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Expanded Billing Codes for Principal Care Management

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Expanded Billing Codes for Principal Care Management

The multiple patient focused care codes created by CMS and followed by many commercial payers requires a care plan strategy and billing strategy to optimize care and revenue.  For example PCM, has been expanded by CMS to support providers working with patients with just one high-risk condition allowing up to 60 minutes of billable time per month, by both clinical staff and providers.

The differences are easily seen in the billable codes.

Clinical Staff


Obviously if a patient has at least two chronic conditions, then Chronic Care Management (CCM) is a better choice for billable services.

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