Comprehensive, Continuous Support for Complex Patients
Medi Flows Billing Solutions delivers end-to-end Chronic Care Management (CCM) services that improve outcomes for patients with multiple chronic conditions while generating predictable, recurring revenue for U.S. healthcare providers. Our team handles patient enrollment, personalized care planning, monthly clinical touchpoints, and compliant billing—so you can provide proactive, coordinated care without administrative burden.
For over 20 years, Medi Flows has delivered trusted administrative support across the USA.
Medi Flows ensures your CCM program meets CMS requirements for CPT codes 99490, 99487, 99489, and 99491. We bridge clinical care and billing accuracy—tracking required minutes, maintaining comprehensive care plans, and managing documentation—so your practice captures every eligible reimbursement while keeping high-risk patients healthier and out of the ER.
Service Includes
1
Patient Identification & Enrollment
We screen your patient panel for eligible individuals (2+ chronic conditions expected to last 12+ months), obtain signed consent forms, and complete CMS-compliant enrollment—launching your program in under 10 days.
4
Care Plan Development & Maintenance
Creation of personalized, comprehensive care plans including diagnoses, medications, goals, and interventions—updated quarterly or after acute events to reflect current patient needs and ensure audit readiness.
2
Monthly Clinical Touchpoints & Monitoring
Dedicated clinical staff conduct required monthly interactions via phone, secure messaging, or telehealth—addressing symptom changes, medication adherence, and social determinants of health to prevent complications.
5
CPT Code Tracking & Time Documentation
Precise logging of non-face-to-face clinical time (minimum 20 minutes monthly for CPT 99490), with timestamps, clinician notes, and activity details to support defensible claims and maximize reimbursement.
3
Medication & Specialist Coordination
Proactive medication reconciliation, prior authorization support, and seamless communication with specialists, pharmacies, and community resources to ensure care continuity and reduce hospital readmissions.
6
Billing, Appeals & Performance Reporting
End-to-end claim submission for all CCM codes, denial resolution, and monthly dashboards showing enrollment rates, revenue per patient, time utilization, and quality metrics to optimize program growth.
Why Choose Us
At Medi Flows, we transform chronic care from a documentation burden into a sustainable revenue stream and clinical advantage.
Certified clinical staff and coders trained in CMS CCM guidelines and complex condition management
HIPAA-compliant patient engagement platform with 24/7 secure messaging and EHR integration
Dedicated care coordinators assigned per practice specialty (diabetes, CHF, COPD, CKD, etc.)
Automated time-tracking and audit-proof documentation for every patient interaction
Proven success across primary care, cardiology, endocrinology, and multi-specialty groups nationwide
FAQ’s about the Service
Q1. Which patients qualify for Chronic Care Management services?
Patients must have two or more chronic conditions expected to last at least 12 months that place them at significant risk of death, acute exacerbation, or functional decline (e.g., diabetes, hypertension, CHF, COPD, dementia).
Q2. What are the minimum time requirements for billing CCM codes?
CPT 99490 requires at least 20 minutes of clinical staff time per calendar month. Complex CCM (99487) requires 60+ minutes with moderate/severe exacerbation management. We track and validate all time automatically.
Q3. Can CCM be billed alongside other care management services?
Yes. CCM can be billed concurrently with RPM, TCM, or behavioral health integration—as long as time and activities aren't duplicated. We ensure compliant code pairing to maximize your revenue opportunities.
Q4. Do patients need to provide consent every month?
No. Consent is obtained once at enrollment (with annual renewal). However, patients may opt out at any time, and we manage all consent documentation and revocation protocols per CMS rules.
Q5. How do you handle after-hours patient needs?
Our care coordinators provide 24/7 access to clinical support via secure messaging and phone triage—ensuring patients receive timely guidance while meeting CMS requirements for continuous access.
Q6. What EHR systems do you integrate with for CCM documentation?
We seamlessly integrate with Epic, Cerner, Athena, NextGen, eClinicalWorks, and all major platforms—populating care plans, logging time, and syncing notes without disrupting your clinical workflow.
Patient Feedback
Dr. James Lin
Seattle, Washington
“After years of struggling with in-house billing, Medi Flows gave us clarity and control. Their reports are insightful, their staff is proactive, and our revenue cycle has never been smoother. They feel like an extension of our own team.”
Dr. Elena Rodriguez
Chicago, Illinois
“Medi Flows eliminated our billing backlog in weeks. Their attention to coding accuracy and insurer guidelines has boosted our collections by over 30%. Their support team is responsive, knowledgeable, and truly invested in our clinic’s financial health. Highly recommend.”
Marcus Whitfield
Phoenix, Arizona
“As a small practice, we couldn’t afford billing errors or delayed payments. Medi Flows streamlined everything—from eligibility checks to AR follow-ups. Now we get paid faster, deny fewer claims, and spend less time on admin. Worth every penny.”
Trusted Care. Proven Excellence
Get 25% flat discount for first appointment!
At Mediflows, we are dedicated to delivering exceptional billing support for over 20 years, we have been a offering comprehensive medical services in USA
