APCM for primary care practices
Turn Chronic Care Into Monthly Revenue
Automate Chronic Care Management (CCM) and APCM billing. We handle enrollment and monthly compliance checks so you get paid without adding staff.
Trusted by your healthcare service providers
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500+ healthcare practices trust us across every major EHR.
The revenue gap
Where does your APCM revenue go? It was never captured.
The typical primary care practice sits on $100,000+ of billable APCM revenue each year. The bottleneck isn’t eligibility - it’s the operational bandwidth to enroll, document, and follow up with 500+ patients at scale.
$360K
Average annual APCM revenue left uncollected per practice with 500+ Medicare patients.
4 in 5
Eligible patients never get enrolled because clinical staff are fully committed to in-office care and cannot absorb outreach on top of their existing workload.
11 hrs/wk
Consumed by your team on enrollment calls, care plan documentation, and compliance paperwork - tasks that automation resolves in minutes.
38%
Of practices that attempt manual care management programs abandon them within 6 months. The operational burden is simply unsustainable without technology.
The bandwidth problem won’t fix itself. But it can be automated in under 30 days.
Our advisors
Trusted by Forward-Thinking Independent Practices.
Real results from practices using AI-powered patient engagement to transform care delivery and revenue.
David Dosa on LinkedIn
Professor of Medicine & Geriatrician
John Manzella on LinkedIn
Physician Executive & Medical Director
Stella Onuoha-Obilor on LinkedIn
VP, Clinical Quality & Population Health
Alex DiGiacomo on LinkedIn
Healthcare Administration Analyst
How Tile Health works
Your Clinical Workforce in the Cloud.
Smart eligibility and audit-proof compliance - automated and always on, 24/7, 365 days a year, so you never miss a dollar.
Which patients qualify for APCM?
We scan your entire patient panel against the 2025 APCM codes G0556, G0557, and G0558, separating eligible patients from legacy CCM - so you never bill incorrectly.
How does patient outreach work?
From enrollment calls to at least one monthly check-in, our AI agent handles every patient conversation - documented and compliant without your staff lifting a finger.
How do we keep you audit-ready?
Every patient interaction is documented with precise time tracking, call recordings, and care plan updates - encrypted with AES-256 and stored securely for 7 years so you’re always audit-ready.
- Time Tracking
- Call Recording
- EHR Sync
- HIPAA Compliant
- 7-Year Retention
Who covers your patients 24/7?
Your patients get continuous coverage without adding headcount. Our AI agent handles enrollment outreach, monthly check-ins, and emergency escalation to your on-call provider 24/7 - day, night, weekends, and all 11 federal holidays.
- Patient Outreach
- Monthly Check-Ins
- Emergency Escalation
- Holiday Coverage
The workflow
How does the automated workflow turn data into revenue?
- 1
We sync with your EHR to find eligible chronic patients.
- 2
We call patients to explain benefits and get consent.
- 3
We monitor patients 24/7 and conducts monthly check-ins.
- 4
We send you a billing report every 30 days, mapped to codes G0556-G0558.
Dashboard
What does your revenue command center do?
Track eligibility, monthly check-ins, and billable time for 500+ patients across 8+ EHRs in one dashboard - mapped to the 2025 APCM codes G0556, G0557, and G0558.
FAQ
Frequently asked questions
Is this HIPAA compliant?
Yes. All data is encrypted in transit and at rest with AES-256, and we sign a BAA (Business Associate Agreement) with every practice. Records are retained for 7 years to keep you audit-ready.
Does it work with my EHR?
Yes. We integrate with 8+ major EHR systems including Epic, Cerner, Athenahealth, eClinicalWorks, and NextGen to sync patient data and billing codes. Our team runs the full integration, which typically goes live in under 30 days.
How does patient outreach work?
Our agent calls eligible patients to enroll them in APCM, update care plans, and run at least one check-in every calendar month - adding zero workload to your staff while documenting every minute for billing.
What codes can I bill?
You can bill the 2025 APCM codes G0556, G0557, and G0558, tiered by patient complexity. Our system tracks billable time automatically and produces a monthly report mapped to the correct code.
What if a patient has an emergency?
The agent recognizes 'red flag' symptoms in real time. When an emergency is detected, it follows your clinical protocols within seconds to escalate the call to your on-call provider or direct the patient to emergency services.
Ready to turn patient data into passive revenue?
$0 setup fees. No long-term contracts. 100% HIPAA compliant. Live in under 30 days.