Our Services

Three Core Medicare Care Coordination Programs.
One Nurse-Led Partner.

Premier Care Coordination delivers Community Health Integration, Principal Illness Navigation, and Chronic Care Management as your contracted nurse-led partner under physician supervision. You bill Medicare. We do the work.

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The Programs We Run

CHI, PIN & CCM in Detail

Each program below is delivered end to end by our nurse-led care coordinators on our proprietary CMS-compliant platform. You identify eligible patients. We handle everything else.

CHI

Community Health Integration

Address the non-clinical drivers that pull your patients off plan.

Billing Codes

HCPCS G0019, G0022

What It Is

CHI reimburses for addressing the social determinants of health that prevent Medicare patients from following their care plans. Transportation, housing instability, food insecurity, financial stress, and social isolation all qualify when documented as affecting treatment.

Who Qualifies

Any Medicare patient with documented unmet social needs affecting their treatment plan. No minimum chronic condition requirement.

What Our Team Delivers

Monthly social determinants of health screening by a nurse-led care coordinator
Direct connection to vetted community resources
Documentation captured against the specific CMS rule for CHI
Care plan updates reflecting social barriers and interventions

How It Integrates With Your Billing

Premier Care Coordination delivers CHI as your contracted nurse-led partner. We document every intervention. Your billing team receives a monthly summary tied to your existing NPI.

PIN

Principal Illness Navigation

Guide high-acuity patients through complex care, billable monthly.

Billing Codes

HCPCS G0023, G0024, G0140, G0146

What It Is

PIN reimburses for structured patient navigation services for Medicare patients with serious high-risk conditions. CMS designed it for patients whose conditions require navigating multiple specialists, complex treatment plans, and significant care system burden.

Who Qualifies

Medicare patients with cancer, congestive heart failure, COPD, dementia, HIV/AIDS, severe mental illness, substance use disorder, or other serious high-risk conditions.

What Our Team Delivers

Nurse-led navigation across specialists and the interdisciplinary care team
Patient education on diagnosis, treatment plan, and care system
Connection to financial, social, and community support resources
Self-advocacy and engagement coaching for patients and family members

How It Integrates With Your Billing

Our nurse-led care coordinators deliver every minute of PIN service, document to CMS standards on our proprietary platform, and package the monthly summary for submission under your NPI.

CCM

Chronic Care Management

Between-visit nurse touchpoints that keep chronic patients stable.

Billing Codes

CPT 99490, 99439, 99491, 99487, 99489

What It Is

CCM reimburses for monthly coordination of care between visits for Medicare beneficiaries managing multiple chronic conditions. The longest-standing of the three core programs, and one of the most underutilized in primary care.

Who Qualifies

Medicare patients with two or more chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation, or functional decline.

What Our Team Delivers

Monthly nurse-led care coordinator outreach with at least 20 minutes of clinical staff time
Comprehensive electronic care plan maintained and updated monthly
Coordination across specialists, pharmacies, and community providers
Medication review, gap closure, and proactive intervention

How It Integrates With Your Billing

Premier handles all the infrastructure CCM requires: consent capture, time tracking, care plan documentation, monthly outreach, and the documentation package your billing team needs. Your workflow does not change.

Concurrent Billing

CHI, PIN, and CCM Can All Be Billed for the Same Patient in the Same Month

When a patient qualifies for multiple programs simultaneously and time is documented separately, all three can be billed concurrently. CMS explicitly permits this.

The documentation discipline required is exactly what Premier was built to deliver. We will walk you through how it applies to your patient panel in a discovery call.

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Individuals and Families

We accept a limited number of private engagements with individuals and families navigating complex care needs. Learn more in our FAQ.

Ready to Activate?

Tell us about your organization. We will reply within one business day with next steps and a discovery call link.

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Premier Care Coordination

Nurse-led contracted partner delivering Community Health Integration, Principal Illness Navigation, and Chronic Care Management for physician practices, FQHCs, RHCs, and facilities nationwide.

Contact Us

855-815-4777
info@premiercarecoordination.com
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