Description:

In this webinar, we’ll dive into PCM 101, breaking down how this program allows you to focus on stabilizing a single, high-risk chronic condition. You will gain critical insights into the 2026 CMS updates, including the recent reimbursement rate adjustments and the specialized requirements for the 30-minute billing increments (CPT 99424-99427) that distinguish PCM from other care management services. Beyond the technical requirements, we will explore the best operational practices to elevate your program's quality and compliance. You will learn how to drive meaningful patient engagement while implementing standardized workflows and checklists to ensure every regulatory component is met before billing.

FAQ that will be answered:

1. If I am managing 2 conditions (like HTN and CHF), should I do CCM or PCM?
2. Can I hire a team from overseas?
3. As a provider, can I aggregate the time that my staff spent with patient and my own for billing 99424?
4. What is the appropriate time to keep a patient on PCM?

After this webinar attendees will be able to answer—

• Understand the CMS’s requirements for PCM programs.
• Examine the scope of services required to bill successfully.
• Learn how to appropriately combine PCM with RPM for maximum benefit.
• Assess best practices and identify common pitfalls for implementing and managing PCM effectively.

Webinar details:

What You’ll Learn:

1. Understand the CMS Policy on CCM and PCM

• Understand the CMS Policy on CCM and PCM
• Patients’ qualifications
• Billing requirements
• Who can and cannot bill for PCM
• Consent
• Comprehensive Care Plans

2. Evaluation plan

• Patient Population
• In-house vs. Outsourcing: Pros and cons
• Software vs EMR
• How to combine PCM with RPM

3. Implementation plan

Objectives:

• Viewer will be able to verbalize key component of PCM
• Viewer will be able to summarize evaluation plan
• Viewer will be able to identify what is needed for the Implementation Plan

This webinar benefits the following agencies:

Who should attend?

Administrators, CFO, CNO, Chief of Population Health, directors, and providers interested in and/or providing PCM.