Team-Based Care Approach
We cover the full spectrum of qualified healthcare professionals to meet your patient population’s needs ALL in one platform.
Medical Resource Group
Medical Resource Group
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.
CPT Code |
What it covers? |
Billing Frequency |
|---|---|---|
TYPE 1
|
Compensates providers (physicians, PAs, NPs, allergists) for 30 minutes of caring for a patient with one serious chronic condition
|
Once per patient every
calendar month
|
TYPE 2
|
Reimburses providers for 30 minutes of clinical staff time directed by a provider for patient care on a patient with one serious chronic condition
|
Once per patient every
calendar month
|
MRG 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.
Healthcare practices can boost revenue through Medicare by offering Principal Care Management (PCM), which supports chronic care patients with ongoing, reimbursable services and improved care coordination.
PCM manages one high-risk chronic condition—like diabetes or heart disease—at a time, allowing for more focused, effective care and reducing the risk of complications.
PCM improves care coordination through personalized care plans, regular follow-ups, and ongoing communication—leading to better decision-making and chronic condition management.
MRG Health’s platform makes it easy to launch a Medicare-compliant PCM program in weeks—streamlining enrollment, care planning, and billing for fast, seamless integration.
PCM boosts patient engagement through regular check-ins, education, and personalized care—leading to better treatment adherence, improved outcomes, and stronger patient-provider relationships.
PCM is scalable for any practice size and integrates with RPM, CCM, and TCM—helping expand care services while staying compliant with CMS guidelines.
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..
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.
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.
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.
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.
MRG 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.
Principal Care Management (PCM) is a Medicare-supported care coordination service for patients with a single chronic condition. It focuses on helping patients manage their condition between regular office visits through ongoing support and structured care.
Patients with one high-risk chronic condition—such as diabetes, heart failure, or COPD—that is expected to last at least three months and requires continuous medical management are eligible for PCM services.
MRG Health’s PCM program includes monthly check-ins, medication review, symptom monitoring, care planning, and ongoing communication between the patient and a dedicated care team.
PCM helps patients stay on track with their treatment plans, avoid unnecessary hospital visits, and manage their condition more effectively—all while receiving personalized care and attention.
Yes, Principal Care Management is covered by Medicare and many insurance providers, provided it is delivered by a qualified healthcare professional and meets eligibility criteria.
MRG Health provides a complete solution that helps improve patient outcomes while increasing practice revenue and cost.
