Principal Care Management Software for Chronic Care Coordination
Streamline patient management, care coordination, documentation, and chronic care workflows in one connected platform.
Why Principal Care Management Matters
Patients with serious chronic conditions often require continuous monitoring, proactive follow-ups, and coordinated care beyond traditional office visits.
Without structured care management workflows, practices may struggle with:
Fragmented patient communication
Missed follow-ups
Inconsistent documentation
Operational inefficiencies
Limited visibility into ongoing patient care
Principal Care Management (PCM) helps providers move from reactive treatment to continuous, coordinated care delivery focused on improving long-term patient outcomes.
What is Principal Care Management?
Principal Care Management is a care coordination model focused on patients with a single high-risk chronic condition requiring ongoing clinical management and continuous provider oversight.
PCM programs are designed to support:
- continuous patient engagement
- structured care planning
- coordinated provider communication
- proactive follow-up management
- long-term chronic condition monitoring
This approach enables practices to deliver more personalized and connected care outside episodic office visits.
What is Principal Care Management Software?
Principal Care Management Software is a connected clinical and operational platform designed to support chronic care workflows, patient management, care coordination, and documentation processes.
Centralized Chronic Care Management
Enroll and manage PCM patients while documenting ongoing care activities in a single system. Centralizing these workflows allows practices to manage programs more efficiently while reducing administrative complexity.
Care Coordination
Coordinate care across specialty and primary teams to improve continuity of care.
Workflow Automation
Automate administrative tasks to reduce manual burden and operational errors.
Engagement & Follow-ups
Monitor patient engagement and follow-up schedules to ensure no critical care steps are missed in the chronic care journey.
A Comprehensive PCM Ecosystem
Delivering proactive chronic care management at scale.
Key Features of Principal Care Management Software
Chronic Condition Care Tracking
Monitor patients with ongoing chronic conditions using structured longitudinal care workflows and centralized patient visibility.
Personalized Care Planning
Create patient-centered care plans with measurable treatment goals, interventions, and ongoing progress tracking.
Care Coordination Workflows
Enable collaboration between physicians, specialists, care managers, and clinical staff within one connected workflow.
Follow-Up & Patient Engagement Tools
Automate reminders, communication, and follow-up workflows to improve patient adherence and continuity of care.
Operational Dashboards & Patient Insights
Track patient progress, engagement activity, clinical tasks, and operational performance through centralized dashboards.
Secure Patient Communication
Support ongoing patient engagement through secure communication and coordinated outreach workflows.
Frequently Asked Questions (FAQ)
What is AI-powered Remote Patient Monitoring?
AI-powered RPM uses advanced analytics to detect trends, risks, and anomalies in patient health data, enabling proactive clinical interventions.
How does RPM Program generate revenue for physicians?
RPM Program generates revenue through Medicare CPT reimbursement codes based on patient monitoring and clinical care management activities.
What devices are used in Remote Patient Monitoring?
RPM programs typically use connected medical devices such as blood pressure monitors, glucose meters, pulse oximeters, and digital weight scales.
Is RPM compliant with HIPAA?
Yes. When implemented using secure healthcare platforms such as Advaa Health, RPM programs comply with HIPAA data protection standards.
Is Remote Patient Monitoring covered by Medicare?
Yes. Medicare reimburses RPM services through CPT codes such as 99453, 99454, 99457, and 99458 when RPM services meet eligibility and documentation requirements.