Chronic Care Management App

Run the operational side of your CCM program on mobile: log the monthly clinical minutes behind CCM CPT codes, work the care plan as a task list, capture consent, and keep an audit-ready record per patient.

Monthly time logCare-plan tasksConsent captureAudit trail
See It in 30 Minutes
Chronic Care Management App mobile inspection app showing offline forms and photo evidence

What is Chronic Care Management App?

The Chronic Care Management app is built for the care manager, the chronic care lead, and the practice administrator who run a CCM program for patients with two or more chronic conditions. InspectWrk is a workflow and compliance platform, not an EHR. It works alongside the EHR and handles the CCM operational evidence: the monthly clinical time per patient, the care-plan tasks and their completion, the required patient consent, and the audit trail that supports the CCM claim.

It replaces the spreadsheet tracking monthly minutes by patient, the care plan buried in a document nobody works from, and the scattered record of who consented. It produces one record per patient per month, showing logged minutes, care-plan progress, and consent, so the practice bills CCM against evidence.

What to Track for a CCM Month

A defensible CCM month record tracks the patient's consent to the program, the comprehensive care plan and the tasks worked during the month, and the clinical time spent, which is the core requirement: at least 20 minutes of clinical staff time for 99490, additional time for 99439, and the higher thresholds for complex CCM under 99487. Each time entry is tied to the named staff member and timestamped, and each care-plan task shows who did it and when, so the billing team submits against evidence.

How to Use Chronic Care Management App

A consistent routine keeps chronic care inspections reliable across every site. Follow these steps to run an effective inspection:

  1. Enroll the patient: capture CCM consent and confirm the two or more qualifying chronic conditions.
  2. Build the care plan in the app and turn each goal into a tracked task with an owner.
  3. Log clinical time as the work happens, against the patient, so the monthly total is captured live.
  4. Watch the at-risk view: patients short of 20 minutes before month end are flagged for outreach.
  5. Close the month: the record shows minutes, care-plan progress, and consent, ready for billing and audit.

How the Chronic Care Management App Runs a CCM Month

Step 1
InspectWrk workflow step: Enroll and Plan

Enroll and Plan

Each patient is enrolled with CCM consent and two or more qualifying chronic conditions, and every care-plan goal becomes a tracked task with an owner.

Step 2
InspectWrk workflow step: Log Clinical Time

Log Clinical Time

Clinical time is logged as the work happens, against the patient, so the monthly total is captured live.

Step 3
InspectWrk workflow step: Flag and Close the Month

Flag and Close the Month

Patients short of 20 minutes before month end are flagged for outreach, and the closed record shows minutes, care-plan progress, and consent.

See the AI Behind Chronic Care Management App

Everything your field team records during chronic care management, from photos and voice notes to sign-off, InspectWrk turns into a finished report automatically. Faster, more accurate, and without the retyping.

Take a Photo. AI Fills the Form illustration

Take a Photo. AI Fills the Form

Your inspector takes a photo of any asset or defect. AI reads it and fills the inspection form automatically. No typing. No manual entry.

Speak. AI Writes It Down illustration

Speak. AI Writes It Down.

Inspectors speak their observations in any language. AI transcribes and fills the form in real time. Completely hands-free in the field.

Inspections Done. Report Ready illustration

Inspections Done. Report Ready.

The moment an inspection is submitted, a branded PDF, Excel, or CSV report generates automatically. No manual work. No waiting.

Connect Your Existing Tools illustration

Connect Your Existing Tools.

InspectWrk integrates with the tools your team already uses, including Zoho, Microsoft 365, and SAP. No double entry.

Live Dashboard. Every Site. Always On illustration

Live Dashboard. Every Site. Always On.

Your operations team sees completion rates, open issues, and compliance scores across all sites in real time. No chasing updates.

What Chronic Care Teams Fix When Inspections Move Off Paper

Chronic Care work breaks down the moment evidence leaves the form. These are the problems Chronic Care Management App is built to remove, and what the team gets back when it does.

Chronic Care Management App: A month of CCM work cannot be billed because the 20 minutes were never captured as they happened

A month of CCM work cannot be billed because the 20 minutes were never captured as they happened

The care manager did the calls and the coordination, but the minutes were noted on sticky notes and never totaled. At month end nobody can prove 20 minutes per patient, so the claims are held.

Problem

  • Minutes noted informally and never totaled
  • Threshold checked after the month closed
  • Claims held for lack of evidence

Solution

  • Live minute log per patient
  • At-risk patients flagged before month end
  • Billing-ready time record at month close
Chronic Care Management App: The care plan exists in a document but nobody can show it was actually worked during the month

The care plan exists in a document but nobody can show it was actually worked during the month

An auditor asks for evidence that the CCM care plan was actively managed. The plan is a PDF from six months ago. There is no record of tasks worked, goals reviewed, or the patient contacted about them.

Problem

  • Care plan is a stale document
  • No record of tasks worked in the month
  • Audit cannot see active management

Solution

  • Care plan worked as tracked tasks
  • Each task shows owner and date
  • Active management visible per month

Frequently Asked Questions

Is InspectWrk an EHR or does it replace one?

No. InspectWrk is a workflow and compliance platform, not an electronic health record. It does not store the full clinical chart, and it does not replace your EHR. It runs alongside the EHR and handles the CCM operational and billing evidence the EHR does not track cleanly: the monthly clinical minutes per patient, the care-plan tasks and their completion, the patient consent, and the audit trail. The clinical documentation stays in your EHR; the program operations and billing defensibility live here.

How does the app track the 20-minute monthly requirement?

For each enrolled patient, clinical staff log time against the patient as they do the work, and the app totals it for the month. It shows the running total against the thresholds: at least 20 minutes for 99490, additional increments for 99439, and the higher time and complexity requirements for complex CCM under 99487. Because the minutes are visible mid-month, the care manager can see who is short and schedule outreach before the month closes, rather than discovering the gap after billing.

How are care plans handled?

The comprehensive care plan is built in the app and each goal becomes a tracked task with an owner and a due point. As staff work the plan during the month, the tasks show who did what and when. This turns the care plan from a document produced once into a record of active management, which is what a CCM audit looks for. The plan sits on the same patient record as the monthly time and the consent.

Does it capture the consent CCM requires?

Yes. At enrollment the app captures the patient's consent to the CCM program, including acknowledgment that only one practitioner can bill CCM per month and that cost-sharing may apply. The consent is stored on the patient record alongside the qualifying conditions, the care plan, and the monthly time log, so an auditor reviewing a claim sees consent and the clinical work in one place.

Can a multi-site group run CCM across clinics in one app?

Yes. Each site's care managers run their panels, and the chronic care lead sees the roll-up across sites: minutes logged, patients at risk of missing 20 minutes, care-plan progress, and consent status. A central billing team works from one consistent record instead of a different spreadsheet per clinic, which is what makes CCM billing manageable at scale.

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