PCM billing overview
Principal Care Management
For a single high-risk condition that needs focused management.
How PCM is measured
PCM — Principal Care Management
- One stack: a single complex chronic condition, with a disease-specific care plan.
- The same monthly threshold CCM reaches for — which is why the two cannot both be billed for one patient in one month.
Principal Care Management covers a single complex chronic condition — the cardiology case is the clearest one — where the disease-specific care plan and the monthly clinical time are what is being reimbursed.
PCM and CCM are mutually exclusive in the same month for the same patient, which is the most common billing error in the category.
The other programs
All on one platform, with eligibility, documentation and billing handled.
This is one program on one platform.
HealthSnap runs continuous care across all of them, with clinicians in command.