The introduction of the new care coordination program for managed care has shown remarkable results in reducing hospitalizations and cost of managing chronic conditions. CMS introduced 2 new codes in the 2020 Physician Fee Schedule under the Principal Care Management Program.

Patient Consent

Providers are required to attain and record a consent from patient, explaining all the components of the program.

Principal Care Management

– Billing Footnotes!



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.

Why Choose Us!

3-Pronged Approach!

Structured care planning, customized to address patient health concerns, significantly contributes in improving patient health outcomes, generate revenues and secure better MIPS scores.

Guaranteed Profitability

On average, providers utilizing these coordinated care programs generate between $80,000-$110,000 annually, per 100 eligible Medicare patients.

Care Coordination made simple with Passionate Care Management!

Secure Online Web Portal

All clients have access to their own secure web portal. Your data is encrypted and HIPAA compliant.

Simple Setup and Configuration

Our hassle-free setup does not involve any complex installations. You can be up and running in just 1 business day!

Free Online

We set you up for success by providing a free online training session to all new clients.

Customizable Reports & Insights

Our user-friendly provider dashboard offers access to real-time reports and insights, saving you and your staff valuable time.