PCM was created to serve patients with one high-risk chronic condition who may not qualify for CCM but still need structured monthly care.
Billed monthly when the provider personally spends 30 minutes managing a patient’s single chronic condition (no staff involvement).
This add-on is billed with 99424 if the provider spends additional time that month on care planning, coordination, or check-ins.
This code is billed monthly when clinical staff, under the provider’s supervision, manage care for a patient with one serious chronic condition requiring ongoing attention.
This is billed in addition to 99426 if staff time exceeds 30 minutes in a given month.
Automatically sync patient data directly into your existing workflow—no manual entry required.
Know exactly what CPT codes apply, why they apply, and how to maximize your reimbursements.
Go from discovery to billing within a single week. No delays, no hassles.
All devices, training, and integration are completely free. You pay nothing upfront.
Simply pick a convenient time to meet virtually with your dedicated onboarding specialist. We'll quickly analyze your current workflow and EHR setup, identify clear revenue opportunities, and walk you through potential billing scenarios step-by-step.
We make compliance simple. Quickly e-sign our standard Business Associate Agreement (BAA) and delegation paperwork, and we’ll instantly provision your own branded, secure portal and establish compliant, EHR-integrated data channels.
You'll receive fully-configured, pre-paired test devices—like blood pressure cuffs, scales, pulse oximeters, spirometers, or Bluetooth trackers—depending on your chosen program. Devices ship fast, completely free, and require zero setup.
Identify a small group of pilot patients—we’ll automatically generate eligibility reports to help. Importing patients from your existing EHR into our platform is seamless, and capturing digital consent via text or email takes just seconds.
Join one short, tailored training session (45 minutes max) where your team learns intuitive workflows, customizable alerts, and easy task routing. We ensure everything aligns smoothly with your existing internal processes and provide continuous support.
Begin delivering care immediately using your familiar workflows. Easily approve care interactions within your EHR, clearly see which CPT codes are billable, and understand exactly why each patient qualifies or what simple steps you need to take to ensure eligibility.