Patients with a single serious chronic condition often slip through the cracks. With Medicare-backed PCM services, you can catch them early, deliver life-changing care, and generate reliable monthly revenue — without adding burden to your team
High-risk patients with a single chronic condition are falling through the cracks.
These patients — whether dealing with advanced diabetes, heart failure, COPD, or CKD — face:
You’re already doing everything you can — but you’re not getting paid for the work between visits.
And without consistent follow-up, these patients…
Don’t fill or understand their medications.
Feel abandoned, leading to low satisfaction and poor outcomes
Meanwhile, your practice loses money managing these patients off the record.
Medicare’s Principal Care Management program pays you ~$92/month per patient (CPT 99424) for managing just one serious condition — even without in-person visits
We structure your PCM program based on your patient mix and staffing, ensuring minimal operational disruption
Get accurate billing, real-time dashboards, and 100% CMS compliance (CPT 99424, 99425)
Our nurses and care coordinators handle enrollment, education, and monthly patient check-ins
Track patient adherence, engagement, outcomes, and revenue — all in one place
You get everything — software, workflows, patient logs — with zero extra burden
