1BIOS SOLUTIONS

Specialized Principal Care Management (PCM)

Support patients who aren’t CCM-eligible and manage a single condition expertly. Dedicated U.S.-based team and AI-powered workflows—so outcomes improve, staff burden drops, and monthly revenue grows.

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Make your PCM program a success

Support for a single serious condition

Support patients with a single serious condition through tailored care between visits. Condition-specific plans rotate monthly, reinforced by concierge-style check-ins and tight coordination on meds, referrals, and labs. An AI Care Coach surfaces gaps and next best actions to improve outcomes.

Drive reliable monthly revenue without adding staff

Drive reliable monthly revenue without adding staff. Practices can earn about $6k per 100 patients each month using CCM codes 99426 and 99427, with our dedicated team maximizing enrollment, turnkey operations easing clinic workload, and expert RCM support ensuring full payment.

PCM requirements handled—delivery you can trust

Consent is captured and every minute of care is auto-logged in alignment with CPT rules. Monthly requirements such as care plans and engagement are tracked automatically, with payer-ready documentation reducing denials and all records seamlessly integrated into your EHR.

How we power your PCM success

1bios offers a fully managed PCM solution that gives practices end-to-end simplicity, stronger patient relationships, better outcomes, and dependable recurring revenue—all in one turnkey program.

Fast onboarding

Go live in 2 weeks or less with guided onboarding that aligns workflows, sets care parameters, and delivers a clear playbook—so we operate as a seamless extension of your practice from day one.

Smarter enrollment

We identify PCM-eligible patients (one serious chronic condition), verify benefits, capture consent, and run multi-channel outreach—done by your staff, ours, or both.

Engaging care plans

Evidence-based pathways tailored to the condition, with a rotating monthly focus (goals, tasks, education)—kept fresh and fully documented.

Real, 1:1 Care — Not a Call Center

A dedicated, U.S.-based care team assigned to your clinic builds trusted 1:1 relationships—handling check-ins, coordination, documentation, escalations, and more—so your practice delivers high-touch care without adding in-clinic workload.

Coordinated Care & Interventions

Medication reconciliation, referrals, labs, and follow-ups handled and closed-looped. AI Care Coach surfaces gaps and next-best actions; we route escalations and documentation your way (in chart, Slack, secure text/email, phone).

Denial-Proof Claims & Support

Every minute and touch is auto-logged and CPT-aligned. Claims-ready reports, exports/interfaces, and expert RCM support ensure accurate, on-time payment—enable your team or choose full-service RCM.

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Enroll more patients, deliver better care, and get paid right — all with 1bios’ AI-powered technology and expert team.

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