Questions practices actually ask

Three reasons: patient health, staff time, and revenue. Regular monthly contact keeps chronic patients consistent with their treatment plans; our care team absorbs the calls and follow-up tasks your staff currently handles unbilled; and the program turns that previously non-billable work into recurring Medicare reimbursement for the practice.

We start small and scale at your pace. First, we analyze your patient data with you to select an initial group of Medicare patients who would benefit most. Your physicians review their care plans with us, our care coordinators begin monthly outreach and document every interaction in your EHR, and your practice bills Medicare for the completed services. Then we evaluate results together and expand from there, with no obligation to grow faster than you're comfortable with.

Establishing concrete treatment goals, aligning expected outcomes, medication and systems management, coordination with specialists and other physicians, and caregiver support when needed, plus 24/7 access for enrolled patients through our Connect line.

No. Billing physicians are expected to remain involved in the chronic care management of their enrolled patients. CareTrack operates as clinical staff under your practice's direction: we do the outreach and documentation, your providers stay in charge of the care.

Consent can be written or verbal. If verbal, the health record must document the date and time it was confirmed. Our enrollment workflow captures this automatically in your EHR.

New patients who haven't had an appointment within the last year need an initial visit (IPPE or AWV) before enrolling in CCM. That's one reason our Annual Wellness Visit program pairs so well with CCM: the AWV satisfies the requirement and identifies eligible patients at the same time.

No. CCM is delivered by telephone and online communication and is not governed by telehealth regulations: it's a care management service, not a telehealth visit.

As an extension of it. Our coordinators identify with your practice when they call, follow your preferences and protocols, and document in your EHR. Patients experience one care team, not a third-party vendor.

Pricing depends on your region's reimbursement rates and your patient mix, so we quote it per practice, typically structured so the program is profitable from the first month. Contact us and we'll model it on your panel's actual numbers.

We partner with practices, provider groups, hospitals, and health systems. Enrollment, device logistics, monitoring, alert triage, and documentation are all handled by our team under your program's protocols.

Blood pressure monitors, weight scales, pulse oximeters, and glucometers, shipped pre-configured so patients can take their first reading the day the device arrives. No apps or Wi-Fi setup required.

We complete the Health Risk Assessment with each patient before the visit (by phone or online form, with text and email reminders), and the completed HRA is integrated into your EHR before the patient arrives. Your provider spends the appointment on the patient instead of the questionnaire.

A Health Risk Assessment covering medical and family history, current health risks, and vitals, which the provider uses to build a personalized prevention plan. No physical exam is required.

AWVs can be conducted at primary care facilities, specialty practices, and urgent care clinics. They're free to the patient (no copay) and reimbursed to the provider.

Patients who've had Medicare Part B for at least a year and haven't had a Welcome to Medicare visit (IPPE) or an AWV in the last 12 months. After the HRA is complete, the rest of the service can be carried out by a healthcare professional.

APCM is Medicare's monthly care-management bundle, introduced in 2025. Instead of tracking staff minutes like CCM, the practice bills one G-code per patient per month based on patient complexity: G0556 for patients with one or fewer chronic conditions, G0557 for two or more, and G0558 for patients with two or more conditions who are Qualified Medicare Beneficiaries. There are no time thresholds; billing attests that your practice delivers the required care-management capabilities, which CareTrack staffs and documents for you.

CCM pays per 20-minute block of documented staff time and requires two or more chronic conditions. APCM pays a flat monthly rate with no time tracking, and Level 1 covers patients with one or no chronic conditions, so nearly your whole Medicare panel is potentially eligible. High-touch patients with heavy monthly engagement often earn more under CCM with add-on codes; lower-touch patients and QMB patients usually do better under APCM. Most practices run both, and CareTrack assigns each patient to the program that fits, since the same patient can't be in both in the same month.

Yes for RPM: remote patient monitoring codes bill alongside APCM in the same month, and Annual Wellness Visits and E/M visits remain separately billable too. APCM cannot be billed by the same practitioner in the same month as CCM, PCM, or TCM, and it bundles virtual check-ins and e-visits. New for 2026, behavioral health add-on codes (G0568, G0569, G0570) can be billed on top of an APCM base code.

A one-time consent, verbal or written, documented in the record. It must cover that cost-sharing may apply, that only one practitioner can furnish and bill APCM in a month, and that the patient can stop at any time. Existing CCM consent does not carry over, so transitioning patients need fresh APCM consent. New patients, or patients not seen in the last three years, also need an initiating visit, and an Annual Wellness Visit can serve that purpose. CareTrack's enrollment workflow handles all of it in your EHR.