Get paid between visits
Chronic care management for oncology practices
Companian guides patients through active treatment and survivorship, so your team can focus on care.
- 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*Oncology 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
Which oncology patients fit which program
In chronic care management for oncology practices, eligibility is confirmed at the initiating visit.
| Patient group | What the Care Advocate covers each month | Program to consider |
|---|---|---|
| Active treatment: chemotherapy, immunotherapy or radiation | Confirms infusion, radiation and lab dates; asks your plan’s symptom questions | PIN (G0023, G0024) for one serious, high-risk condition |
| Survivorship and surveillance | Confirms surveillance scans, labs and visits on your plan’s schedule | PCM, if the condition still meets the high-risk definition |
| Chronic blood cancers on oral therapy, such as CLL, CML or multiple myeloma | Asks your plan’s adherence and side-effect questions; confirms lab draws and visits | PCM for one cancer; CCM for two or more chronic conditions |
| Any group above, when transport, food or caregiving gets in the way | Works on the social need behind a missed visit | Community health integration (G0019, G0022) |
PIN and PCM need one condition lasting at least 3 months. CCM needs two or more, expected to last at least 12 months. They must put the patient at significant risk of death, acute exacerbation or decompensation, or functional decline. See eligible conditions.
What 100 patients in active treatment or survivorship bring in each month
2026 Medicare-allowed amounts, and the diagnosis codes that qualify.
Example panel
$6,613 / month
$79,356 a year · 100 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 |
|---|---|---|
| Breast cancer | C50.919 | CCM with a second condition; PCM alone |
| Prostate cancer | C61 | CCM with a second condition |
| Colon cancer | C18.9 | CCM; PIN when high-risk |
| Lung cancer | C34.90 | CCM; PIN when high-risk |
How an oncology navigation month runs
You share the list and approve outreach and the file. We make the calls.
Visit and consent
Your oncologist or hematologist holds the initiating E/M visit (not 99211). The Care Advocate then calls and documents verbal consent. Staff new to the program can read how chronic care management works for Medicare.
The treatment calendar
Before each infusion, radiation, scan or lab date, the Care Advocate confirms attendance. Misses go to your scheduling team.
Calls between cycles
Calls follow your plan’s questions for each treatment phase. Anything new goes to your nurse line under your escalation rules.
Summary and file
Gloria, an AI assistant, drafts documentation and a pre-visit summary; people make every call. Your billers approve one month-end file.
Chronic care management for oncology practices: 2026 rates
2026 Medicare national non-facility amounts.
| Code | Service | National 2026 |
|---|---|---|
| G0023 | PIN, first 60 min in the month | $87.18 |
| G0024 | PIN, each additional 30 min | $54.44 |
| 99426 | PCM, clinical staff, first 30 min | $67.80 |
| 99427 | PCM, clinical staff, each additional 30 min | $54.11 |
| 99424 | PCM, oncologist personally, first 30 min | $87.51 |
| 99490 | CCM, clinical staff, first 20 min | $66.13 |
| 99439 | CCM, each additional 20 min | $50.44 |
Claims go to your Medicare Administrative Contractor. Confirm amounts in its fee schedule lookup.
PIN minutes and limits
G0023 needs 60 minutes of navigation in the calendar month; G0024 adds each further 30. CMS allows PIN once per practitioner per month per serious, high-risk condition. Staff need training on that condition. PIN codes G0023 and G0024.
PCM and CCM floors
PCM has a 30-minute monthly floor; use 99424 when your oncologist spends the time personally. CCM starts at 20 minutes of clinical staff time (99490). Only one practitioner can bill CCM per patient per month, so check whether primary care already does. Complex CCM has separate time and care plan rules; our guide to CPT 99487 and 99489 covers them.
Hospice months and stacked programs
CCM cannot be billed in the same period as home health or hospice supervision (G0181, G0182). PIN and CHI can run alongside other care management if no minute counts twice. For conversations about future care wishes, see advance care planning (CPT 99497).
What Care Advocates handle and what oncologists keep
Care Advocates never assess side effects, triage or give medical advice.
| Situation | Care Advocate | Your clinical team |
|---|---|---|
| Patient reports fever or a new side effect | Records it and routes it under your escalation rules | Assesses, triages and decides |
| Missed infusion or scan | Asks why and tells your scheduling team | Reschedules and decides whether treatment timing changes |
| Questions about oral therapy | Asks your plan’s adherence questions | Decides on doses, holds and restarts |
| Surveillance scan or labs due | Confirms the date your office booked | Orders the test and reads the result |
Care Advocates are registered nurses, nurse practitioners, licensed clinical social workers and care companions. Your billing practitioner provides general supervision under the services agreement; have counsel confirm it.
Questions oncology practices ask
What triggers a call to our nurse line?
Whatever your care plan lists as an escalation trigger, plus anything new the patient raises. Your clinicians write the rules; the Care Advocate applies them and does not judge urgency.
Is PIN consent different from CCM consent?
Yes. CCM consent is documented once, before billing. PIN consent comes before or when services start and is renewed yearly. The monthly file shows the consent date. More on consent.
Can navigation happen by phone or video?
Yes. CMS allows PIN and CHI by telecommunications technology. Care Advocates work fully remotely, by phone and video.
Do patients pay for navigation?
Yes. The Part B deductible and coinsurance apply to PIN, PCM and CCM. The Care Advocate explains cost-sharing before consent is recorded.
Who bills Medicare, and how is Companian paid?
Your practice bills under its own NPI and receives the payment. We walk through our fee on the intro call. How cost works.
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
The same Care Advocates and monthly file, written to each specialty’s conditions.
Add care management to your oncology practice
Fifteen minutes on which patients fit PIN, PCM or CCM. No patient data needed.