Intensive care for a single,
serious condition
HealthViewX identifies patients with one high-risk chronic condition, builds a focused care plan, manages them every month, and captures every billable minute — so your most complex patients get the attention they need, and your practice captures the Medicare PCM revenue that sustains it.
Focused care that runs itself
More high-risk patients managed, more minutes captured, more revenue with less manual work.
Deep management for high-risk patients
Everything a compliant, scalable PCM program needs in one place.
Effortless Enrollment
Auto-identify and enroll patients with a single, serious high-risk condition.
Condition-Focused Care Plans
Deep, disease-specific plans built around the one condition that matters most.
Automatic Time Tracking
Every billable minute logged for clean, audit-ready claims.
Consistent Monthly Management
Care team and AI agents check in with every patient, every month.
New Recurring Revenue
Capture the PCM reimbursement the bridge care and specialty care rarely does.
Better Outcomes
Intensive management reduces decline, ER visits, and readmissions.
Less Admin Burden
Documentation and billing prep handled automatically.
Smooth CCM ↔ PCM Transitions
Move patients between programs as their needs change.
One system for the whole PCM cycle
Everything your team needs to enroll, manage, document, and bill — powered by AI scribe and call-centre agents.
High-risk patient finder
Surface patients with a single, serious high-risk condition from your EMR.
Guided consent & Enrollment
Capture verbal or written consent and enroll patients in minutes.
Condition-focused care plan
A deep, disease-specific plan built around the one high-risk condition.
Monthly care management
Care coordinators and AI agents check in with every patient, every month.
Automatic time & task capture
Every minute and interaction logged toward the right PCM code.
Claim-ready documentation
Generate CPT 99424–99427 claims and program reports on demand.
Medicare PCM reimbursement, built in
Monthly management of a single complex chronic condition, split by who provides the care.
| Service | Time / Requirement | Frequency | Reimbursement |
|---|---|---|---|
| CPT 99424 PCM physician / QHP, initial | 30 min, physician / QHP | Per month | $83 |
| CPT 99425 PCM physician / QHP, each additional | Additional 30 min | Add-on | $60 |
| CPT 99426 PCM clinical staff, initial | 30 min, clinical staff (directed) | Per month | $62 |
| CPT 99427 PCM clinical staff, each additional | Additional 30 min | Add-on | $48 |
Works with your existing systems
HealthViewX, HealthBridge, connects seamlessly with your EMR/EHR, PHM, and third-party systems for a true all-in-one, value-based care experience.
Ready to transform healthcare delivery?
Join leading healthcare organizations using HealthViewX to deliver better outcomes and operational excellence.