Chronic Care Financial Clearance Software
Verify documented patient consent and an accessible, up-to-date comprehensive care plan before billing each cycle.
Verify documented patient consent and an accessible, up-to-date comprehensive care plan before billing each cycle. The workflow is configured around the documentation and payer requirements common to Chronic Care care.
★★★★★5/5
★★★★★5/5
6,500+ specialty providers
Product screenshot
Chronic Care workspace preview coming soon
Chronic Care Financial Clearance Software for Chronic Care
Built specifically for Chronic Care practices, not bolted onto a multi-specialty platform, so every rule matches how your team actually gets paid.
Specialty-tuned accuracy
Coding and prior-auth logic tuned to Chronic Care catches problems before claims go out.
Faster, fuller payment
Automated charge capture and posting speed up cash flow and recover dollars you're leaving on the table.
Work by exception
Automation clears the routine work so your team only touches the claims that need a human.
One system of record
Scheduling, clinical, and financial data live in one place, for a single real-time view of performance.
Deep Dive: System Capabilities & Specialized Workflows
CCM requires at least 20 minutes of non-face-to-face care coordination time per calendar month documented against a comprehensive care plan, with additional time captured in 20-minute increments under add-on codes. RPM requires devices to transmit at least 16 days of readings in a 30-day period before the monitoring code can be billed, alongside separate time-based codes for data review and patient communication. Missing any threshold by even a few minutes or a single day of device readings makes the entire month's claim non-compliant.
Configured Automation Highlights
- Address failure to reach the 20-minute monthly time threshold for CPT 99490, resulting in unbilled or improperly billed months.
- Address rPM device data falling short of the required 16-day transmission minimum within the 30-day billing period.
- Address care plans not updated or accessible to all care team members, jeopardizing CCM eligibility during audits.
- Address overlapping CCM and TCM or behavioral health integration billing in the same month creating compliance conflicts.
Direct Comparison
Review the module against your payer mix and current team handoffs.
Frequently Asked Questions
We Love Hearing From Our Users
Using our product doesn't just mean quality software, but also access to a community to keep you connected to your peers and to your product team.
I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
I would recommend Unlimited Financials to other specialty practices.
We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
I would recommend Unlimited Financials to other specialty practices.
We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
GET STARTED
Your specialty isn't generic. Your software shouldn't be either.
Walk through your specialty's exact billing workflows with an RCM expert who already knows your codes, modifiers, and payer rules.
★★★★★5/5★★★★★5/5