Chronic Care Management — Las Vegas, NV

CCM for Las Vegas Practices

Chronic Care Management for Las Vegas & Henderson

Avanti Revenue Management Group manages chronic care management programs for Las Vegas and Henderson private practices. Las Vegas has one of the highest concentrations of Medicare-eligible patients with chronic conditions in the state — hypertension, type 2 diabetes, and cardiovascular disease are prevalent across the Clark County population. Most Las Vegas practices have hundreds of CCM-qualifying patients. Most aren't billing it.

The barrier isn't eligibility — it's operational. CCM requires 20 minutes of documented care coordination per patient per month. Most practices are already spending that time. What's missing is the billing infrastructure to log it and generate a claim. That's what we provide.

What Qualifies

CCM-Eligible Patients in Las Vegas Practices

Two or more chronic conditions expected to last at least 12 months. Common qualifying combinations in Las Vegas practices:

  • Type 2 diabetes + hypertension
  • Heart failure + atrial fibrillation
  • COPD + depression
  • Chronic kidney disease + diabetes
  • Obesity + hypertension
Revenue Projections

What Las Vegas Practices Can Collect

  • 25 patients @ $66.13: $1,653/month ($19,836/year)
  • 50 patients @ $66.13: $3,306/month ($39,678/year)
  • 50 patients @ $116.57 (with 99439): $5,828/month ($69,939/year)
Common Questions

CCM in Las Vegas — FAQ

Do you provide chronic care management services in Las Vegas?

Yes. Avanti Revenue Management Group manages CCM programs for private practices in Las Vegas, Henderson, North Las Vegas, and throughout Clark County. We handle billing infrastructure, time-tracking, and documentation so your team can focus on patient care while we ensure the revenue is captured.

How much CCM revenue can a Las Vegas practice generate?

At 2026 Medicare rates, CCM pays $66.13/month per patient for the first 20 minutes of care coordination. A Las Vegas practice with 50 CCM-enrolled patients generates $3,306/month ($39,678/year) at the base rate. Adding the additional 20-minute code (99439, $50.44) for higher-complexity patients increases that substantially.

What percentage of a Las Vegas primary care panel qualifies for CCM?

Typically 30–50% of a primary care panel has two or more qualifying chronic conditions. Las Vegas practices often see higher rates given the regional prevalence of hypertension, diabetes, cardiovascular disease, and obesity. Most Las Vegas practices have far more CCM-eligible patients than are currently enrolled.

Can Las Vegas practices bill CCM alongside remote patient monitoring?

Yes — and most should. If a patient is enrolled in RPM for blood pressure or glucose monitoring and has two or more chronic conditions, they qualify for CCM as well. Billing both generates $211–$261/patient/month at 2026 rates, with separate documentation required for each service.

Learn More

Related Resources

Guide

Remote Patient Monitoring Services

How a turnkey RPM program works — enrollment, devices, billing, and clinical oversight.

Guide

RPM for Private Practices

What independent practices need to know before launching an RPM program.

Guide

RPM for Skilled Nursing Facilities

How SNFs use remote monitoring to reduce readmissions and extend clinical reach.

Billing

Medicare RPM Billing

CPT codes, documentation requirements, and audit-proofing your RPM claims.

Billing

RPM & CCM CPT Codes

Medicare reimbursement rates for RPM, CCM, PCM, and FQHC/RHC — and how to stack them.

Guide

Chronic Care Management

How CCM generates consistent monthly revenue for practices treating chronic conditions.

Blog

Why RPM Isn't Just About Lower Costs

The real reason well-run RPM programs outperform the ones chasing reimbursement codes.

Blog

Medicare's 2026 RPM Changes

What actually changed in CMS policy this year and what it means for your practice.

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Our Services

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