CMS Care Program Billing Guide

An overview of the CMS-reimbursed care programs that Positive Check supports, and the CPT codes that define their billing mechanics. Reimbursement rates change annually — current figures are maintained on CMS.gov and Medicare.gov.

Programs covered

• Remote Patient Monitoring (RPM) — CPT 99453, 99454, 99457, 99458
• Chronic Care Management (CCM) — CPT 99490, 99439, 99487, 99489
• Transitional Care Management (TCM) — CPT 99495, 99496

What you'll find here

Program-by-program breakdowns of eligibility, documentation requirements, and how AI-powered wellness calls can satisfy interactive communication requirements. Individual CPT code definitions live in the glossary.

Detailed program pages are added on an ongoing basis.