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🍰  Yes - the cake was from us. Enjoy it either way.

Your practice is owed ~$83,000 a year. Medicare is already paying for it.

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:

Left behind by a typical 500-patient panel since Jan 2025
$0.00
…and counting, at $227 per day. This number never goes back down.

* Free panel analysis - 15 minutes *  ·  No obligation · $0 upfront · No lock-in

~$83K/yr

Typical net to a 500-patient Medicare panel - after our fee.

Billing months already expired since APCM launched. None are recoverable.

$0

Upfront. We're paid only out of APCM revenue actually collected.

<30 days

From signature to live - EHR sync, enrollment, and billing reports included.

Check the math

Three billing codes. Published CMS rates.

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.

G0556
$16.37
PER PATIENT / MONTH
Patients with 0-1 chronic conditions
G0557
$53.78
PER PATIENT / MONTH
Patients with 2+ chronic conditions
G0558
$117.24
PER PATIENT / MONTH
2+ chronic conditions, QMB status

Where "$83K" comes from - a typical 500-patient Medicare panel

Traditional Medicare patients500
Enrolled in APCM (a conservative 40%)200
Blended rate across the three codes$57.69 / patient / mo
Gross reimbursement$11,538 / mo
Less Tile Health fee - paid only from what's collected−40%
Net to your practice$6,923 / mo ≈ $83K / yr

Blend assumes 15% G0556 / 70% G0557 / 15% G0558 - typical for a primary care Medicare panel. Rates vary by locality.

Your number

Slide to your panel size. Watch both numbers.

1001,500
Net to your practice
$83,100
$6,900 per month, every month
Already unrecoverable
$—
since APCM launched Jan 2025
Cost of each day you wait
$227
APCM can't be back-billed

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

The calendar is the whole argument.

APCM bills by calendar month, and expired months are gone for good. Here's the path if you book now:

This week

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 cost of "let's revisit next quarter": three more expired billing months - about $20,768 for a 500-patient panel - that no one, including us, can ever get back for you.

The 15 minutes, minute by minute

What "book a call" actually means here.

Minutes 0-5

Your panel, your locality

We pull the CMS rates for your locality and walk your Medicare panel mix - no deck, no slideware.

Minutes 5-12

Your exact number

We model realistic enrollment for your panel and show the net monthly figure - the same math as above, with your inputs.

Minutes 12-15

Yes, no, or not yet

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

What's actually required of you.

1

You're the billing practitioner of record. Revenue is billed under your practice, mapped monthly to G0556-G0558.

2

Patients consent. We run the outreach and enrollment calls; patients can opt out anytime.

3

You name an IT contact. ~30 minutes for EHR setup - Epic, Athena, eClinicalWorks, NextGen, and other major EHRs.

4

One signature, one 15-minute staff briefing. That's the whole list.

Total lift: ~2-3 hours of your team's time over 2-3 weeks. Then it runs without you - your workflow and your staff's day don't change.

Why saying yes is low-risk

You risk a conversation. Not a dollar.

$0 upfront

Performance-based fee, paid out of APCM revenue actually collected - never out of pocket.

No lock-in

Cancel anytime. No long-term contract.

Compliance is on us

Every interaction documented and time-tracked. BAA signed, records kept 7 years, audit-ready.

While you read this page, the counter kept running.

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

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