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Chronic Care Management · CCMA care team for the days between visits.

MySeema handles the calls, coordination and follow-through that chronic care requires. Your patients get ongoing support, and your practice can deliver covered services without building another coordination team.

Illustrative patient and care-team support scene
A familiar voice. A next step that gets done.Illustrative care scene
Patients get personal follow-through
A coordination team you don’t have to recruit
Revenue potential from eligible services

More support, without a new coordination department

We take the follow-through off your team’s list.

1

Reach out and stay connected

Patient introductions, check-ins and enrollment support.

2

Take care of the practical work

Appointments, practical barriers, and routing refill requests to your team for clinician review.

3

Bring the work back to your team

Documented activity, open items and concerns for clinical review.

MySeema carries the coordination.Your clinicians retain clinical decisions, oversight and the required clinical services. Your organization bills eligible services.
See a patient’s path through the service
  1. A patient needs a cardiology follow-up.
  2. MySeema helps arrange the visit and resolve the transport barrier.
  3. Your team sees what was completed and what needs attention.

Illustrative workflow, not an actual patient record or an outcome claim.

Kyle Bruyninckx, MD
Kyle Bruyninckx, MDBruyninckx Medical Clinic

A physician’s CCM experience

“MySeema made initiating a CCM program seamless. … MySeema goes above and beyond to support both my patients and staff.”
More partner experiences →

CCM codes, at a glance.

Standard CCM

Clinical staff

99490
20+ minutes / month
99439
Each additional 20 minutes

Qualifying clinical-staff time under the billing clinician’s direction.

Estimate this base service →

Higher-complexity care

Complex CCM

99487
60+ minutes / month
99489
Each additional 30 minutes

Moderate/high medical decision-making and an established or substantially revised care plan.

Estimate this base service →

Practitioner time

Clinician personally

99491
30+ minutes / month
99437
Each additional 30 minutes

Time personally provided by the physician or other qualified billing practitioner.

Estimate this base service →

Choose one CCM pathway for a patient in a calendar month. Eligibility, consent, a care plan and the other service requirements still apply. Add-on codes require completed extra time and are not included in the base-code estimates.

See the revenue opportunity.

Choose a service and patient count. Adjust the assumptions if needed.

Adjust assumptions & costs

Use QP only after verifying the billing clinician’s 2026 Qualifying APM Participant status.

Steady-state illustration. No enrollment ramp-up or attrition.

Requirements for the selected estimate

Codes modeled: None selected

    One-off services and add-on codes are excluded unless they appear in the selected scenario.

    The details, when you need them.

    Which patients fit CCM?
    • A patient has two or more chronic conditions expected to last at least 12 months, or until death.
    • Those conditions create significant risk of decline, an acute episode, or other serious consequences.
    • The patient would benefit from an organized care plan and regular coordination across clinicians, medicines, appointments, and practical needs.
    What must be in place before launch?
    • Defined eligible population and billing practitioner
    • Comprehensive care-plan ownership and clinical escalation path
    • Patient introduction, consent, and cost-sharing workflow
    • Approved record access and documentation standards
    • Review of overlapping services, personnel rules, and billing responsibility

    Available by partner agreement

    Billing details, patient costs and service boundaries
    • Select one base pathway: 99490 for 20+ clinical-staff minutes; 99487 for 60+ complex-care minutes with moderate/high-complexity medical decision making and an established or substantially revised care plan; or 99491 for 30+ minutes personally provided by the billing practitioner.
    • One billing practitioner per patient per calendar month; consent and comprehensive electronic care plan required.
    • Initiating visit for a new patient or one not seen in the prior year.
    • Maintain 24/7 access, continuity, coordination and record-sharing capabilities.
    • Do not combine staff-led, practitioner-personal, or complex CCM pathways in one month.
    • Exclude same-period home-health/hospice supervision G0181/G0182 and ESRD 90951–90970.

    Patient cost sharing and protections depend on coverage and the service. Explain them before consent. Do not use this illustration to charge a Qualified Medicare Beneficiary protected amounts. RHC/FQHC payment rules and Medicare Advantage contracts differ from the national PFS benchmark.

    Sources and review notes

    Reviewed October 6, 2026. Estimates use the October 2026 CMS rate release.

    Put a care team around your patients.

    We’ll show you the coordination MySeema can take on, how it fits your practice and what the financial model could look like.