Empower your practice to deliver high-touch care where it matters most—with full compliance, seamless tracking, and zero upfront cost.
Principal Care Management (PCM) with DiaSante
Precision Care for Patients with Serious Chronic Conditions
- Earn up to $30/month for each eligible patient through Medicare reimbursement
- Support high-risk individuals managing a single chronic illness such as heart failure, COPD, or cancer
- Provide focused, condition-specific care that improves outcomes and streamlines coordination
What Is Principal Care Management (PCM)?
PCM involves non-face to face patient care coordination guided by an approved diagnosis care plan with DiaSante’s clinical team completing chart reviews, prescription management, symptom reviews, outside physician coordination, and patient communication to improve patient outcomes, increase patient satisfaction, with the goal of reducing complications and related costs.
PCM helps patients with one serious chronic condition—over 45 CMS qualifying diagnoses like cancer, COPD, heart failure, Chronic Kidney Disease, BPH, macular degeneration, diabetic retinopathy and many others —get monthly support and care. It’s designed for people who don’t qualify for Chronic Care Management (CCM) but still need regular check-ins and care coordination for complex long-term chronic conditions or diseases.
Who Is PCM For?
Patients with one high-risk condition that needs close monitoring and coordination.
Why It Helps Patients
- Focused care for their main health issue
- Proactively addresses issues reducing ER trips and decreasing hospital admissions
- Help managing medications and symptoms
- Faster response when things get worse
Why It Helps Practices
- Get paid up to $30/month per patient after management fees
- Offer personalized care between visits
- Improve outcomes with less effort—DiaSante handles the setup and tracking
How Principal Care Management (PCM) Works with DiaSante
- Identify eligible patients They have one serious chronic condition—like heart failure, cancer, or COPD.
- Spend 30 minutes a month DiaSante’s team checks in, reviews medications, updates care plans, and coordinates with specialists.
- DiaSante tracks everything Every minute and task is logged automatically to keep you compliant with Medicare rules.
- Get paid monthly You bill Medicare and earn up to $30 per patient—no extra admin work needed other than submitting your claims based on DiaSante’s claim report and documentation.
Perfect for specialists and practices focused on chronic care. DiaSante makes PCM easy, efficient, and profitable.
Increase your PCM revenue today
Boost Your PCM Revenue with DiaSante
Unlock new revenue streams by leveraging Provider-Led and Clinical Staff PCM billing codes. DiaSante simplifies the process so you can focus on care while maximizing reimbursements.
Provider-Led PCM Services
CPT 99424 – Monthly Provider-Led PCM
Reimbursement: ~$80 Medicare Gross Payment
Bill this when a provider personally spends 30 minutes managing a patient’s single chronic condition. No staff involvement required.
CPT 99425 – Additional Provider PCM Time
Reimbursement: ~$58 Medicare Gross Payment
Use this add-on when the provider spends an extra 30 minutes in the same month on care planning, coordination, or patient check-ins.
Clinical Staff PCM Services
(DiaSante’s recommended model)
CPT 99426 – Monthly Staff-Led Care Coordination
Reimbursement: ~$62 Medicare Gross Payment
Billable when clinical staff, under general supervision, spend 30 minutes managing care for a patient with a serious chronic condition.
CPT 99427 – Additional Staff Time
Reimbursement: ~$50 Medicare Gross Payment
Add this when staff spend more than 30 minutes in a month coordinating care.
Why Choose DiaSante?
- Streamlined PCM workflows
- Automated time tracking and documentation
- Compliance-ready billing support
- Increased revenue with minimal overhead
DiaSante’s 6-Step Quick-Launch Framework
Launch your remote care program in days—not weeks.
Discovery Call – Just 20 Minutes
Meet virtually with your dedicated DiaSante onboarding specialist. We’ll assess your current workflow and EHR setup, uncover revenue opportunities, and walk you through billable care scenarios step-by-step.
HIPAA Compliance Made Easy
E-sign our standard Business Associate Agreement (BAA) and delegation forms in minutes. Your secure, branded portal is provisioned instantly, with optional EHR-integrated data channels available, or DiaSante can work directly in your EHR if it has a PCM module.
Effortless Patient Import & Eligibility Reports
Choose a small pilot group. DiaSante auto-generates eligibility reports and makes importing patients from your EHR seamless. Digital consent via text or email takes seconds.
Tailored Workflow Setup & Staff Training
Join a single, 45-minute training session. Your team learns intuitive workflows, customizable alerts, and task routing—all aligned with your internal processes. Ongoing support included.
Start Billing with Confidence
Deliver care using your existing workflows. Approve interactions directly in your EHR, view billable CPT codes, and understand patient eligibility with clarity.
Why Providers Choose DiaSante
- Best-in-class billing performance exceeding 90% monthly patient billing rate against annual averages of 70%-80%.
- Rapid onboarding
- Built-in compliance
- Free devices
- Seamless EHR integration
- Transparent billing support
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