Principal Care Management

Proactive, Condition-Focused Care with PCM

Seamless RPM Solutions: Connected Devices, Clinical Monitoring & Billing Support—All in One Platform.

Support that Makes the Difference

Managing complex conditions takes more than routine visits. It requires structured support, clinical expertise, and a team that patients can rely on. Our Principal Care Management solution helps you provide the focused care high-risk patients need—without overwhelming your staff.

FOR PROVIDERS

Proactive Interventions
Enable proactive interventions before conditions worsen
Reduce Avoidable Hospitalizations
Reduce avoidable ER visits & hospitalizations
Maximize Reimbursement
Ensure reimbursement for ongoing care coordination
Optimize Revenue and Patient Care
Increase practice revenue while improving patient care

Provider using PCM program for chronic disease patients

FOR PATIENTS

Compassionate Support
Enable proactive interventions before conditions worsen
Personalized Check-Ins
Reduce avoidable ER visits & hospitalizations
Lifestyle Guidance
Ensure reimbursement for ongoing care coordination
Direct Help Line
Increase practice revenue while improving patient care

Extend Care for High Risk Patients

With structured care between visits, PCM helps prevent complications, improve outcomes, and reduce provider burden—ensuring patients don’t fall through the cracks.

Specialized Support

KangarooHealth supports specialized care

Tailored care for a single high-risk condition

COPD

Diabetes

Heart Failure

And More

Proactive Monitoring

patient using mobile app for PCM program

Prevent worsening health, with:

Dedicated Nurse

Medication support

Symptom tracking

Regular check-ins

Multilingual Care Team

Clinical care and coordination within the PCM program

Clear, compassionate communication for patients of all backgrounds.

Seamless Integration

Works alongside other care programs without disrupting workflows.

Simple Enrollment

RPM

CCM

By focusing on preventing complications and improving daily health management, PCM keeps patients stable, engaged, and out of the hospital.

Expand your team’s capacity without the hassle.

KangarooHealth’s PCM solution is designed to lighten your team’s administrative burden while ensuring timely, high-quality patient care.

Clinician at desk supporting patient care.

Simplified Compliance & Billing

Built-in tools streamline documentation and reimbursement.

Virtual patient-clinician interaction fostering engagement and care connection.

Omni-Channel Patient Engagement

Phone, text, and secure messaging ensure easy communication.

Reduce no-shows

Improve medication adherence.

Streamline workflows while providing better patient support.

Time-Saving Clinical Support

Our team handles care coordination so your staff can focus on in-office care.

With KangarooHealth, you can focus on delivering high-quality care when it matters the most.

Beyond Office Visits—Ongoing Patient Engagement

Patients with complex conditions need more than occasional appointments.

A Coaching Approach That Makes a Difference

Our team helps patients to:

Understand & manage their condition with clear, practical guidance
Adjust daily habits to improve health (exercise, diet, mobility support)
Stay motivated & accountable through coaching and check-ins
Track progress & escalate concerns when needed

Providers can run PCM in-house or leverage our on-demand clinical team to scale their care program seamlessly.

Healthcare professionals joining hands to represent teamwork and shared commitment at KangarooHealth.

Seamless Integration, Effortless Workflow

We make PCM easy to implement, manage, and scale—without disrupting your current workflow.

EHR Compatibility

Direct integration for seamless documentation

Simple Enrollment

We handle patient enrollment & benefits verification

Scalable Solution

Run PCM alongside CCM, RPM, or other programs effortlessly

Principal Care Management (PCM) CPT Codes

CMS-defined codes for program participation

$64.34

AVERAGE MEDICARE RATES

Notes

Clinical Staff Initial 30 minutes

Let’s Elevate Patient Care—Together

Prevent Complications and Improve Outcomes with Principal Care Management

provider speaking with patient about remote patient monitoring

Patient living and active lifestyle with the use of a wearable monitoring device

clinician sharing the simplicity of the remote patient monitoring program

Patient using cellular powered blood pressure cuff with remote patient monitoring program

Explore a Principal Care Management solution that improves care and reduces complexity.

FREQUENTLY ASKED QUESTIONS

Your Questions, Answered: Everything You Need to Know About PCM

PCM services are designed for patients with a single high-risk chronic condition, and qualified healthcare professionals must provide them. According to CMS guidelines, the following providers are eligible to deliver PCM services:

Physicians & Non-Physician Practitioners (NPPs)
- Primary Care Physicians (PCPs)
- Specialists (e.g., cardiologists, pulmonologists, endocrinologists)
- Nurse Practitioners (NPs)
- Physician Assistants (PAs)
- Clinical Nurse Specialists (CNSs)
These providers can bill directly for PCM services and are responsible for managing the patient’s high-risk condition overall.
Clinical Staff Under Supervision
- Registered Nurses (RNs)
- Licensed Practical Nurses (LPNs)
- Medical Assistants (MAs) (if allowed by state law)
Clinical staff can perform PCM services under the general supervision of a billing provider. This means that the physician or NPP does not need to be physically present but must oversee the care plan and documentation.
Organizations Providing PCM Services
- Hospitals & Health Systems
- Independent Physician Practices
- Specialty Clinics (e.g., cardiology, nephrology, pulmonology)
- Remote Care & Telehealth Companies (if they employ eligible providers)

Still Uncertain?

Talk to an Expert

Principal Care Management

Proactive, Condition-Focused Care with PCM