Principle Care Management (PCM)

CodeCast | Medical Billing and Coding Insights

Principal Care Management (PCM) services are services for a single high-risk disease, 30 minutes a month, personally provided by a physician or NPP. This is for patients with one complex chronic condition expected to last three months which places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death.

Does your patient qualify? Terry covers the details on documentation requirements (on CPT page 55) and its importance for compliance.

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