Dedicated monthly support for one high-risk condition.
PCM is built for patients with a single serious chronic condition who need more than episodic care — without the complexity of a full multi-condition CCM panel.
Program at a glance
- High-risk condition
- 1
- Monthly care time
- 30+ min
- Monthly program
- Billable
What it is
Principal Care Management (PCM) provides focused, non-face-to-face care coordination for patients with one high-risk chronic condition that requires frequent adjustment and close follow-up. Synexa implements PCM with condition-specific care plans, monthly outreach, specialist coordination when needed, and billing-ready documentation — helping your clinic support complex patients who often fall through the cracks between visits.
Clinical benefits
- Targeted support for one serious condition — e.g. uncontrolled diabetes or advanced CKD
- Appropriate for patients who don't qualify for CCM but still need structured follow-up
- Reduced care gaps and improved adherence for high-utilization patients
- Billable monthly program with clear time and activity documentation
Who it's for
Built to plug into a wide range of clinic types and care models.
How it works
A fully managed rollout — we handle the operations so your clinic captures the clinical and financial benefits.
- 1
Identify & enroll
We help flag eligible patients across your panel and handle the enrollment outreach.
- 2
Deploy & train
Equipment, technicians, and workflows are set up inside your clinic — without disruption.
- 3
Deliver in-workflow
Testing or ongoing care happens within your existing visit flow, not around it.
- 4
Report & bill
Specialist reports return to the chart and we coordinate clean, compliant billing.
What's included
Everything needed to run the program end-to-end — bundled into one turnkey partnership.
Equipment Provided
We supply, deploy, and maintain all required testing devices on-site at your clinic.
Trained Technicians
Our certified technicians perform the testing so your clinical staff stays focused on patient care.
Specialist Interpretation
Board-certified specialists interpret every study and return clear, actionable reports.
Billing Coordination
We help coordinate billing workflows so the program runs as a clean revenue stream.
Frequently asked questions
The details clinics ask about most before getting started.
How is PCM different from CCM?
PCM focuses on a single serious chronic condition that needs frequent adjustment, whereas CCM covers patients with two or more chronic conditions. PCM fills the gap for complex single-condition patients.
Who is PCM for?
Patients with one high-risk condition — for example uncontrolled diabetes or advanced CKD — who don't qualify for CCM but still need structured monthly follow-up.
Who provides the monthly care?
Synexa's care team delivers condition-specific outreach, care plan upkeep, and specialist coordination under your providers' direction.
Is PCM reimbursable?
Yes. PCM is a billable monthly program with clear time and activity documentation, which we capture for compliant claims.
Ready to add preventive care programs to your practice?
Schedule a no-obligation walkthrough with our team. We'll show you how Synexa fits your clinic in 20 minutes.