Our Turnkey Principal Care Management (PCM) Offering

Patient Identification

Patient Identification

We assist with identifying all of your Qualifying PCM Patients.

Patient Outreach

Patient Outreach

We train your staff/ provider(s) on how gain consent of your qualifying PCM patients in the most effective manner as well as CareVitality helps gain verbal consent.

We Provide Assistance With Setup

We Provide Assistance With Setup

We work with your System Administrator to gain appropriate user access to their EHR/PM and Patient Portal Systems and assist with security, PCM template and schedule setup and link the appointment type to the template and test it. If preferred by client we can use our PCM product but most prefer having our work completed in their EHR.

We Assume All Hiring

We Assume All Hiring

CareVitality hires all W2 employees (including all the appropriate pre-employment checks).

Customization Of Your EHR

Customization Of Your EHR

We have experience working on over 150 EHRs, we determine if your system needs to have customized templates created and then develop them to meet the PCM program requirements.

We Follow Your Disease-Specific Care Plan

We Follow Your Disease-Specific Care Plan

Patient Engagement

Patient Engagement

We Provide Continuous Patient Engagement to fulfill the time requirement and the full scope of services prior to billing PCM each month.

We Manage & Monitor Their Care

We Manage & Monitor Their Care

As the condition of the patient changes, we revise their care plan if necessary to provide an accurate continuum of care, each revision must be signed off on by the PCM billable provider.

We Facilitate Care Transitions

We Facilitate Care Transitions

We communicate with PCM patients, their PCM provider and other providers responsible for the patient’s care, we manage their care transitions between other setting and other providers and ensure that becomes part of their patient chart.

We Document Our Work in Your EHR

We Document Our Work in Your EHR

All communications are in your EHR and housed within the patient’s electronic patient record for your continued access and review.

We Provide Auditable Reports

We Provide Auditable Reports

At the end of each month, we provide your staff with an auditable report of the work completed by our Clinical Care Managers so you can easily bill the G2065 code for your PCM patients.

CareVitality's Compliance Team

CareVitality's Compliance Team

CareVitality’s Compliance Team reviews the PCM monthly report prior to being sent for payment to ensure not only the time element but the full scope of service is met.

PCM Audit Assistance

PCM Audit Assistance

We are experienced with Medicare audits and will assist you with any random PCM audits.

Payment Is Simple

Payment Is Simple

CareVitality is Paid on Performance and Completely at Risk. We are paid a flat fee at the end of the following month services are rendered which at this time you should be paid by Medicare and the rest is yours to keep as profit.

Principal Care Management Calculator

Calculator
Revenue Calculator Your Value
Annual number of unique qualifying Medicare patients
% Patients Consent for PCM Services
Annual number of unique qualifying PCM patients*
PCM monthly payment (U.S. average: $43) or select your locality below
Estimated annual PCM reimbursement for a speciality provider

Reimbursement amount from the CY 2020 Physician Fee Service Final Rule averaged across 89 localities.

Learn How CareVitality Can Make a Difference for Your Organization

Let us know how to reach you or call us at 800-376-0212

PCM Patient Testimonials

Even if I have to pay a coinsurance I want this program because it is exactly what I need to feel better about my health conditions and enjoy life more.

Maria

This program is perfect for me because I live alone and it is reassuring to have someone that checks on me and cares about my health.

Sophia

PCM Offering Brochure

Learn How CareVitality’s Turnkey Principal Care Management (PCM) Offering contributes to better health and care for individuals, reduced spending, improved reimbursement and improved cost and quality scores under the Quality Payment Program.

REQUEST BROCHURE