Principal Care Management (PCM) & New CPT Codes
Principal care management (PCM) is a model designed for patients dealing with a single chronic disease lasting three months or more. This approach is specifically tailored for individuals who have recently been hospitalized, face acute risks of death, exacerbation, functional decline, or have management needs deemed "unusually complex due to comorbidities." In PCM, the healthcare provider plays a crucial role in swiftly stabilizing the patient's condition, aiming for a timely return to their primary care provider. A qualified professional is typically involved in creating a personalized care plan, which includes an assessment of whether adjustments are necessary. These adjustments are integral to the reimbursement guidelines, as qualifying conditions are those requiring frequent modifications. Following the formulation of the care plan, the healthcare staff, supervised by a physician or qualified professional, implements it. This implementation involves thorough monitorin...