Deliver proactive, coordinated care for patients with chronic conditions while maximizing Medicare reimbursement through automated time tracking and compliant documentation.
DocToDoor CCM enables your care team to manage patients with diabetes, hypertension, heart failure, COPD, and other long-term conditions through structured care plans, regular check-ins, and seamless device integration.
Manage patients with multiple chronic conditions through a coordinated, evidence-based care model that improves outcomes and reduces hospitalizations.
Keep patients actively involved with automated reminders, structured assessments, care plan updates, and secure multi-channel communication.
Automatically track and log time spent on CCM-eligible activities, ensuring accurate billing for CPT codes 99490, 99491, and other relevant CMS codes.
Combine CCM with your existing Remote Patient Monitoring setup. Monitor patient vitals in real-time while coordinating care, all within one unified platform.
Leverage patient vitals, submitted assessments, medication adherence data, and care plan progress to make informed clinical decisions and measure outcomes.
Unlike point solutions, DocToDoor integrates CCM with RPM, telehealth, and care coordination tools. One platform, one login, seamless workflows.
Create personalized, evidence-based care plans with specific goals, medication management, and monitoring schedules.
Deploy structured questionnaires designed for diabetes, hypertension, heart failure, COPD, and other chronic conditions.
Intelligently capture time spent on calls, messaging, and care coordination for accurate CCM billing.
Connect with patients through HIPAA-compliant messaging, phone calls, or video consultations.
Seamlessly integrate vitals from Bluetooth devices, Apple Health, Google Fit, Withings, and Fitbit.
Enable nurses, coordinators, and physicians to collaborate on patient plans and coordinate follow-ups.
Generate comprehensive monthly CCM reports and billing summaries aligned with Medicare guidelines.
DocToDoor CCM delivers measurable improvements in patient outcomes, revenue, and operational efficiency.
Empower patients through regular engagement and structured care. CCM helps reduce hospitalizations and improves medication adherence.
Capture and bill for non-face-to-face care. Automated time tracking ensures you don't miss billable activities.
Whether you're a small clinic or large health system, our CCM solution scales with flexible workflows.
Built-in compliance features ensure documentation and billing practices align with Medicare CCM guidelines.
Identify Medicare-eligible patients with two or more chronic conditions. Obtain consent through DocToDoor's streamlined enrollment process.
Develop individualized care plans using templates or custom plans. Set goals, medication schedules, and monitoring requirements.
Conduct regular check-ins via secure messaging, phone, or video. Document interactions and automatically track time for billing.
Patients submit vitals using connected devices. Data flows automatically into the dashboard for review and care plan adjustments.
Generate monthly CCM billing reports with detailed time logs. Export documentation to your billing system or EMR.
Non-Complex CCM (CPT 99490)
Billable once per calendar month when at least 20 minutes of clinical staff time is spent on CCM activities.
Complex CCM (CPT 99491)
Higher reimbursement available for more time-intensive cases requiring physician involvement.
Additional Codes
Support for CPT 99487, 99489, and other relevant CMS codes based on service complexity.