Get paid between visits
Chronic care management for cardiology practices
Companian checks in with your heart failure, AFib and hypertension patients monthly and flags changes.
- No new hires. We run outreach, consent and monthly calls.
- One file a month. Nothing is billed until you approve it.
- $0 upfront. Works with your EHR, live in about a week.
$66.13* per patient, every month*Cardiology CCM, CPT 99490 (2026 national rate)
Get your CCM Plan
Works nationwide
Practices nationwide
You bill under your own NPI
Same Care Advocate every month
RNs, NPs, LCSWs and care companions
Monthly file approved by your team
No new hires needed
One Care AdvocateSame person, every month
Your NPI, your claimYou bill Medicare directly
Monthly billing fileYour team approves it
Heart conditions your care plan can cover
Each call follows the questions and thresholds your cardiologists write.
Heart failure
Your plan sets the daily weight and swelling questions. The Care Advocate asks them and routes weights outside your thresholds to your clinicians.
Atrial fibrillation
Missed anticoagulant doses, bruising or bleeding, and new prescriptions from other doctors are recorded and routed under your plan’s escalation rules.
Coronary artery disease
Cardiac rehab, echo, stress test and device clinic visits are confirmed. Your plan’s chest symptom questions are asked word for word.
Hypertension
Home-cuff readings are logged on each call for your chart. Readings outside your targets go to your clinicians.
What 150 heart failure, AFib and hypertension patients bring in each month
2026 Medicare-allowed amounts, and the diagnosis codes that qualify.
Example panel
$9,920 / month
$119,034 a year · 150 patients × $66.13 (CPT 99490, national)
- CPT 99490 pays $66.13 per patient-month nationally (2026).
- Your locality moves it up or down: $60.71 in Arkansas to $83.76 in Alaska.
- Each extra 20 minutes adds CPT 99439 at $50.44.
| Condition | ICD-10 examples | Program fit |
|---|---|---|
| Heart failure | I50.22, I50.32 | CCM with a second condition; PCM alone |
| Atrial fibrillation | I48.20, I48.91 | CCM with a second condition |
| Coronary artery disease | I25.10 | CCM with a second condition |
| Hypertension | I10, I11.0 | CCM with a second condition |
Cardiology PCM, CCM or PIN: which code fits
It depends on whether your practice manages one condition or several.
| Patient situation | Program | Codes | What CMS requires |
|---|---|---|---|
| Your practice manages the heart failure; primary care manages the rest | PCM (cardiology principal care management) | 99426, 99427 for staff time; 99424, 99425 for your cardiologist’s own time | One serious, high-risk condition expected to last at least 3 months |
| Your practice manages AFib, hypertension and heart failure together | CCM (cardiology CCM) | 99490, 99439; complex CCM 99487, 99489 | Two or more chronic conditions expected to last at least 12 months, at significant risk of decompensation or decline |
| Advanced heart disease with several tests and specialist visits to navigate | PIN | G0023, G0024 | An initiating E/M visit by your practitioner, staff trained on the condition, consent renewed each year |
| Code | Service | National 2026 |
|---|---|---|
| 99426 | PCM, clinical staff, first 30 min | $67.80 |
| 99424 | PCM, physician or QHP personally, first 30 min | $87.51 |
| 99490 | CCM, clinical staff, first 20 min | $66.13 |
| 99439 | CCM, staff, each additional 20 min | $50.44 |
| G0023 | PIN, first 60 min | $87.18 |
Code-by-code detail for PCM is in our PCM CPT codes guide.
How chronic care management for cardiology practices runs
Your staff handles three steps. The Care Advocate handles calls and paperwork.
Pick the patients
Share eligible Medicare patients through EHR access or a short referral form, starting with the diagnoses you pick.
Approve outreach once
The Care Advocate calls each approved patient, explains the program and its Part B cost-sharing, and documents verbal consent. Staff new to the program can start with our explainer, what is chronic care management.
Calls follow your plan
The same Care Advocate calls monthly, asks your plan’s questions, records readings and confirms rehab, imaging and device visits.
Approve one file
Your billing team signs off on each patient’s program, code family, month, minutes by activity, activities and consent date.
RPM, TCM and hospice rules for cardiology CCM
Three CMS rules decide what else bills in a care management month.
Remote patient monitoring alongside CCM
CMS lets CCM run with RPM or remote therapeutic monitoring, not both. For 2026, 99445 covers 2 to 15 device days, 99454 covers 16 to 30, and 99470 is a new first-10-minute RPM management code. Each minute counts once. See CCM vs RPM.
Transitional care management months
CMS MLN909188 allows CCM during the 30-day TCM period. Your practitioner does the face-to-face visit: within 14 days for 99495 ($220.11 national) or 7 days for 99496 ($298.60 national).
Home health and hospice
CCM can’t share a period with home health or hospice supervision (G0181, G0182). When an end-stage heart failure patient enters hospice, hold that month’s CCM claim.
Chronic care management for cardiology
For cardiology, check:
Conditions
CMS examples include atrial fibrillation, cardiovascular disease and hypertension (MLN909188).
Existing CCM
Ask which conditions primary care’s plan addresses. If it includes hypertension, cardiology PCM must address a different condition (CMS CCM FAQ).
For a patient also on remote monitoring, CMS allows remote physiologic monitoring (RPM) or remote therapeutic monitoring (RTM), one or the other, alongside CCM or PCM, as long as no time is counted twice (MLN909188; CY2024 final rule). Companian does not offer RPM.
Questions cardiology practices ask
How many minutes does a heart failure patient need each month?
At least 30 clinical staff minutes for PCM (99426) or 20 for CCM (99490). Each further 30 adds 99427; each further 20 adds 99439. The monthly file shows which threshold was met. Complex CCM uses its own thresholds; see complex chronic care management codes.
What triggers a call back to our office?
Whatever your care plan lists: weight gain past your threshold, blood pressure outside your targets, a new symptom or a medicine started elsewhere. The Care Advocate records and routes it to your clinicians.
Which patients should we start with?
The ones you choose, such as heart failure patients who see no other cardiologist, or AFib patients on anticoagulation. See eligible conditions for the CCM definition.
Who makes the calls?
Remote registered nurses, nurse practitioners, licensed clinical social workers and care companions run our chronic care management for cardiology practices. Gloria, our AI assistant, drafts documentation and pre-visit summaries; people make every call. Care Advocates record and route; they never adjust medicine.
Who supervises the Care Advocates?
Your billing practitioner, under general supervision as CMS allows. The services agreement sets the arrangement; confirm it with your counsel.
How is Companian paid?
Your practice bills Medicare under its own license and receives the payment. We walk through our fee on the intro call; see CCM cost for how the numbers work.
Rates & disclosures
National amounts are 2026 Medicare Physician Fee Schedule non-facility payments at the non-QP conversion factor of $33.4009, computed from CMS RVUs. Your amount depends on your Medicare payment locality; see it in the CCM/PCM revenue calculator. Actual payment depends on participation status, place of service and cost-sharing.
Companian supplies Care Advocates and documentation to physician practices nationwide. Companian is not a medical practice and does not bill Medicare. The billing practitioner keeps the care plan, every clinical decision and the claim. Patients pay the usual Medicare Part B deductible and coinsurance for these services unless other coverage pays it.
Care management for other specialty practices
Same Care Advocate model, built around each specialty’s conditions.
Add care management to your cardiology practice
Fifteen minutes on your heart failure and AFib patients. No patient information needed.