Principal Care Management (PCM) continues to evolve as an option for organizations caring for patients with a single, high-risk chronic condition. While many providers are familiar with Chronic Care Management (CCM), questions often arise around when PCM is appropriate, how it differs operationally, and how to meet CMS requirements without creating compliance risk.

This introductory-to-intermediate webinar provides a structured overview of PCM fundamentals, with a practical discussion of 2026 CMS updates, including reimbursement considerations and billing requirements for CPT codes 99424–99427. The session focuses on helping attendees understand how PCM is designed, what CMS expects, and how programs are commonly operationalized in real-world settings.

Rather than promoting a one-size-fits-all approach, this webinar examines common decision points, operational considerations, and areas where organizations frequently have questions—allowing participants to better assess whether PCM aligns with their patient population, staffing model, and compliance framework.

Common Questions Addressed

This session will review CMS guidance related to questions such as:

• When managing more than one chronic condition, how do organizations typically evaluate CCM versus PCM?
• What staffing models are permitted, including considerations around in-house teams and external support?
• How is clinical and staff time generally accounted for under PCM billing rules?
• How long patients are commonly maintained in a PCM program based on care needs and documentation requirements?

Learning Outcomes

After attending this webinar, participants should be able to:

• Describe CMS requirements applicable to PCM programs
• Recognize the scope of services typically required to support compliant billing
• Understand considerations when combining PCM with RPM
• Identify operational best practices and common implementation challenges

What You’ll Learn

• CMS policy overview: CCM vs. PCM
• Patient eligibility and qualification considerations
• Billing structure and documentation requirements
• Provider and organizational eligibility to bill PCM
• Consent and care plan expectations
• Evaluation and monitoring approaches
• Patient population considerations
• In-house vs. outsourced support: practical pros and cons
• Technology considerations: software platforms vs. EMR workflows
• Program implementation planning and oversight

Objectives

By the end of the session, viewers should be able to:

• Identify the core components of a PCM program
• Summarize key elements of an evaluation plan
• Outline foundational elements of an implementation plan

Who Should Attend

This webinar is designed for professionals involved in care management strategy, compliance, and operations, including:

• Administrators and operational leaders
• CFOs and financial decision-makers
• CNOs and population health leaders
• Directors, managers, and clinical providers involved in or considering PCM