Add-on time (99439), physician-delivered CCM (99491) and complex CCM (99487) reimburse more. Actual rates vary by locality and payer; this is a planning estimate, not a guarantee.

Enrolled patients

Per month

Per year

150

$9,900

$118,800

300

$19,800

$237,600

500

$33,000

$396,000

CPT 99490 only. Excludes add-on codes and the visit, imaging and procedure revenue the program generates.

How it works

Zero added work for your staff

Most CCM programs fail because they land on the front desk and the MAs. Ours is designed so that your team’s involvement begins and ends with one step.

What you do

Qualify the patient

Confirm the patient has two or more chronic conditions — for example heart disease and diabetes, or heart disease and obesity. In practice that is a list from your EHR and your sign-off. That is the whole job.

No new software for your staff. No phone calls to make. No care plans to write. No claims to file.

What GenieMD does

Patient outreach

We contact every qualified patient in your practice’s name, explain the benefit, and answer their questions about cost and coverage.

Consent and enrollment

We obtain and document patient consent exactly as CMS requires, and enroll the patient into the program.

Care plan development

A licensed care manager builds a comprehensive, condition-specific care plan — goals, medications, monitoring, symptoms to watch — and shares it with the patient and your chart.

Monthly care management

At least 20 minutes every month: check-ins, medication reconciliation, symptom and vitals review, coordination with the PCP, pharmacy and other specialists, and escalation to your office when a patient needs to be seen.

Documentation and billing

Time is logged, monthly summaries are delivered to your practice, and claims are prepared and submitted under your NPI. You receive the reimbursement.

Questions cardiologists ask

The details

Does it cost my patients anything?

Standard Medicare Part B cost-sharing can apply, and most patients with a supplemental plan or Medicare Advantage pay little or nothing. We explain coverage clearly during consent so there are no surprises for the patient or for your front desk.

Who actually delivers the care?

GenieMD’s licensed clinical care managers, with physician oversight, operating under your general supervision. Your practice remains the billing provider and the clinical home.

Does CCM replace office visits?

No. CCM is non-face-to-face care that works between your visits. In practice it increases visits, because care managers identify patients who need to be seen and book them with your office.

What about compliance and documentation?

Consent, care plans, time tracking and monthly summaries are documented to CMS requirements and available to your practice at any time. The program is audit-ready by design.

How quickly can we start?

Most practices are enrolling patients within a few weeks of signing on. Patients you have seen in the last 12 months can be enrolled right away.

Can we pair it with Remote Patient Monitoring?

Yes. GenieMD also runs Remote Patient Monitoring — connected blood pressure cuffs and scales for hypertension and heart failure — which is billed alongside CCM and adds a second layer of between-visit safety for your patients.

Let’s look at your patient panel together

A 15-minute conversation is enough to estimate how many of your patients qualify, what the program would mean for your practice, and how soon enrollment could begin.

Contact GenieMD Call (925) 460-9191