Principal Care Management Services for Chronic Conditions

Principal Care Management (PCM) is a care coordination service designed specifically for patients who are struggling with one complex chronic condition that requires ongoing monitoring and frequent medical management. Unlike chronic care management, which supports patients with two or more conditions, PCM focuses on a single high-risk disease that puts the patient at significant risk of hospitalization, functional decline, or poor outcomes without consistent oversight.

At CareIQ, we deliver principal care management services that simplify the process for healthcare providers while ensuring patients receive high-quality, proactive support. Our platform and care coordinators work directly with primary care physicians, nurse practitioners, clinical nurse specialists, and physician assistants to implement structured care plans, conduct regular check-ins, and track treatment progress.

Why Choose CareIQ for Principal Care Management?

Implementing PCM can seem overwhelming for practices already balancing other care management services like CCM or TCM. That’s why CareIQ provides end-to-end support, making it easier to integrate PCM into your workflow.

Benefits for Patients

  • Focused Care for One Condition – Patients with only one chronic condition finally receive structured support tailored to their needs.
  • Better Outcomes – By setting patient’s treatment goals and monitoring progress monthly, PCM reduces the risk of recent hospitalization or emergency visits.
  • Improved Quality of Life – Patients experience better symptom management, medication adherence, and engagement in their own care plan.
  • Regular Appointments & Communication – Frequent follow-ups keep patients motivated and informed about their progress.

Benefits for Providers

  • New Revenue Stream – PCM offers a reliable way to generate income through CPT code-based reimbursement.
  • Compliance Made Simple – CareIQ handles documentation, tracking time spent per calendar month, and ensuring providers meet direct supervision requirements.
  • Streamlined Implementation – From identifying patients to onboarding, we provide full support to integrate PCM smoothly.
  • Improved Patient Engagement – Better communication translates into improved satisfaction scores and quality improvement metrics.

CareIQ makes PCM a win-win—patients get the care they deserve, and providers see improved patient outcomes while gaining financial stability.

Comprehensive Services for Patients with Complex Chronic Conditions

  1. Care Coordination – Ensuring seamless communication between the patient, primary care provider, specialists, and other members of the care team.
  2. Disease-Specific Care Plans – Creating a written, measurable treatment plan tailored to the patient’s condition, goals, and medication regimen.
  3. Medication Management – Ongoing monitoring of prescriptions, adherence, and necessary adjustments to reduce risks and improve safety.
  4. Remote Patient Monitoring (RPM) Integration – Linking PCM with RPM devices to provide real-time updates on the patient’s condition and detect issues early.
  5. Regular Communication – Monthly phone calls, telehealth visits, and direct supervision from qualified healthcare professionals.
  6. Documentation & Billing Support – Ensuring compliance with CPT codes, proper documentation of clinical staff time directed, and maximizing reimbursement opportunities.
  7. With CareIQ’s PCM services, practices can manage patients effectively while opening a new revenue stream through compliant billing for eligible patients under Medicare, Medicaid services, federally qualified health centers, and rural health clinics.

About CareIQ

CareIQ is committed to helping providers implement care management programs that improve outcomes for patients while generating sustainable revenue streams for practices. With expertise in chronic care management, transitional care management, and principal care management, our solutions are tailored to reduce administrative burden and allow providers to focus on what they do best—caring for patients.

By combining technology with experienced clinical staff, CareIQ ensures regular communication, documentation, and billing compliance are handled seamlessly. Whether you’re a federally qualified health center, rural health clinic, or private practice, we help you implement PCM successfully and support your patients every step of the way.

Provider Reviews & Success Stories

CareIQ made implementing principal care management effortless for our team. Their platform ensures compliance, and our patients with single high-risk conditions now receive the consistent support they need.

– Primary Care Physician, Georgia

Our clinic struggled to track time and documentation for PCM services, but CareIQ’s solution streamlined everything. Now, our patients are more engaged, and we’ve seen measurable improvements in patient outcomes.

– Nurse Practitioner, Ohio

Thanks to CareIQ, we now manage patients with one complex chronic condition much more effectively. Their clinical staff and support services have given our care team the confidence to expand our care management programs.

– Clinical Nurse Specialist, Texas

Frequently Asked Questions

Take the Next Step with CareIQ’s Principal Care Management

Implementing a principal care management program doesn’t have to be complicated. With CareIQ’s technology-enabled solutions, experienced clinical staff, and proven workflows, you can deliver disease-specific care plans, improve patient outcomes, and generate a new revenue stream for your practice. Our team helps you identify eligible patients, manage compliance, and track performance so you can focus on delivering quality care. Whether you’re a primary care physician, nurse practitioner, or clinical nurse specialist, we provide the tools and support you need to succeed. If your practice is ready to improve patient care, reduce hospitalizations, and drive measurable results, CareIQ is here to help. From EHR integration to reimbursement support, we ensure your PCM program is set up for long-term success. Get Started Today – Schedule a free consultation with CareIQ and see how principal care management services can transform your practice.