Master the PCM Rulebook

A Sneak Peek of Modules 1 & 2 of the PCMToolkit 20-Day Launch System

Master the PCM Rulebook
Modules 01 and 02 of the PCMToolkit 30-Day Launch System — complete and unabridged.

Most specialty practices are already doing the between-visit work that Principal Care Management pays for. They just aren't billing for it, because the CMS requirements are scattered across booklets, fee schedules, and MAC guidance that nobody has time to assemble.

This guide assembles them.

Module 01 — Principal Care Management. An orientation to Medicare's four chronic-care programs and where specialty practices fit: how PCM differs from CCM, how eligibility actually works, what CPT 99424–99427 pay, and the strategic case for running it in-house.

Module 02 — Program Requirements. The six CMS infrastructure standards you have to meet before you bill: who can bill PCM, who can deliver it, the technology and availability requirements, what a compliant comprehensive care plan contains, and how to track time defensibly.

You'll walk away knowing:

• Whether PCM applies to your practice at all
• Which patients in your current panel qualify — and why two patients with the same ICD-10 code may not both be eligible
• What the four PCM codes reimburse
• Every requirement standing between you and a clean claim

No prior billing experience assumed. Every federal citation is sourced.

These are two of eight modules. The full 30-Day Launch System covers program design, staff training, patient enrollment, care planning, billing, and scale — with the templates, scripts, and calculators to run it.