1. Principal Illness Navigation (PIN) Program Support
Overview
HealthArc is introducing support for the Principal Illness Navigation (PIN) program using the existing Care Plan framework.
PIN allows care teams to document navigation and support activities, track time spent with patients, and manage PIN-related documentation within the same familiar workflow used for other care management programs.
The PIN program can also be used alongside other HealthArc programs, including RPM, RTM, CCM, PCM, APCM, and BHI, when clinically appropriate.
What is PIN?
Principal Illness Navigation (PIN) is designed to support patients who require additional assistance navigating care related to a serious or complex illness.
Through PIN, care teams can help patients with activities such as:
Navigating their healthcare journey
Coordinating care and services
Connecting patients with appropriate resources
Supporting follow-up activities
Addressing barriers to care
Helping patients understand and access available services
Providing ongoing support throughout the month
HealthArc provides a centralized workflow to document these activities and track the time spent providing PIN services.
How to Enable PIN in HealthAarc
PIN can be enabled for both new and existing patients.
Patient Type | Navigation | Steps |
New Patient | Onboarding Form | Go to Onboarding Form → Health Conditions → Enable PIN. Add the applicable chronic/serious conditions that will be monitored as part of the patient's PIN care. |
Existing Patient | Edit Patient | Go to Edit Patient → Health Conditions → Select PIN. Add the applicable chronic/serious conditions that the care team will monitor and support through PIN. |
Once PIN is enabled, the patient can be managed through the PIN workflow within the Care Plan framework.
PIN Program Workflow
Step 1: Enable PIN
Enable the PIN pr
ogram for the patient through the onboarding or Edit Patient workflow.
Step 2: Add Applicable Conditions
Add the chronic or serious conditions that the care team will monitor and provide navigation support for.
This helps establish the clinical context for the patient's PIN activities.
Step 3: Document PIN Activities
Care teams can document activities performed as part of the patient's PIN program, including navigation, coordination, follow-up, and other applicable patient support activities.
Step 4: Track Time
HealthArc tracks staff time spent on PIN activities.
Time can be accumulated throughout the calendar month and associated with the appropriate patient and PIN program.
Step 5: Review Monthly Time
The accumulated time can be reviewed as part of the patient's PIN workflow to determine whether the applicable monthly billing requirements have been met.
Step 6: Billing Support
HealthArc supports the applicable PIN billing codes based on the documented time.
Supported PIN Codes
Code | Description |
G0023 | PIN – Initial 60 minutes per calendar month |
G0024 | PIN – Each additional 30 minutes per month |
G0140 | PIN Peer Support (PIN-PS) – Initial 60 minutes per calendar month |
G0146 | PIN Peer Support (PIN-PS) – Each additional 30 minutes per month |
The system distinguishes between PIN and PIN-PS activities to support appropriate tracking and reporting.
PIN with Other HealthArc Programs
PIN does not need to replace other care management programs.
A patient can be enrolled in PIN alongside other applicable HealthArc programs, such as:
RPM
RTM
CCM
PCM
APCM
BHI
Each program's activities and time are tracked separately to maintain clear program-level documentation and reporting.
Reporting & Documentation
The necessary PIN-related information will be included in the applicable monthly billing reports to support billing review and reconciliation.
The report will distinguish between PIN (G0023/G0024) and PIN-PS (G0140/G0146) where applicable.
Key Benefits
Centralized PIN Workflow
Manage PIN activities within the existing HealthArc Care Plan workflow without requiring a separate system or workflow.
Simplified Time Tracking
Automatically track and accumulate staff time associated with PIN activities throughout the month.
Improved Documentation
Maintain a centralized record of PIN-related activities, patient interactions, and care navigation.
Billing Support
Track monthly time requirements and support identification of applicable PIN billing codes.
Multi-Program Support
PIN can be used alongside other HealthArc care programs, allowing practices to manage different aspects of a patient's care within one platform.
Better Operational Visibility
Productivity and reporting capabilities provide greater visibility into staff time and PIN activities.
Improved Patient Care Coordination
Care teams can maintain a structured record of navigation activities and follow-up, helping support continuity of care.
If you wish to learn more about this program, Please reach out to your Account Manager.
2. Add Secondary Insurance Details to Patient Enrollment Bulk Upload
Description:
Enhance the Patient Enrollment → Bulk Upload template to allow users to capture secondary insurance information during bulk patient enrollment.
New Columns:
Secondary Insurance Name
Secondary Plan Policy Number
Requirements:
Both fields should be optional/non-mandatory.
Patients can be uploaded successfully without providing secondary insurance information.
When provided, the information should automatically populate the corresponding fields in the patient's profile.
Business Benefit:
The client frequently uses the bulk enrollment workflow and would like to capture secondary insurance information during the initial upload. This will eliminate the need to manually edit individual patient profiles after enrollment and reduce administrative effort.
3. Controlled Access for RTM Manual Readings
HealthArc now supports manual RTM reading entry for selected practices, providing an alternative for patients who may not be able to use mobile or SMS-based monitoring.
What's New?
Manual RTM reading entry can be enabled for selected practices through a backend setting.
Once enabled, authorized users can manually enter RTM readings on behalf of patients.
Manually entered readings are clearly identified and audit tracked.
Existing RTM SMS workflows remain unchanged.
Benefits
Supports elderly or less tech-enabled patient populations.
Provides greater flexibility for RTM data collection.
Maintains appropriate access control and auditability.
Please Note: This functionality is available only for practices where the feature has been enabled. If you would like to explore enabling this for your practice, please reach out to your Account Manager.
FAQs
1. Principal Illness Navigation (PIN) Program Support
Q: How do I enable PIN for a patient?
For a new patient, go to Onboarding Form → Health Conditions → Enable PIN. For an existing patient, go to Edit Patient → Health Conditions → Select PIN and add the applicable conditions.
Q: Can PIN be used alongside other programs?
Yes. PIN can be used alongside programs such as RPM, RTM, CCM, PCM, APCM, and BHI, when appropriate.
Q: Does HealthArc track time for PIN?
Yes. Staff time can be tracked and accumulated for PIN activities throughout the calendar month.
Q: Which PIN codes are supported?
HealthArc supports G0023/G0024 for PIN and G0140/G0146 for PIN Peer Support (PIN-PS).
Q: Will PIN information appear in billing reports?
Yes. The necessary PIN-related information will be included in applicable monthly billing reports to support billing review and reconciliation.
2. Controlled Access for RTM Manual Readings
Q: What is RTM Manual Readings Entry?
It allows authorized users to manually enter RTM readings on behalf of patients who may not be able to use mobile or SMS-based monitoring.
Q: Is manual RTM entry available to all practices?
No. The feature is available only for practices where it has been enabled through a backend setting.
Q: Who is this feature intended for?
It can be particularly useful for practices supporting elderly or less tech-enabled patients who may have difficulty using digital monitoring methods.
Q: Will manually entered readings be identifiable?
Yes. Manual entries will be clearly identified and audit tracked.
Q: Will enabling this affect RTM SMS workflows?
No. Existing RTM SMS workflows will continue to function as they do today.
3. Secondary Insurance in Patient Enrollment Bulk Upload
Q: What has been added to the bulk upload template?
Two new optional columns have been added:
Secondary Insurance Name
Secondary Plan Policy Number
Q: Are these fields mandatory?
No. Both fields are optional. Patients can still be uploaded without providing secondary insurance information.
Q: What happens when secondary insurance information is provided?
The information will be captured during the bulk upload and added to the patient's corresponding insurance details.
Q: Why was this enhancement introduced?
It allows practices that frequently use bulk enrollment to capture secondary insurance information during the initial upload, eliminating the need to manually update individual patient profiles afterward.
Q: Will this change affect existing bulk uploads?
No. Existing bulk upload workflows will continue to work, and the new fields can be left blank when secondary insurance information is not available.
If you have any questions / concerns, please reach out to our team at [email protected], or speak with your Account Manager for assistance.