Principal care management (PCM) specifically relates to a single chronic care condition. To effectively manage a single chronic condition, healthcare providers often follow evidence-based guidelines and best practices for that condition. Examples of conditions we serve:
PCM performed by clinical staff under the direction of a physician or other qualified health care professional 30 minutes per month.
Additional 30 minutes per month.
PCM is a focused approach to managing a single chronic condition. It involves following evidence-based guidelines and best practices specific to that condition.
Patients with a single significant chronic condition that requires specialized care and management over a prolonged period are ideal candidates for PCM.
PCM includes developing and monitoring a care plan specific to the patient’s chronic condition, coordinating care among specialists, and providing targeted support and education.
PCM is billed using specific CPT codes that reflect the time and complexity of managing a single chronic condition. These codes are used for the monthly management and oversight of the patient’s care.
Unlike CCM, which addresses multiple chronic conditions, PCM focuses on managing a single chronic condition with a dedicated care plan and management strategy.
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