Chronic & Principle Care Management
MedCare MSO offers a comprehensive range of AR management services, recovering outstanding revenue from old AR accounts that are aging more than 120 days. Our system has been proven to be highly effective at increasing recovery, even from accounts that were thought to be lost causes.
Unlike most medical billing companies, who only offer AR recovery solutions as part of a revenue cycle management package, MedCare MSO offers AR medical billing recovery services as a standalone option. We don’t believe in a one-size-fits-all approach to healthcare receivable recovery services and want to meet the unique needs of your business.
Our Success in Numbers
Collection Ratio
96 %
Trusted by
100 + Providers
Revenue Increase
35 %
Serving Specialties
50 +
Principle Care Management Solutions & Documentation Support
Strong principle care management solutions are central to effective PCM programs. Our PCM solutions validate care plans, care coordination notes, and non-face-to-face clinical activities. We ensure documentation clearly supports the time spent managing chronic conditions. This allows providers to focus on patient outcomes while maintaining clean, compliant records that fully support principle care management billing.
Principal Care Management (PCM) for High-Risk Patients
Principal Care Management (PCM) is designed for patients with one serious chronic condition that requires focused, high-touch care coordination between office visits. PCM enables providers, particularly specialty practices to deliver personalized care plans, proactive follow-ups, and continuous patient engagement, ensuring better clinical outcomes while supporting appropriate reimbursement for the time and resources invested in managing complex, condition-specific care.
Chronic Care Management Enrollment & Eligibility
Our chronic care management solutions begin with accurate patient enrollment and eligibility checks. We manage Medicare eligibility validation and enrollment tracking using proven chronic care management enrollment solutions. This ensures only qualified patients are enrolled and billed. By setting up CCM programs correctly from day one, we help practices avoid audits, reduce billing errors, and build a stable, compliant CCM foundation.
Automated Denial Prevention & Revenue Protection
Our solutions use AI-powered pre-billing checks to catch issues before claims are submitted. We review eligibility, consent status, time logs, and medical necessity upfront. This proactive process reduces denials, prevents payment delays, and protects monthly CCM revenue. By fixing problems early, we help practices maintain steady cash flow and avoid repeated billing issues.
End-to-End CCM/PCM Revenue Cycle Management
Our comprehensive CCM and PCM revenue cycle management solutions support practices across the entire care management lifecycle, from patient enrollment and eligibility verification to coding, claim submission, payment posting, and A/R follow-up. With integrated care management services, real-time reporting, and proactive payer communication, we streamline workflows, reduce administrative burden, and minimize denials. Practices benefit from improved visibility into performance, stronger collections, and the confidence to scale both chronic and principal care management programs without added operational complexity.
Who We Serve
Solo Primary Care Practitioners
Multi-Provider Primary Care Groups
Hospital-Based Primary Care Departments
Value-Based Care Organizations and ACOs
Chronic Care and Complex Care Management Clinics
Pain Management Practitioners
Losing monthly CCM revenue for missed time tracking or errors?
Denials Management Services We Provide
MedCare MSO delivers comprehensive denial management services for healthcare practices of all sizes. Our denial management in medical billing solutions includes:
EHR/EMR Systems Expertise
Precise patient data extraction from EHR systems ensures accurate time logs and care plan documentation, supporting proper CCM/PCM billing.
Care Coordination Software
We track patient care activities and monitor chronic conditions with specialized software, ensuring compliant billing for non-face-to-face care.
RPM Platforms Management
Real-time patient monitoring data is seamlessly integrated, ensuring the required time thresholds for 99454 and 99457 are met.
Billing & Coding Software
Automated code generation and CPT validation ensure CCM/PCM billing is compliant and timely with accurate coding for all services.
Time Tracking for Compliance
Accurate time tracking for non-face-to-face care ensures 20-minute monthly thresholds are documented and supported for billing.
Patient Management & Consent Documentation
We streamline patient enrollment, consent management, and eligibility verification, ensuring compliance with CCM service requirements.
Data Analytics for Billing Insights
Analytics platforms provide insights into care data, identifying trends and ensuring billing accuracy, while audit readiness is maintained.
Claims Management Solutions
Our AI-powered claims management tools help verify codes, manage denials, and ensure proper billing for accurate reimbursement of CCM/PCM services.
Why Choose MedCare MSO for Chronic Care Management Solutions?
- Trusted by primary care practices managing chronic & complex patients nationwide.
- Proven expertise in CCM and PCM billing with strong CMS compliance knowledge
- 98.5% High clean-claim rates supporting consistent monthly reimbursements
- Increased recurring revenue through accurate enrollment and charge capture
- AAPC-certified coders trained in 99490, 99439, 99487, 99489, 99491
- HIPAA-compliant, audit-ready operations aligned with CMS documentation rules
- Real-time dashboards for enrollment, time tracking, claims, and collections
- End-to-end patient enrollment, consent management, and payer compliance AI-driven pre-bill checks to validate time, documentation, and eligibility
In Association With
