Built for specialty practices — cardiology, pulmonology, endocrinology, nephrology — managing a single high-risk condition that doesn't need full multi-condition CCM but still demands monthly coordination.
Principal Care Management covers patients with a single complex chronic condition expected to last at least three months, that places the patient at significant risk of hospitalization or functional decline — think a cardiology practice managing a patient's heart failure, or a pulmonology practice managing severe COPD.
PCM is often the right fit when a specialist, not the primary care physician, is the one actually driving the treatment plan for the condition at risk. Elixir runs the monthly coordination, documentation, and patient touchpoints the same way we do for CCM — tuned to a single-condition, specialty-care workflow.
| Code | Description |
|---|---|
| 99424 | First 30 min, physician or QHP time, per month |
| 99425 | Each additional 30 min, physician or QHP |
| 99426 | First 30 min, clinical staff time, per month |
| 99427 | Each additional 30 min, clinical staff time |
Bring your panel size and payer mix to a 60-minute opportunity session and leave with a specific, numbers-based program design.