Vironix HealthPrincipal Care Management Designed to Produce Outcomes
Vironix Health turns PCM into measurable patient, provider, and financial results — eliminating friction with remotely monitored, end-to-end chronic care solutions and services.
Principal Care Management (PCM) is the CMS-supported solution — and Vironix Health turns PCM into measurable outcomes. We deliver positive patient, provider, financial, and analytic outcomes by eliminating friction with remotely monitored and managed end-to-end chronic care solutions and services.
What is Principal Care Management?
• One serious chronic condition
• Expected to last at least 3 months
• High risk of hospitalization, exacerbation, or functional decline
Unlike Chronic Care Management (CCM), PCM is condition-specific and may be specialty-driven, making it ideal for:
• Cardiology
• Nephrology
• Gastroenterology
• Pulmonology
• Gerontology
• Oncology supportive care
• Primary Care
PCM is the reimbursement model that supports focused, remote care management between visits — and Vironix operationalizes it at scale.
Physician / QHP Time — Higher Acuity (2026)
| CPT Code | Description | Approx. Payment |
|---|---|---|
| 99424 | First 30 minutes/month of physician or QHP time | ~$87–$88 |
| 99425 | Each additional 30 minutes of physician or QHP time, add-on | ~$61 |
Clinical Staff Time — General Supervision (2026)
| CPT Code | Description | Approx. Payment |
|---|---|---|
| 99426 | First 30 minutes/month of clinical staff time under general supervision | ~$67–$68 |
| 99427 | Each additional 30 minutes of clinical staff time, add-on | ~$54 |
Why Vironix for PCM
Specialty-specific care pathways
Condition-focused workflows for cardiology, nephrology, GI, pulmonology, and more.
Virtual care teams
Trained clinical staff augmenting your practice without adding internal headcount.
Patient engagement infrastructure
Consistent monthly outreach and engagement that keeps high-risk patients connected.
Clinical documentation workflows
PCM-aligned notes, time tracking, and audit-ready records out of the box.
Billing optimization
Compliant, accurate CPT capture across 99424–99427 to maximize reimbursement.
Performance analytics
Population dashboards and financial reporting for every panel.
Outcomes That Matter
Patient
- Improved disease-specific control (CHF, CKD, GI, and more)
- Earlier detection of deterioration
- Better medication adherence
- Reduced hospitalizations
- Improved quality of life
Provider
- Reduced administrative burden
- Specialty-aligned workflows
- Improved continuity of care
- Stronger patient relationships
- Increased efficiency without adding staff
Financial
- Monthly recurring reimbursement per patient
- No upfront cost
- Ability to layer with RPM, RTM, and behavioral health
- Increased profitability
- Scalable growth without operational strain
End-to-End Solutions
Program Design & Launch
- Specialty-specific PCM strategy
- Patient eligibility, identification, and segmentation
- Workflow management and integration
- Patient onboarding, consent, and training
- Clinical staffing, analytics, and billing setup
Ongoing Operations
- Monthly patient engagement and management
- Condition-specific care coordination
- Medication and symptom monitoring
- Escalation protocols
- Documentation and compliance workflows
- CPT code billing
Technology & Analytics
- Population health dashboards
- Time tracking and audit-ready documentation
- Patient communication tools
- Financial performance reporting
Eligibility & Billing
We bring together remote patient monitoring expertise, chronic care management services, and principal care management infrastructure — all under one unified platform — to deliver specialty-focused programs across cardiology, nephrology, GI, pulmonology, and beyond.
Ready to Build a High-Performance PCM Program?
Turn single-condition complexity into measurable success. Improve patient outcomes. Empower providers. Grow recurring revenue.