Medicare Care Management

Yes, we do CCM, RPM,
APCM, PCM, BHI, TCM
— and more.

Most practices are already familiar with CCM. What they don't know is how many other CMS-authorized care programs their patients qualify for and aren't receiving — RPM, BHI, TCM, and more. We implement and manage all 11, so your patients get the full continuum of care CMS already pays for.

See All 11 Programs
CCM ★ RPMRTMAPCM PCMBHITCM AWVCHIPINCPM
Connected healthcare partnership — Ancillary Experts bridges practices and CMS programs
All 11 CMS programs, fully managed EHR-agnostic · No upfront cost
11
11 CMS-reimbursed programs
EHR-agnostic — we work with your existing system
No upfront cost. No software fees.
Your Starting Point

CCM is where every practice should start. Most stop there. We don't.

Chronic Care Management is the highest-volume CMS care management program available to primary care. If your patients have two or more chronic conditions and are 65+, they qualify — and CMS pays monthly for the time your team coordinates their care.

If you're already running CCM with another vendor, ask yourself one question: what else are they helping you identify for your patients? If the answer is nothing — or just RPM — your patients may be eligible for care they aren't receiving today.

CPT CodeDescriptionMonthly Est.
9949020 min non-complex CCM~$62.58
99439Additional 20 min~$47.93
9949130 min physician-directed~$83.18
9948760 min complex CCM~$134.15
Typical per-patient monthly range$62–$134

2025 Medicare PFS national averages. Not a guarantee of reimbursement.

RPM — billed on top of CCM

Remote Patient Monitoring adds approximately ~$129/month per active patient on top of CCM via FDA-cleared devices. We handle device procurement, setup, data review, and billing.

The CCM baseline

67% of your Medicare patients likely qualify for CCM. A practice with 150 Medicare patients typically has 90+ patients eligible for continuous chronic care coordination — representing $5,600–$12,000/month in CMS reimbursement once they're properly enrolled.

Physician coordinating digital care management programs
AI-enhanced care coordination
Our clinical team uses AI-assisted documentation and eligibility screening to keep every patient's care on track.
The Full Picture

The care your patients qualify for
that most vendors never help you find.

We help identify which of the 11 CMS-authorized programs each patient qualifies for, not just CCM — so your practice can offer the full range of care they're eligible for.

Program Typical CCM/RPM Vendor Ancillary Experts
CCM — Chronic Care Management✓✓
RPM — Remote Patient Monitoring✓✓
RTM — Remote Therapeutic Monitoring—✓
APCM — Advanced Primary Care Mgmt (new 2025)—✓
PCM — Principal Care Management—✓
BHI — Behavioral Health Integration—✓
TCM — Transitional Care Management—✓
AWV — Annual Wellness Visit—✓
CHI — Community Health Integration—✓
PIN — Principal Illness Navigation—✓
CPM — Chronic Pain Management—✓

Every program is billed only when a patient meets CMS eligibility criteria and the care is documented by a licensed member of our clinical team — never based on what's billable, only on what a patient actually qualifies for and needs.

The Process

We handle everything. You keep seeing patients.

From eligibility screening to payment posting — a typical practice is live within 2–3 weeks and receiving first payments within 30 days.

1
Identifying Eligible Patients
We review your full Medicare panel and help identify every patient eligible across all 11 programs — not just CCM.
2
Enrollment & Consent
We manage patient consent, program enrollment, and all CMS documentation requirements.
3
EHR Chart Integration
We upload all care coordination records from our system directly into your existing EHR, so every monthly service for a billable claim is visible right in the patient's chart. No migrations. No new software.
4
Care Coordination & Billing
Our clinical team handles monthly care coordination, documentation, and clean claim submission for every enrolled patient.
5
Reporting & Growth
Monthly dashboards. Quarterly reviews. Continuous enrollment expansion as your panel grows.

Powered by AI-assisted eligibility screening, documentation, and pre-submission billing review.

Common Questions

The questions every physician asks us first.

Does this cost my practice anything upfront?
No. There are no setup fees, no software costs, and no implementation invoices. Simple, transparent pricing — no surprises, ever.
Will this add work to my staff's plate?
No — that's exactly why practices work with us. We handle patient identification, enrollment, care coordination, documentation, and billing from start to finish. Nothing new lands on your staff's plate.
We're already doing CCM with another vendor. Can we switch?
Yes. We manage transitions regularly. We'll also help identify what your current vendor isn't covering — most practices we onboard are only receiving 1–2 of the 11 programs their patients are eligible for, so switching usually means better patient coverage first, with the CMS reimbursement to match.
What EHR systems do you support?
We are fully EHR-agnostic. We work with eClinicalWorks, Epic, NextGen, Athena, Kareo, and others. No migration required — we configure within your existing system.
How long until we see the first payment?
Most practices are onboarded and live within 2–3 weeks. First claims are submitted within 30 days. Medicare typically reimburses 14–30 days after submission.
Is this CMS-compliant? What about HIPAA?
Yes — full compliance is our foundation. We follow all CMS care management documentation requirements, LCD/NCD guidelines, and HIPAA data handling standards. We have layers of clinical supervision in place to reinforce accurate documentation before submission.
About Ancillary Experts

Built by someone who saw what physicians were leaving behind.

Ancillary Experts was founded in 2016 after years working directly alongside independent primary care physicians. Not as a clinician — but close enough to see exactly where the system was failing them.

Practice after practice was delivering excellent patient care and collecting a fraction of what CMS had authorized for it. The programs existed. The reimbursement was there. The infrastructure to capture it wasn't.

We built Ancillary Experts to close that gap — with a team that handles every step of the process, from clinical care coordination to certified coding and compliance. It's a decade of knowing exactly which programs get billed, which get missed, and why.

2016
Founded in Miami, FL — built around independent primary care
11
CMS-reimbursed programs implemented and managed
Clinical Operations
Licensed Clinical Oversight
Every patient-facing care coordination interaction happens under licensed clinical oversight — our team includes licensed LVNs (Licensed Vocational Nurses), along with trained Patient Care Coordinators, all working within CMS documentation requirements.
Billing & Compliance
Certified Medical Coders
Our billing team holds certifications in Medicare coding and compliance. Every claim is reviewed against LCD/NCD guidelines and CMS documentation standards before submission.
Technology
AI-Assisted Infrastructure
We use AI for eligibility screening, documentation pre-population, and pre-submission billing review — making our team faster and more accurate, not replacing human judgment.
Miami, FL — Serving Practices Nationwide
Built for Primary Care, Wherever You Are
Headquartered in Miami, FL, we work with primary care practices across all 50 states — independent practices, health systems, and MSOs alike. Wherever you're located and however your practice is structured, we build our program around your specific Medicare panel.
Why Ancillary Experts

A revenue cycle partner. Not a software vendor.

The difference: we own the entire process and are accountable to your results.

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The Only Full-Suite Provider
Most competitors bill 1–2 programs. We implement and bill all 11 CMS remote care programs — identifying the right combination for each patient's specific conditions.
$
Full-Service RCM — Not Software
We handle eligibility, enrollment, care coordination, documentation, claim submission, and denial management. You don't need to learn anything new or hire anyone new.
✓
Deep CMS Compliance Expertise
We know CMS billing rules, HIPAA requirements, and LCD/NCD documentation standards in depth. Every claim is reviewed before submission by our compliance team.
↔
Works with Your Existing EHR
EHR-agnostic. No migrations, no new platforms, no software contracts. We configure program workflows inside the system your practice already uses every day.
67%
of your Medicare patients qualify for CCMYour single largest opportunity to close a care gap — and the one most practices leave untouched.
11
CMS-authorized care programs, all in one placeNot just CCM — we help identify every program each patient qualifies for, from RPM to APCM to BHI and beyond.
$0
upfront cost to your practiceNo software fees, no implementation invoices — simple, transparent pricing with no surprises.

Let's find the care your Medicare patients are eligible for.

Free practice assessment. No commitment. We'll show you the full clinical and reimbursement picture within 48 hours.

1
Free Practice Assessment
2
Onboarding & Setup in 2–3 Weeks
3
First Claims in 30 Days