tci Medicare Compliance & Reimbursement - 2022 Issue Q2

Principal Care Management: Boost PCM Smarts With This Handy Primer

Ensure PCM billing compliance with a thorough knowledge of current CPT® guidelines. Whether you’ve already implemented a principal care management (PCM) program or are in the beginning stages, the process can be daunting. Incorporating PCM into your practice can make a lot of sense, but make sure you’re aware of which services you can and cannot report, according to current CPT® guidelines. Remember What Exactly PCM Means At the beginning of the year, CPT® 2022 introduced PCM codes: 99424 (Principal care management services, for a single high-risk disease … first 30 minutes provided personally by a physician...

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