APCM went live in January 2025. It pays a monthly rate for care coordination your team already does - and unlike most of Medicare, it cannot be back-billed. Every month it isn't running is gone. Here's what that's added up to so far:
* Free panel analysis - 15 minutes * · No obligation · $0 upfront · No lock-in
Typical net to a 500-patient Medicare panel - after our fee.
Billing months already expired since APCM launched. None are recoverable.
Upfront. We're paid only out of APCM revenue actually collected.
From signature to live - EHR sync, enrollment, and billing reports included.
Check the math
2026 Medicare Physician Fee Schedule national averages for the APCM codes. Don't take our word for it - search any of these on cms.gov before the call.
Blend assumes 15% G0556 / 70% G0557 / 15% G0558 - typical for a primary care Medicare panel. Rates vary by locality.
Your number
Assumes 40% enrollment, 2026 CMS national-average rates, net of our performance-based fee. Your locality, payer mix, and enrollment will differ - which is exactly what the 15-minute analysis pins down.
Why this week beats next quarter
APCM bills by calendar month, and expired months are gone for good. Here's the path if you book now:
15-minute call. We model your actual panel - locality rates, payer mix, realistic enrollment. You get the number.
Live in under 30 days: EHR sync (~30 min from your IT contact), patient consent outreach, staff briefing. ~2-3 hours of your team's time, total.
Your first full APCM billing cycle. A monthly report mapped to G0556-G0558, billed under your practice.
The 15 minutes, minute by minute
We pull the CMS rates for your locality and walk your Medicare panel mix - no deck, no slideware.
We model realistic enrollment for your panel and show the net monthly figure - the same math as above, with your inputs.
If the number isn't worth your time, we'll say so and part friends. If it is, onboarding starts with one signature.
No pressure policy: the analysis is yours to keep either way - take it to your biller, your MSO, or a competitor.
The honest list
You're the billing practitioner of record. Revenue is billed under your practice, mapped monthly to G0556-G0558.
Patients consent. We run the outreach and enrollment calls; patients can opt out anytime.
You name an IT contact. ~30 minutes for EHR setup - Epic, Athena, eClinicalWorks, NextGen, and other major EHRs.
One signature, one 15-minute staff briefing. That's the whole list.
Why saying yes is low-risk
Performance-based fee, paid out of APCM revenue actually collected - never out of pocket.
Cancel anytime. No long-term contract.
Every interaction documented and time-tracked. BAA signed, records kept 7 years, audit-ready.
A 500-patient panel has now left $— behind since January 2025. Fifteen minutes gets you your panel's exact number - and stops the meter.
Book my 15-minute panel analysis →* Free · No obligation *
Prefer not to book? (207) 606-5683 · support@tilehealthcare.com