
Patient Enrollment & Consent
Guide eligible patients into the program and maintain participation records within the longitudinal care workflow.
CCM + RPM in one workflow
SmartClinix brings patient enrollment, care planning, monthly coordination, time tracking, documentation, RPM and billing-ready reporting into one connected Chronic Care Management workflow.
CCM helps eligible patients with multiple chronic conditions receive structured, coordinated care beyond the traditional office visit. SmartClinix helps practices organize the people, workflows, documentation and technology needed to operate CCM efficiently at scale.
Great intentions, fragmented follow-through. Patients suffer, revenue disappears.
Chronic patients drift for weeks without contact.
Skipped doses lead to avoidable ER visits.
Real work happens but never gets captured.
Risk signals arrive too late to act on.
Capture and organize qualifying care-management activities against applicable monthly CCM thresholds.

Guide eligible patients into the program and maintain participation records within the longitudinal care workflow.

Keep medication lists, adherence discussions, reconciliation activities and follow-up needs connected to the patient’s longitudinal care workflow.

Track referrals, follow-up needs and care transitions across providers and settings.
SmartClinix helps your team organize the documentation, patient engagement, care planning, time tracking and care coordination needed to support compliant CCM operations.
Document chronic-condition eligibility and program enrollment, including applicable duration and clinical-risk criteria.
Track initiating-visit requirements when applicable.
Record CCM consent and program participation, including required patient communication.
Track qualifying clinical staff and practitioner activities against applicable CCM thresholds.
Support ongoing access, communication and coordination across the care team.
Extend chronic care beyond the office visit while creating a structured monthly care-management program.
Coordinate complex, multi-condition patient populations through one longitudinal care plan.
Connect chronic care workflows across providers, specialties and locations.
Improve visibility into care gaps, patient engagement and chronic-condition management across attributed populations.
SmartClinix helps practices track CCM time and understand the applicable CPT code thresholds for non-complex and complex chronic care management.
Standard chronic care management for eligible patients requiring ongoing care coordination.
First 20 min / calendar month
SmartClinix Thresholds
Each additional 20 minutes of clinical staff CCM time
Add-on to 99490 only
First 30 min / calendar month
SmartClinix Thresholds
Each additional 30 minutes personally performed by physician/QHP
Clinical staff time does not count toward this code.
For patients requiring complex CCM with moderate/high complexity medical decision-making.
SmartClinix Thresholds
Blue
Non-Complex CCM
Red
Complex CCM
Base Code
Primary CCM code
Add-on Code
Additional qualifying time
Estimated average monthly reimbursement for commonly used CCM code combinations.
Illustrative averages — actual reimbursement varies by payer, geography, eligibility, and billing requirements.
99490 + 99439 × 2
60 minutes
~$166
Estimated monthly reimbursement
99491 + 99437
60 minutes
~$152
Estimated monthly reimbursement
99487 + 99489
90 minutes
~$222
Estimated monthly reimbursement
Patient population, staffing and workflow assessment.
Care-plan templates, workflows, permissions and integrations.
Prepare clinical, care-management and administrative users for the agreed workflow.
Begin patient enrollment, care coordination and reporting workflows.
Keep your first month’s revenue
“We finally have real continuity between visits. My panel’s A1C dropped 0.8 points in six months.“
SmartClinix supports healthcare interoperability using standards such as HL7 and FHIR, with integration options available for leading EHR platforms. Integration requirements are evaluated based on each organization’s existing environment.
Qualifying care-management activities including calls, notes, messages and other documented interactions can be timestamped and organized against each patient’s monthly CCM activity.
SmartClinix helps organize care plans, consent records, documented care activity and time tracking to support your CCM documentation and billing workflow.
Implementation timing depends on scope, integrations and workflow requirements. SmartClinix provides a structured discovery, configuration, training and launch process.
Most practices go live in 30 days. We handle setup, EHR mapping, staff training, and first-month billing coaching.
Per-enrolled-patient with a modest platform fee. Most practices net 5–10× ROI in the first quarter.
Bring your current patient volume, care-management workflow and EHR environment. We’ll show you how SmartClinix can support enrollment, care planning, monthly coordination, RPM, documentation and billing workflows.
Smartclinix is AI-powered virtual healthcare platform by American TelePhysicians, empowering healthcare providers globally.
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