APCM

Elevate Patient Experience in Devoted Medicare Advantage Clinics

Transform the way your devoted Medicare Advantage clinic operates with our AI-integrated call center solutions, designed to optimize patient interactions and clinic workflow.

Achieve a 30% increase in patient satisfaction scores within six months by utilizing APCM's AI call center solutions tailored for devoted Medicare Advantage clinics.

Common Challenges for devoted medicare advantage Practices

  • !Limited resources to manage increasing patient calls and inquiries.
  • !Difficulty in maintaining consistent patient follow-ups and engagement.
  • !Challenges in integrating call center operations with existing EHR systems.
  • !Struggles with ensuring compliance with HIPAA and other regulatory requirements.

How Tile Healthcare Helps devoted medicare advantage Providers

  • Boost patient engagement and clinic efficiency by automating routine inquiries.
  • Seamlessly integrate AI call center solutions with your existing EHR systems for a unified experience.
  • Enhance care coordination by improving response times and communication channels.
  • Ensure compliance and data security with robust AI-driven solutions.

Real-World Use Cases

  • 1Automate appointment scheduling and reminders, reducing no-show rates and increasing availability for patient care.
  • 2Streamline patient inquiries about Medicare Advantage plan benefits, providing timely and accurate information.
  • 3Enhance post-visit follow-up processes, ensuring patients receive necessary care instructions and medication adherence support.
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.

$0K

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.

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.

Dashboard

How does the automated workflow
turn data into revenue?

We sync with your EHR to find eligible chronic patients.
1

We sync with your EHR to find eligible chronic patients.

We call patients to explain benefits and get consent.
2

We call patients to explain benefits and get consent.

We monitor patients 24/7 and conducts monthly check-ins.
3

We monitor patients 24/7 and conducts monthly check-ins.

We send you a billing report every 30 days, mapped to codes G0556-G0558.
4

We send you a billing report every 30 days, mapped to codes G0556-G0558.

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.

Scanning patients...
Maria S.
APCM Eligible
James R.
APCM Not Eligible
Linda K.
APCM Eligible
Robert T.
APCM Eligible
Susan M.
APCM Eligible

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 TrackingCall RecordingEHR SyncHIPAA Compliant7-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 OutreachMonthly Check-InsEmergency EscalationHoliday Coverage

Frequently Asked Questions

How can APCM's AI Call Center improve my devoted Medicare Advantage clinic?+

By automating patient interactions and integrating with your EHR, our AI Call Center streamlines operations and enhances patient satisfaction.

Is APCM's AI Call Center HIPAA-compliant for Medicare clinics?+

Yes, our solutions are designed to meet all HIPAA regulations, ensuring patient data is securely managed.

What specific benefits can AI bring to Medicare Advantage plan management?+

AI enhances plan management by providing precise, real-time data and improving communication channels, leading to better resource allocation and patient outcomes.

How does APCM integrate with existing Medicare Advantage clinic EHR systems?+

Our AI Call Center seamlessly interfaces with various EHR systems, creating a smooth flow of information and improving overall clinic efficiency.

Trusted by Forward-Thinking Independent Practices.

Real results from practices using AI-powered patient engagement to transform care delivery and revenue.

Security Shield Overlay

Ready to turn patient data into passive revenue?

$0 setup fees. No long-term contracts. 100% HIPAA compliant. Live in under 30 days.