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PCM is for patients who have one complex or high-risk condition

Cosán’s approach to PCM is a transformative care service targeted to patients with a single high-risk or complex condition.

Principal Care Management (PCM) targets patients managing a single high-risk or complex chronic condition, unlike Chronic Care Management (CCM), which focuses on those with two or more chronic conditions. PCM (CPT 99424) offers an opportunity for earlier intervention, personalized care, and reducing complications from disease progression. Cosán supports your team in delivering targeted care while ensuring full compliance and patient engagement.

Whether you provide CCM, PCM, or both, Cosán helps ensure patients get the right support between office visits.

Cosán delivers PCM with a unique approach.

Patients receive a dedicated Care Coordinator and a multi-disciplinary care team that collaborates with them and their providers to develop a comprehensive, individualized, disease-specific care plan. This plan may include:

  • Disease-Specific Modules: Care Coordinators conduct regular calls guiding patients through modules to assess risk, identify symptom changes, and collect qualitative and quantitative data about their conditions.
  • Symptom Reporting: When patients report symptom changes, Care Coordinators update care plans and patient charts in the practice’s EHR/EMR.
  • Medication & Scheduling Support: Care Coordinators assist with medication management, refill requests, and appointment scheduling.
  • Patient Education: Care Coordinators provide health education, practice initiatives (e.g., vaccinations, screenings), and information on local community resources such as transportation and support groups.
  • Team Communication: Cosán liaises with practice staff to improve care transparency, boost effectiveness, and reduce staff workload.

We align our PCM care model with our condition-specific care plans for each patient.

The benefits of Cosán’s approach to PCM

Your patients will be provided with in-between-visit care management using evidence-based models. Also, you will receive additional revenue from Medicare as the CPT codes 99426 and 99427 are billed for each patient during months PCM services are completed.
 

Practices and patients gain with:

Goal Realization: PCM helps patients achieve health goals through regular guidance, progress tracking, and personalized care adjustments.
Proactive Risk Management: Ongoing monitoring identifies risks early, enabling timely interventions to prevent complications.
Reinforcement of Post-Visit Instructions: Care Coordinators reinforce provider instructions post-appointment, ensuring better patient follow-through and improved outcomes.
Treatment Compliance: Dedicated Care Coordinators improve adherence to treatment plans by providing consistent support and clear communication.
Better Outcomes: CCM reduces hospitalizations, improves chronic care, and cuts costs through ongoing patient engagement and care coordination.
Cost-effective options for monthly between-office visits with a trusted resource integrated into the provider workflow and support staff.

More Cosán Services

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Chronic Care Management

Cosán empowers providers to offer Chronic Care Management as a seamless extension of their existing care model, helping improve outcomes while supporting practice sustainability.

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Remote Patient Monitoring

Remote Patient Monitoring helps practices actively manage symptoms of chronic or acute conditions from home.

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Nutrition Support

Nutrition Support is an education-focused program that supports patients in meeting their nutrition goals.

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Access and Equity at Scale

Learn more about what Cosán has to offer.