How to Turn Unbilled Care Into Recurring Revenue—Without Adding Patients
Every day, healthcare providers deliver critical services that go unrecognized by traditional billing systems. Care coordination, lab review, medication management, and patient check-ins—these aren’t just good practice; they’re billable care under Medicare’s Chronic Care Management (CCM) program.
The Opportunity Hidden in Plain Sight
If you’re spending 20 minutes a month on chronic patient follow-up, you could be earning an average of $54 per patient per month. That adds up to $648 annually for just one patient. Multiply that by 100 patients, and you’re looking at over $64,000 in new revenue—without a single new appointment.
Annual Revenue Opportunity with CCM
| # of Chronic Patients | Monthly Revenue | Annual Revenue |
|---|---|---|
| 50 | $2,700 | $32,400 |
| 100 | $5,400 | $64,800 |
| 150 | $8,100 | $97,200 |
This table shows what you could be earning right now by simply billing for care you’re already providing.
How CCM Works
Medicare reimburses providers for at least 20 minutes of non-face-to-face care coordination per patient, per month. That includes:
Reviewing labs and test results
Updating care plans
Coordinating with specialists
Conducting patient outreach or education
Practices that implement CCM often do so using a third-party team that handles documentation, patient contact, and compliance—making it a turnkey revenue stream.
What About Staffing?
You don’t need to burden your current team or hire a full-time nurse. Many providers partner with remote care coordination services that work under their supervision but operate independently.
Cost Comparison: Inaction vs. Hiring In-House
| Approach | Annual Financial Impact | Monthly Staff Time (hrs) |
| Do Nothing (Unbilled) | -$64,800 | 0 |
| Hire RN (Manual Care) | -$85,000 | 100 |
This table compares the high cost of hiring in-house help versus implementing a CCM solution. One drains resources. The other drives revenue.
Why You Should Act Now
The time you’re already spending is valuable. Without CCM, you’re not just missing revenue—you’re losing sustainability. CCM helps:
Reduce staff burnout
Improve patient outcomes
Drive new revenue without new patients
Ready to Capture Revenue You’re Already Earning?
You don’t need more hours. You need a smarter system. We help practices launch fully compliant CCM programs in under 30 days.
