Documentation discipline
Time-tracked CCM in MedMe captures 40 to 60% more billable minutes than retroactive notes. The difference between 99490 and 99491 plus add-ons is documentation, not effort.
Drop in your store count and weekly clinical encounter volume. Adjust the service mix and payer mix to match your reality. Get a defensible per-code annual reimbursement estimate at your current capture rate versus what is possible with full documentation.
Estimated annual reimbursement at full documentation across 6 stores, approximately 13,104 billable encounters per year.
Heritage Rx unlocked $1.4M in year 1, across 8 stores in central Pennsylvania, billing CCM, MTM, and POCT through MedMe in their first 12 months on the platform.
The math above assumes documentation discipline, an incident-to posture, and a denial-management practice. The pharmacies that hit it have a clear playbook on each of three levers, and the gap between average and best-in-class is wider than most operators realize.
Time-tracked CCM in MedMe captures 40 to 60% more billable minutes than retroactive notes. The difference between 99490 and 99491 plus add-ons is documentation, not effort.
Pharmacies billing under a supervising physician through incident-to or general supervision rules typically capture 2 to 3 times more services. RHTP and provider-status changes are widening this lever in 2026.
Industry-average pharmacy clinical-service denial rates run 18 to 24%. MedMe customers bring that under 6% by surfacing denials in real time and pre-flagging documentation gaps before submission.
Send us a week of your encounter volume. We will back-of-envelope your annual reimbursement and walk through the codes that move the needle for your service mix.