Principal Illness Navigation & Principal Care Management Codes 101
Автор: HealthAdvocateX
Загружено: 2025-11-10
Просмотров: 13
Discover the new Principal Illness Navigation (PIN) and Principal Care Management (PCM) codes, which now enable reimbursement for patient navigation services under Medicare. Dr. Morris will explain how these codes enhance care coordination for patients with serious or complex conditions, including cancer, and how community-based organizations and non-clinical navigators can participate through partnerships with billing providers. This session will also highlight training requirements, billing structures, and the broader movement toward equitable access to navigation services.
Learning Objectives:
Understand the structure and purpose of PIN and PCM codes as tools for reimbursing patient navigation and care management services under Medicare and other payers.
Learn how community-based organizations and non-clinical navigators can participate in delivering reimbursable services through partnerships with qualified billing providers.
Identify the training, supervision, and documentation requirements necessary to implement these codes effectively and ensure compliance with CMS and AMA guidelines.
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