Principal Care Management Services
Comprehensive care coordination for patients with a single high-risk chronic condition requiring complex care management and ongoing clinical support.
PCM Service Components
Intensive care management for patients with a single complex chronic condition
Single Condition Focus
Intensive management of one high-risk chronic condition requiring substantial care coordination.
Comprehensive Care Plan
Detailed, structured care plan addressing all aspects of the principal chronic condition.
Regular Communication
Ongoing contact with patients to monitor condition, adjust treatments, and provide support.
Care Coordination
Coordination with specialists, hospitals, and other providers managing the chronic condition.
Medication Management
Close monitoring of medications specific to the principal chronic condition and side effects.
Monthly Monitoring
At least 30 minutes of clinical staff time per month dedicated to care management activities.
Benefits of Principal Care Management
Intensive care coordination for complex single chronic conditions
Focused Care Management
Intensive attention to one high-risk condition ensures comprehensive management and better outcomes.
Reduced Complications
Close monitoring and proactive interventions prevent disease progression and complications.
Improved Quality of Life
Better disease control and symptom management enhance daily functioning and wellbeing.
Medicare Reimbursement
Eligible for Medicare reimbursement with proper documentation of care management activities.
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