Initial Visit

For new patients and patients not seen within a year prior to initiation of PCM, the billing practitioner must conduct an initiating visit with the patient in order to educate the patient on PCM and obtain the patient’s informed consent.

One Condition Per Provider, Per Calendar Month

Principal Care Management is billed once per calendar month by a provider. Multiple specialists may initiate the PCM program for one patient in order to manage different chronic conditions.

Complex Chronic Condition

The focus of the care plan must be one complex chronic condition lasting at least 3 months. CMS requires billing practitioners to record and maintain the structured care coordination electronically through the practice EHR.

Concurrent Billing

Principal Care Management can be billed along with other telehealth programs such as Remote Patient Monitoring, however only Chronic Care Management or Principal Care Management can be billed in a calendar month.

Care Coordination made simple with Passionate Care Management!