Seven Medicare programmes
One loop. Seven ways to bill it.
Your patients already qualify for more than you are running. The difference between these programmes is who counts and what the month has to show, not how the work gets done.
Your team reviews. Your provider signs.
Which programmes fit this patient?
Describe the patient. The programmes light up.
Toggle what is true of one patient. Every programme they could be considered for stays lit; the rest step back. Leave everything on Any and this is simply all of them.
The patient
Programmes to consider
All 8 lit
Any patient on your panel. Describe one on the left.
- CCMChronic Care Management99490$66.13per month
- APCMAdvanced Primary Care ManagementG0556 · G0557$53.78per month
- BHIBehavioral Health Integration99484$57.45per month
- RTMRemote Therapeutic Monitoring98980$54.11per month
- RPMRemote Physiologic Monitoring99457$51.77per month
- PCMPrincipal Care Management99426$67.80per month
- TCMTransitional Care Management99495$220.11per discharge
- ACCESSCMS payment model4 tracksPaid per track, half withheld for outcomes
Can they stack?
What one month can hold for the same patient, and what it adds up to.
- CCMBHIRTMTCM$397.80with a discharge
- CCMBHIRPMTCM$395.46with a discharge
- APCMBHIRTM$165.34in one month
- APCMBHIRPM$163.00in one month
The same minutes never count twice, whichever codes the month carries.
Not in the same month: CCM and APCM; CCM and PCM; APCM and PCM; APCM and TCM; RTM and RPM.
Not settled, ask your biller: BHI and PCM; PCM and TCM.
A lit row means a patient like this can be considered for that programme, not that they are eligible. Consent, the initiating visit, who may bill and the rest of the fine print are open questions listed on each programme page, and this cannot check them. A stack is what may be billed together, not what this patient qualifies for. Programs are what your practice bills. HANA does not bill, and its call time is never counted as clinical time. Requirements here are the Medicare rules as they stand in August 2026 and are worth checking against your MAC before you rely on them.
How it works
Forty-five minutes a patient.
We take it under thirty.
One coordinator. Same hours. Two hundred and fifty patients instead of a hundred and fifty.
Hana calls · you set the protocol
It calls from your number until someone picks up. Then medications, symptoms, and what changed.
Hana routes · your team decides
Anything clinical goes to your team, with the reason and the transcript attached.
Your clinician reviews · Hana writes
The note is in the chart before your team opens it. Under that patient, not in a spreadsheet.
You submit · Hana supplies the evidence
Every minute attributed to the person who earned it, ready to attest on the first.
You set the escalation rules. A person on every clinical flag, an audit trail on every call, minutes totalled per patient.
45-60min
per patient, per month, today
What a coordinator spends on one enrolled patient when the calling, the chasing and the note are all done by hand.
120-160
the caseload that caps at
Which is why most programs stall well short of what the panel could support.
29min
what HANA is built for
Same coordinator, same hours, toward 250 patients. HANA makes the calls; your team reviews and attests.
Your team reviews it. Your provider signs it. Nothing is billed until a person on your team approves it.
Questions practices ask
Before you pick one.
Whichever fits the patients you already have. The chooser above asks three questions and lands on one. Most practices start with chronic care management because the eligibility is the widest, but that is a fact about panels, not a recommendation.
Often, and the filter above works it out for you: describe the patient and it shows the largest sets CMS lets a practice bill in the same month, with the combined figure. Advanced primary care management cannot share a month with chronic care management, principal care management or transitional care management, and remote physiologic and remote therapeutic monitoring cannot share one either. Two pairs we have not found a ruling on are marked unsettled rather than guessed. The same minutes never count toward two codes, and a stack is what may be billed, not what a given patient qualifies for.
No. It is the same loop every month: reach the patient, flag what matters, write it up, bill it. What changes is who qualifies and what the month has to show. HANA makes the calls and writes them up in every one of them, and your team reviews and attests in every one of them.
No. They are your patients and it is your claim. HANA supplies the reach and the documentation, your team supplies the clinical judgement and the attestation, and nothing bills until a person on your team approves it.
It has its own page now, and it says the thing you would want it to say: RPM turns on a device recording a physiologic reading, and HANA is never the device. What HANA does is the other half, the live interactive communication the treatment-management codes require. The device stays yours.
Have a chat with HANA.
Give us your number. It calls in about ten seconds. Talk to it like a patient would, then let your team try it.
Hear Hana handle a real patient conversation.
Enter your details. Hana texts you to confirm, then calls within seconds, so you can hear it for yourself.
Ready when you are
Not sure which fits your panel? Ask us.
Bring your panel numbers. We will go through which programmes your patients already qualify for, and what your team would still do.
- Your patients, your claim
- Your team reviews and attests
- Nothing bills until a person approves
