CCM Compliance Mastery: Building Audit-Ready, Profitable Programs in 2025

As Chronic Care Management (CCM) continues to grow as a core component of value-based care, so does the need to ensure programs are not only effective—but also fully compliant with CMS regulations. With enforcement ramping up in October 2025, the time to audit-proof your program is NOW.

Join Dr. Irina Koyfman, DNP, NP-C, RN, as she guides healthcare professionals through the essential steps to align clinical care, operational workflows, and billing practices to meet compliance standards while delivering exceptional patient outcomes.

What You'll Gain

From documentation pitfalls to audit readiness, you'll gain clarity on what it really takes to run a sustainable, defensible, and profitable CCM program. Whether you're building a new program or auditing an existing one, this session will offer expert insights to secure your success from care to compliance.

Learning Objectives

By the end of this webinar, you will be able to:

Understand CMS compliance requirements for billing CCM services accurately

Identify common documentation and billing pitfalls that lead to denials or audits

Develop internal strategies to maintain audit readiness and billing accuracy

Master CMS requirements for Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Principal Care Management (PCM)

Examine the Scope of Services required to bill Medicare for RPM, CCM, and PCM services

Discover how CCM closes care gaps and enhances patient engagement

Assess financial and quality implications of incorporating RPM and CCM in your practice

Understand evaluation planning to measure program success

Create an implementation roadmap tailored to your organization's needs

Comprehensive Agenda

Module 1: CMS Policy Deep Dive - RPM, CCM & PCM

• Patient qualification criteria for each program
• Complete billing requirements and code usage
• Who can and cannot bill for CCM services
• Proper patient consent procedures
• Developing comprehensive care plans that meet CMS standards

Module 2: Evaluation Planning for Success

• Identifying your ideal patient population
• In-house vs. outsourcing: Pros, cons, and cost analysis
• Software solutions vs. EMR integration strategies
• Key performance indicators to track

Module 3: Implementation Roadmap

• Step-by-step program launch strategies
• Workflow integration best practices
• Staff training and role assignment
• Timeline and milestone planning
• Quality assurance and ongoing compliance monitoring

Who Should Attend?

This webinar is essential for:

• Primary Care Physicians implementing or expanding CCM programs
• Practice Administrators responsible for compliance and revenue optimization
• Nurse Practitioners & Physician Assistants delivering CCM services
• Revenue Cycle Managers protecting reimbursement streams
• Compliance Officers preparing for CMS audits
• Healthcare Consultants advising practices on CCM implementation
• Rural Health Clinics & FQHCs navigating new billing opportunities
• Care Coordinators managing CCM patient populations

What Makes This Webinar Different?

Timely & Urgent: Aligned with October 2025 CMS audit enforcement expansion

Comprehensive Coverage: CCM, RPM, AND PCM in one session

Practical Focus: Real-world strategies, not just theory

Audit-Ready Framework: Walk away with actionable compliance checklists

Expert-Led: Learn from a practicing DNP with implementation experience

Interactive Format: Live Q&A to address your specific challenges

Event Details

Format: Live Interactive Webinar

Duration: 60+ minutes

Recording: Available to all registrants who avail for recoding for 30 days (paid)

Why Attend NOW?

CMS audit enforcement expansion begins October 2025

Over 30% of healthcare claims contain billing errors or documentation gaps

CCM market projected to reach $14.5 billion by 2030 - don't miss this revenue opportunity

New Medicare billing codes for RHCs and FQHCs effective 2025

Q4 budget planning window for 2026 program launches