At SmartCare360, we recognize the challenges of living with a chronic condition. Our Principal Care Management (PCM) service is designed to support patients dealing with a single serious illness by providing personalized, coordinated care that simplifies their health journey and improves overall well-being.
Principal Care Management is a Medicare-reimbursed program designed for patients with one serious chronic condition. Unlike Chronic Care Management (CCM), which addresses multiple conditions, PCM focuses on a single, high-risk condition, providing intensive, personalized care to improve health outcomes and quality of life.
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CPT Code
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What it covers?
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Billing Frequency
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TYPE 1
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Compensates providers (physicians, PAs, NPs, allergists) for 30 minutes of caring for a patient with one serious chronic condition
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Once per patient every
calendar month
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TYPE 2
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Reimburses providers for 30 minutes of clinical staff time directed by a provider for patient care on a patient with one serious chronic condition
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Once per patient every
calendar month
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SmartCare360 Health streamlines patient enrollment and helps healthcare organizations quickly launch and qualify for Medicare reimbursement programs. The all-in-one platform supports Remote Patient Monitoring (RPM), Principal Care Management (PCM), Transitional Care Management (TCM), Chronic Care Management (CCM), and Virtual Visits improving care delivery and operational efficiency.
We cover the full spectrum of qualified healthcare professionals to meet your patient population’s needs ALL in one platform.
For Practices
For Practices
For Patients
Comprehensive Patient Support
PCM provides round-the-clock support for patients managing chronic conditions. With regular check-ins and continuous care, patients feel more secure and supported throughout their treatment..
Reduced Risk of Hospital Readmissions
With focused, proactive care, patients enrolled in PCM experience fewer hospital readmissions. By managing chronic conditions effectively, PCM helps prevent unnecessary emergencies and hospital stays.
Enhanced Patient-Provider Communication
PCM fosters stronger relationships between patients and their healthcare providers through consistent, real-time communication, making it easier to address concerns and make timely adjustments to care plans.
Cost-Effective Healthcare
By reducing hospital visits, ER trips, and avoidable complications, PCM helps lower the overall healthcare costs for patients, while also improving the quality of care they receive.
Increased Patient Empowerment
Patients are more involved in their care with regular health updates, education, and personalized treatment plans. This empowerment leads to better adherence to treatment and lifestyle changes.
CMS-Approved Program
SmartCare360 Health’s PCM solution is CMS-approved, ensuring your practice is compliant with the latest Medicare regulations. This guarantees that your practice receives proper reimbursement while delivering high-quality care.
PCM is a Medicare-approved program that supports patients with a single high-risk chronic condition through ongoing care coordination, personalized care plans, and regular communication.
Patients with one serious chronic condition expected to last at least 3 months and that places them at significant risk of hospitalization, functional decline, or death.
PCM focuses on managing one chronic condition at a time, whereas CCM is for patients with two or more chronic conditions.
PCM improves care quality through personalized plans, frequent follow-ups, better health education, and enhanced communication with care providers.
Providers can increase revenue through Medicare reimbursement, improve patient outcomes, and reduce hospital readmissions by delivering proactive care.
Revenue Generating Solutions:
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