UBC News

Turning Clinical Work Into Revenue: CCM & RPM Partnerships For Pharmacies

Episode Summary

Pharmacists spend hours counseling patients on medications and chronic conditions without earning a dime for this clinical work. Remote Patient Monitoring and Chronic Care Management partnerships with physicians transform these unpaid daily activities into steady monthly revenue streams.Learn more: https://ccmrpmhelp.com/contact

Episode Notes

You spent twenty minutes this morning counseling Mrs. Johnson about her diabetes medications, then another fifteen with Mr. Rodriguez reviewing his blood pressure readings, and just before lunch you helped the Martinez family understand their new heart failure treatment plan. By the end of the day, you've given away hours of clinical expertise without seeing a single dollar for any of it. Meanwhile, your prescription reimbursements keep dropping, and those DIR fees keep climbing, and you're left wondering how much longer you can keep doing this before the numbers just don't work anymore. Here's what most pharmacy owners don't realize. All that clinical work you're doing for free right now, all those medication reviews and patient check-ins and care coordination calls, Medicare actually pays for those services. The catch is they don't pay pharmacists directly. But there's a way around that, and it's probably simpler than you think. Remote Patient Monitoring and Chronic Care Management are Medicare programs designed to keep people with ongoing health conditions out of the hospital and away from the emergency room. RPM uses digital devices like blood pressure monitors and scales that send readings automatically to healthcare providers. CCM focuses on coordinating care for patients dealing with multiple chronic conditions through medication management, regular communication, and care planning. Both programs reimburse providers for time spent managing these patients outside traditional office visits, which sounds an awful lot like what you already do every single day. The revenue model works through physician partnerships. Doctors can bill Medicare for these services, and they're allowed to hire staff or partner with other healthcare professionals to actually deliver the care. That's where your pharmacy comes in. You team up with local physicians who already send prescriptions your way. They handle the billing side and share the revenue with you. You provide the actual patient care, which feels completely natural since patients already know and trust your staff. Think about the financial potential here. Pharmacies running these programs typically generate between forty and one hundred dollars per patient each month. If you've got two hundred patients enrolled, that's somewhere between eight thousand and twenty thousand dollars in monthly revenue. One pharmacy started their program and grew to eighty patients in just four months, netting around sixty-five hundred dollars every month from that work alone. The beautiful part is how much of your current daily work suddenly becomes billable time. Those medication reviews you do? Billable. Discussing lab results with patients? Billable. Coordinating care between different doctors? Billable. Phone calls about medication questions, updating care plans, reviewing health data from remote monitors, documenting patient progress, all of it counts toward the monthly time requirements for billing these services. You're already spending this time with patients. You're just not getting paid for it yet because you haven't set up the tracking and documentation systems. Now I know what you're thinking. You're already stretched thin, your staff is already busy, and adding anything new sounds impossible. But here's the thing. You don't need to hire new people to make this work. Most pharmacies start with their current team because these activities fit naturally into what they're already doing. The difference is that you need software that tracks patient time, manages the health data coming in, documents everything properly, and handles the billing codes. The right platform does most of this automatically without drowning your staff in paperwork. Starting the partnership conversation with a physician is easier than it sounds, especially if you approach doctors who already work with you. They're facing the same financial pressures you are, and many of them actively want reliable partners to help deliver these services. You need to show up prepared, though. Learn the requirements for these programs before you walk into that first meeting. Choose your software platform. Then present a clear proposal covering patient enrollment, how you'll deliver services, how you'll communicate updates, and how revenue gets shared. Draft a formal agreement that spells out everyone's responsibilities and keeps everything compliant with privacy regulations. The hesitation most pharmacy owners feel comes from not knowing where to start or worrying about messing something up. That's completely fair. These programs involve specific Medicare billing requirements, documentation standards, and workflow structures that take time to learn. Working with experienced partners who specialize in helping independent pharmacies launch these programs cuts out months of trial and error. They provide the software, walk you through approaching physicians, help you write partnership agreements, train your staff, and make sure your billing process works correctly from day one. What makes this revenue stream different from everything else you've tried is how well it aligns with what pharmacies actually do best. You're not learning some completely new skill or adding services that feel foreign to your expertise. You're medication management specialists. You understand chronic disease care. You already have trusted relationships with these patients. This just creates a mechanism to finally get compensated for clinical work that's been undervalued for way too long. The recurring monthly income provides stability that prescription reimbursements simply don't deliver anymore. It helps you weather PBM changes and fee fluctuations with more confidence. As pharmacists continue moving toward provider status recognition, delivering these services now positions you favorably for whatever expanded opportunities come next. And honestly, patient outcomes genuinely improve when pharmacists provide consistent chronic care management, which strengthens your reputation in the community and deepens those physician relationships over time. If you're ready to explore how this could work for your pharmacy, click the link in the description to connect with specialists who can walk you through the entire process and help you build a program that actually fits your specific situation and patient population.

CCM RPM Help
City: Herriman
Address: 12953 Penywain Lane
Website: https://ccmrpmhelp.com/
Phone: +1 866 574 7075
Email: brad@ccmrpmhelp.com