The scripted format of HCS enables any provider to use the product to lead an Individual or Shared Medical Appointment to confidently assist the patient(s) in evidence-based practices to improve their health with a coaching approach designed to capitalize on intrinsic motivation and self determination. The two models below can be used by individual providers or large practices with existing staff by maximizing the billing capabilities of all members of the patient-facing team. Chronic Care Management (CCM) rewards practices for proactively caring for chronic conditions. CCM enables any clinical staff of the practice to recoup about $40 per 20 minutes spent in the management of chronic conditions for patients. Since it is one of the few ways that the fee-for-service system will pay practices to work with patients on lifestyle and behavior change it can be a big win for the patient’s health and customer experience as well. CCM can be performed by medical assistants,health coaches, dietitians, nurses, providers, or any other clinical staff. When performed by talented medical assistants, it can be sufficiently lucrative to incentivize the practice to expand its CCM services as a revenue generator. Chronic CCM includes non-face to face management of 2+ chronic conditions outside of clinic visits including referrals, prescription and ongoing review time spent each month. The codes are as follows: CCM by clinical staff to establish or revise a plan 1st 60 min: 99487 Additional 30 min: 99489 Monthly CCM by clinical staff Per month 1st 20 min:99490 Additional 20 min: 99439 Monthly CCM by physician per month 1st 20 min: 99491, additional 20 min: 994337 Shared Medical Appointments (SMA’s)99213-5 Shared Medical Appointments enable providers to see multiple patients with the same complexity of diagnosis at the same time, on the same day with the stipulation that each patient receives some individual care during the encounter and that the group encounter take place in the NPI location. The group can be initiated by the MD with auxiliary medical staff conducting topic specific disease education. Existing individual E/M codes can apply to the shared medical appointment. Non-primary provider team members such as registered dietitians, physical and occupational therapists, nurses and social workers often have the ability to bill and get reimbursed for group visits on the same day:. Group dietician visits for two or more individuals for 30 minutes : 97804 Group psychotherapy can use codes: 90853 or The Health and Behavior Code: 96153 Physical Therapist: 97110, 97530, 97535, 97750 (therapeutic exercise, therapeutic activities, self-care/home management training, physical performance test of measurement) Occupational Therapist : 97110, 97530, 97535 Traditional Cardiac Rehabilitation, DPP, and IBT for Obesity and CVD are more structured group appointment models that HCS workbooks and blood sugar prescription would assist in attaining the outcomes required for CMS payment.