CCM Calculator
RPM Calculator
1. Determine Eligible Patients
According to CMS to qualify for CCM patients must have two or more chronic conditions.
How many active patients at the practice?
What kind of practice is it?
% with 2 or more chronic conditions
% clinically eligible CCM patients covered by insurance
Number of covered CCM eligible patients
2. Calculate your Patient Participation Rate
Your patient participation rate is the percentage of eligible patients enrolled and active in your CCM program.
Eligible patient participation rate
3. Calculate Your Monthly and Annual Revenue
Your revenue is based on participating patients, average volume of service delivery codes, and your average per code reimbursement.
Number of enrolled patients
% patients billed +20m (customer avg)
CCM first 20m CPT Code 99490 rate
Total monthly 99490 reimbursement
% patients billed +40m (customer avg)
CCM second 20m CPT Code 99439 rate
Total monthly 99439 reimbursement
% patients billed +60m (customer average)
CCM third 20m CPT Code 99439 rate
Total monthly third 99439 reimbursement
Estimated Monthly Revenue
$0
Estimated Annual Revenue
$0
Estimated Per Patient Per Month (PPPM) Revenue
$0
Estimated Per Patient Per Year (PPPY) Revenue
$0
“The 1bios monitoring is integral to our practice, giving us more patient touchpoints and strengthening our relationships.”
Dr. Justin Ratcliffe,
Chief Medical Officer, Sorin Medical