Principal Care Management
TCH’s PCM solution enables practices to rapidly implement specialized care without incremental administrative work.
Dedicated Care Providers
Built-in Compliance Checks
Hands-On Program Support
What is Principal Care Management?
Principal Care Management (PCM) is a newer Medicare service that began in 2020. PCP serves to provide comprehensive care management for beneficiaries with a single, high-risk condition.
While this service is specifically for people who only have a single chronic condition, they still need their medical team to provide complex and coordinated care. It also applies to someone with multiple chronic conditions that needs a dedicated team to focus on that one high-risk diagnosis.
PCM is billed with different codes than CCM.
Improved Quality of Life
As with all care management services, TCH’s PCM solution enables practices to reach more people and provide additional, individualized support for their chronic conditions.
Integrate Directly and Seamlessly
TCH’s technology platform creates a deep, bidirectional sync with EHR systems to simplify implementation and ongoing care management.
Get Up and
Running—Fast
Forget the red tape. TCH can implement your PCM program in a matter of days, maximizing patient eligibility, streamlining enrollment and automating your workflow.
Designed for Specialty Practices
TCH can help practices rapidly implement Principal Care Management programs for their patients without incremental administrative work.
Improved Medicare Compliance
THC automatically records and stores detailed documentation, audit trails and recordings of all patient communications, so you never have to worry about activities done for patients at any given time.
TCH's all in one dashboard allows providers to easily review and interpret patient data and take actions if necessary.
Built-in timer in your EHR
Reduce Administrative Burden
Having a team of Care Partners who regularly check-in with your patients, means a lot less work for your providers and staff on typical tasks like scheduling appointments, referrals, etc.
Connect seamlessly with our comprehensive EHR ecosystem
With an ever-growing number of technology integrations, you can get up and running with Medsien in a matter of days.
We have a very simple implementation process for our CCM solutions and can go live within a week.
Our team will manage all the aspects (eligibility, announcements, enrollment, etc.) so this will not take any time from you or your staff.
1. Eligibility
THC intelligently identifies your patients' eligibility based on their chronic conditions and insurance coverage to maximize your practice coverage.
2. Enrollment
THC's Enrollment Specialists contact your patients on your behalf and walk them through the enrollment process effortlessly.
3. Engagement
Your patients will be assigned to a dedicated Certified Medical Assistant to improve engagement and deliver personalized care.
Reimbursement
*Please Note: Reimbursement amounts listed represent a national average; exact reimbursement amounts vary by geographic region. Amounts are based on CMS 2023 non-facility pay rate and are subject to change.
PCM CPT CODES
CPT CODE
99424
99425
99426
99427
BILLING FREQUENCY PER PATIENT
Once per month
Once per month
Once per month
Once per month
DESCRIPTION
PCM Services for 1st 30 mins by Provider
PCP Services for additional 30 mins by Provider
First 30 minutes of PCM services by Clinical Staff
Additional 30 minutes of PCM services by Clinical Staff
AVG.REIMBURSEMENT ($)
$81*
$59*
$61*
$46*