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.
Providers are required to attain and record a consent from patient, explaining all the components of the program.
– Billing Footnotes!
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.
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!
Structured care planning, customized to address patient health concerns, significantly contributes in improving patient health outcomes, generate revenues and secure better MIPS scores.
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!
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.