Complete CCM Solution

CCM Software for Medicare Practices - Automate Chronic Care Billing

Two-thirds of your Medicare patients likely qualify for CCM. Synergy automates eligibility, care planning, and billing — turning complex chronic care coordination into consistent monthly revenue.

2/3

Medicare patients with
2+ chronic conditions

$0 cost

To start with the
Premium package

0hrs

Manual billing report
preparation required

CCM Patient Dashboard

186 enrolled patients

Martian, R.

On track

T2 Diabetes
Hypertension
CKD Stage 3

Monthly time

23/30 min

Wings, C.

On track

CHF
COPD
Depression

Monthly time

17/30 min

Johnson, A.

Follow-up due

Hypertension
Obesity

Monthly time

23/30 min

What is CCM

Medicare pays monthly for the chronic care your team already delivers

Chronic Care Management (CCM) is a CMS program that reimburses primary care practices for the between-visit care coordination they provide to Medicare patients with two or more chronic conditions. Most practices already deliver this care, they just aren't getting paid for it.

Chronic care management is a critical component of primary care that contributes to better health and care for individuals with multiple conditions.

Centers for Medicare & Medicaid Services

With two-thirds of Medicare beneficiaries having two or more chronic conditions, CCM represents one of the largest untapped revenue opportunities available to primary care practices today.

CCM billing codes

2026 Medicare rates

99490

Non-complex CCM, first 20 min/month by clinical staff

~$68

99439

Non-complex CCM, each add'l 20 min by clinical staff

~$52

99487

Complex CCM, first 60 min/month by clinical staff

~$149

99489

Complex CCM, each add'l 30 min by clinical staff

~$81

99491

Physician-directed CCM, 30 min/month

~$92

99437

Physician-directed CCM, each add'l 30 min

~$65

G3002

Physician-directed Chronic Pain Mgmt, 30 min (meet or exceed)

~$88

G3003

Physician-directed Chronic Pain Mgmt, add'l 15 min (meet or exceed)

~$33

Platform features

Automated from eligibility to billing report

Synergy's CCM module handles the full workflow — so your staff spends time on patients, not on paperwork.

Automatic patient classification

No manual sorting. Our system identifies CCM-eligible patients from their diagnosis history and flags them for enrollment.
  • Auto-identifies patients with 2+ chronic conditions
  • Enroll patients directly during appointments
  • Condition-specific care plan templates included
h

Care plan management

Build and manage patient-specific care plans based on each chronic condition. Customizable templates available for any specialty.
  • Condition-based and generalized plan templates
  • Downloadable and editable by your physicians
  • Care plan progress tracked per patient visit

Automated billing reports

Weekly and monthly billing reports are generated automatically — no manual preparation, no missed claims windows.
  • Weekly and monthly patient summary reports
  • Billing reports pre-formatted for submission
  • Care team performance snapshots included
L

Patient portal & secure messaging

Patients access medication schedules, care plans, and upcoming appointments — reducing call volume to your front office.
  • Secure 24/7 access to medical records
  • Medication schedule and reminder tracking
  • Bi-directional patient-provider messaging

Self-service or fully managed — your choice

Run CCM with your own staff using our software, or let Synergy's certified care team handle the entire program.

Self-service suite

Your team manages CCM services. Synergy provides the software, workflows, and automated billing reports.

N

Automated CCM patient identification

N

Condition-specific care plan management

N

Weekly and monthly patient summaries

N

Weekly and monthly billing reports

N

Patient portal with 24/7 record access

N

Secure bi-directional patient messaging

N

Care team performance monitoring

Fully managed suite

Everything in Premium, plus Synergy's certified care team handles all CCM service delivery on your behalf.

N

Everything in the Premium package

N

Cost-effective, qualified clinical staff

N

Certified health personnel assigned to your practice

N

CCM service provision — phone calls, outreach

N

Full CCM service documentation handled for you

N

Patient data integration assistance

Join with confidence — we carry the operational load

Independent practices often hesitate to join an ACO due to administrative complexity. Synergy's model is designed to remove that barrier entirely.

No upfront cost to join

Access ACO benefits and Synergy's platform without any initial investment.

No changes to how you practice

Your clinical workflow stays the same. We work around your existing systems.

Fully managed data & compliance

Our staff handles MIPS, AWV, BHI, and CCM reporting — with or without your involvement.

Need different solutions? Explore our other offerings: