CCN Health Launches Principal Care Management
CCN Health adds PCM to its platform, enabling providers to bill CPT 99424-99427 for single high-risk chronic condition management alongside RPM, CCM, BHI, and RTM.
CCN Health
January 17, 2024
CCN Health Launches Principal Care Management
LOS ANGELES, CA — January 17, 2024 — CCN Health today announced the launch of Principal Care Management (PCM) on its platform, enabling providers to deliver and bill for focused chronic condition management under CPT codes 99424 through 99427. The addition of PCM completes CCN Health's five-program Medicare suite, covering RPM, CCM, PCM, BHI, and RTM.
Focused Single-Condition Management
Principal Care Management is designed for patients who have a single high-risk chronic condition that is expected to last at least three months and places the patient at significant risk of hospitalization, acute exacerbation, functional decline, or death. Unlike Chronic Care Management, which requires two or more chronic conditions, PCM concentrates clinical attention on one primary diagnosis.
This focused approach allows care teams to build targeted monitoring plans around a patient's most pressing condition. A patient with uncontrolled heart failure, for example, can receive dedicated PCM services that center on weight trends, fluid retention indicators, and medication adherence without the broader care planning requirements of CCM.
CPT 99424 covers the initial 30 minutes of clinical staff time per calendar month, while CPT 99425 covers each additional 30 minutes. Physician-directed codes 99426 and 99427 follow the same time structure for direct provider involvement. The CCN Health platform automates time tracking and documentation for all four codes.
Completing the Five-Program Suite
With PCM now live, CCN Health offers a complete Medicare care management portfolio. Providers can enroll patients in the program that best fits their clinical profile: RPM for physiological monitoring, CCM for multi-condition management, PCM for single high-risk conditions, BHI for behavioral health integration, and RTM for therapy-based outcomes monitoring.
"Many patients don't meet the two-condition threshold for CCM but still carry significant clinical risk from a single chronic disease," said Cosmo Cochrane, Co-Founder of CCN Health. "PCM closes that gap and gives our provider partners a billing pathway for patients who need structured care management but fell outside existing program criteria."
The platform automatically identifies patients who qualify for PCM based on their diagnosis history and monitoring data, surfacing enrollment recommendations to clinical teams during routine workflow.
Availability
Principal Care Management is available now to all CCN Health provider partners. Existing platform users can begin PCM enrollment through their standard patient management interface with no additional integration work required.
About CCN Health
CCN Health is a remote patient monitoring and chronic care management platform serving senior living, skilled nursing, and physician practice markets. The platform integrates with leading EHR systems to deliver automated data exchange across five Medicare programs: RPM, CCM, PCM, BHI, and RTM.
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