No CCM time entries logged this month. Minimum required for billing.
No CCM time entries logged this month. Minimum required for billing.
No CCM time entries logged this month. Minimum required for billing.
No CCM time entries logged this month. Minimum required for billing.
No CCM time entries logged this month. Minimum required for billing.
No CCM time entries logged this month. Minimum required for billing.
No CCM time entries logged this month. Minimum required for billing.
No PCM time entries logged this month. Minimum required for billing.
No PCM time entries logged this month. Minimum required for billing.
CCM enrollment without documented patient consent. CMS requires written or verbal consent.
CCM enrollment without documented patient consent. CMS requires written or verbal consent.
CCM enrollment without documented patient consent. CMS requires written or verbal consent.
CCM enrollment without documented patient consent. CMS requires written or verbal consent.
CCM enrollment without documented patient consent. CMS requires written or verbal consent.
CCM enrollment without documented patient consent. CMS requires written or verbal consent.
CCM enrollment without documented patient consent. CMS requires written or verbal consent.
PCM enrollment without documented patient consent. CMS requires written or verbal consent.
PCM enrollment without documented patient consent. CMS requires written or verbal consent.
RPM enrollment without documented patient consent. CMS requires written or verbal consent.
RPM enrollment without documented patient consent. CMS requires written or verbal consent.
No interactive communication (phone/video/in-person) logged for CCM this month. At least one required.
No interactive communication (phone/video/in-person) logged for CCM this month. At least one required.
No interactive communication (phone/video/in-person) logged for CCM this month. At least one required.
No interactive communication (phone/video/in-person) logged for CCM this month. At least one required.
No interactive communication (phone/video/in-person) logged for CCM this month. At least one required.
No interactive communication (phone/video/in-person) logged for CCM this month. At least one required.
No interactive communication (phone/video/in-person) logged for CCM this month. At least one required.
No interactive communication (phone/video/in-person) logged for PCM this month. At least one required.
No interactive communication (phone/video/in-person) logged for PCM this month. At least one required.
CMS Compliance Rules
CCM and TCM cannot be billed in the same month. TCM takes priority during the 30-day episode.
A patient can only be enrolled in CCM or PCM, not both simultaneously.
CPT 99454 requires at least 16 days of transmitted device data per calendar month.
Phone contact within 2 business days. Face-to-face within 7 days (high) or 14 days (moderate) of discharge.
All time entries must include date, duration, and activity description. Time cannot be double-counted across programs.
RPM can be billed alongside CCM or PCM — they are not mutually exclusive.