Principal Care Management

Chronic Care Management (CCM) Principal Care Management (PCM) Remote Physiologic Management (RPM) Remote Therapeutic Management (RTM) Transitional Care Management (TCM) Annual Wellness Visits (AWV)     Medsien offers software and solutions for a suite of services - including CCM, PCM, RPM, RTM, TCM and AWVs.  Accurate coding is essential for proper reimbursement.  Below you will find the current CPT codes for each service and program we provide. These include any notable 2022 changes, clarifications...

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On November 2, 2021, the Centers for Medicare and Medicaid Services (CMS) released the 2022 Medicare Physician Fee Schedule Final Rule. The biggest takeaways impacting Medsien clients are that care management services are here to stay - CMS has significantly increased the reimbursement and added additional codes and categories within care management services. They have expanded the code set for care management to include Chronic...

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PCM Overview CMS reimburses for Principal Care Management (PCM) services provided to beneficiaries with a single chronic condition needing to stabilize that condition following exacerbation or hospitalization. Unlike CCM, which requires a minimum of two conditions and the management of total patient care, PCM focuses on disease-specific care. The qualifying condition for reporting PCM codes would be a patient with one serious chronic condition, typically expected...

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