Principal Care Management

Our Turnkey PCM Offering

Patient Identification

We assist with identifying all of your Qualifying PCM Patients.

Patient Outreach

We train your staff/ provider(s) on how to gain consent of your qualifying PCM patients in the most effective manner.

Assistance With Setup

We can create a PCM template in your EHR or you can use our PCM product but most prefer having our work completed in their EHR.

We Assume All Hiring

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

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

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

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 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

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

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 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

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

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.