Scale Your APCM Program WithConfidence

Level 1
Average reimbursement
$15.20G0556

Medicare assigns G0556 when the patient has one or fewer chronic conditions.


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Level 2
Average reimbursement
$48.84G0557

Medicare assigns G0557 when the patient has two or more chronic conditions and does not meet the QMB criteria for G0558.


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Level 3
Average reimbursement
$107.07G0558

Medicare assigns G0558 when the patient has two or more chronic conditions and Qualified Medicare Beneficiary (QMB) status.


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Average reimbursement amounts are national figures; actual payment varies by locality. Which G-code applies is determined by Medicare from chronic condition count and Qualified Medicare Beneficiary (QMB) status—not a physician recommendation.

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Trusted by Forward-Thinking Independent Practices.

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

Alex DiGiacomo
Alex DiGiacomo

Healthcare Administration Analyst

Alex DiGiacomo is a healthcare administration and revenue cycle leader who helps healthcare organizations optimize operations, improve financial performance, and scale high-performing teams. With expertise in revenue cycle management, healthcare operations, compliance, and strategic execution, he drives process improvements and technology-enabled solutions that enhance efficiency, revenue growth, and operational excellence.

Alex DiGiacomo

Healthcare Administration Analyst

Arsany Makkar
Arsany Makkar

Clinical Research Professional & Biotech Operator

Arsany Makkar is a biotech operator and clinical research professional who helps emerging life sciences companies advance clinical programs from early-stage development through commercialization. Drawing on experience across clinical development, medical affairs, market access, competitive intelligence, and launch strategy, he partners with cross-functional teams to transform clinical data and stakeholder insights into actionable decisions that accelerate innovation in rare disease, ophthalmology, and oncology.

Arsany Makkar

Clinical Research Professional & Biotech Operator

Ashley Pendrick
Ashley Pendrick

Founder, CEO & Pharmacist

Ashley Pendrick is a pharmacist entrepreneur and healthcare innovator who helps pharmacies, pharmacists, and healthcare organizations expand access to care through clinical services, care coordination programs, and collaborative practice initiatives. As a founder and industry leader, she empowers pharmacists to practice at the top of their license while helping organizations improve patient outcomes, generate sustainable revenue, and navigate the operational and compliance complexities of modern pharmacy care.

Ashley Pendrick

Founder, CEO & Pharmacist

Bob (Bear) Pollack
Bob (Bear) Pollack

Telepsychiatrist & Healthcare AI Strategist

Robert Pollack is a psychiatrist, healthcare innovator, and entrepreneur who has spent more than five decades advancing mental health care through clinical leadership, technology adoption, and healthcare innovation. A pioneer in Remote Patient Monitoring (RPM) and Behavioral Health Integration (BHI), he has helped bridge the gap between psychiatry and emerging technologies, leveraging AI-driven solutions, telemedicine, and physician advocacy to improve patient outcomes and transform the delivery of behavioral healthcare.

Bob (Bear) Pollack

Telepsychiatrist & Healthcare AI Strategist

Brian Eisenberg
Brian Eisenberg

Senior Financial Executive

Brian Eisenberg is a financial and operations executive who helps healthcare organizations, private equity-backed companies, and growth-stage businesses achieve sustainable profitability through strategic financial leadership, operational optimization, and long-term growth planning. With extensive experience in accounting, finance, acquisitions, and organizational transformation, he specializes in improving financial performance, maximizing reimbursement opportunities, leading due diligence initiatives, and building scalable strategies that drive lasting business value.

Brian Eisenberg

Senior Financial Executive

CJ Belmont
CJ Belmont

Operations Executive & Board Advisor

CJ Belmont is a healthcare operations executive and board advisor who helps multi-site organizations scale, optimize performance, and build sustainable operational systems. With expertise in healthcare operations, compliance, turnarounds, and organizational growth, he combines people-first leadership with strategic execution to strengthen teams, improve efficiency, and help organizations navigate complex, high-growth environments.

CJ Belmont

Operations Executive & Board Advisor

David Dosa
David Dosa

Professor of Medicine & Geriatrician

David Dosa is a geriatric medicine physician, researcher, and healthcare leader who advances the quality of care for older adults through clinical innovation, health services research, and medical education. As a nationally recognized expert in geriatrics, long-term care, dementia care, and healthcare quality improvement, he combines academic leadership, federally funded research, and frontline clinical experience to improve outcomes for aging populations and strengthen healthcare systems.

David Dosa

Professor of Medicine & Geriatrician

Elaine Lambert
Elaine Lambert

Consultant Rheumatologist

Elaine Lambert is a rheumatologist who provides specialized expertise in the diagnosis and management of complex rheumatic conditions. With a focus on patient-centered clinical care, she brings medical knowledge and experience to support improved outcomes and advance the delivery of high-quality specialty healthcare.

Elaine Lambert

Consultant Rheumatologist

John Manzella
John Manzella

Physician Executive & Medical Director

John Manzella is a physician executive and healthcare leader who helps organizations improve patient outcomes through value-based care, population health strategies, physician engagement, and operational excellence. With more than three decades of experience spanning internal medicine, pediatrics, clinical leadership, and healthcare transformation, he is a trusted advisor known for advancing patient-centered care while advocating for physician resilience, recovery support, and sustainable healthcare systems.

John Manzella

Physician Executive & Medical Director

John Versosky
John Versosky

Senior Healthcare Executive

John Versosky is a senior healthcare executive who helps health plans, PBMs, and healthcare organizations drive growth through Medicare strategy, product innovation, and operational transformation. With more than three decades of experience leading large-scale healthcare initiatives, he specializes in developing scalable, data-driven solutions that optimize performance, improve member outcomes, navigate complex regulatory environments, and deliver sustainable business growth.

John Versosky

Senior Healthcare Executive

Karina Bocker
Karina Bocker

Healthcare Strategy & Network Growth Leader

Karina Bocker is a healthcare strategy and network growth leader who helps payer and provider organizations optimize performance through Medicare Advantage and value-based care initiatives. With extensive experience in network strategy, provider performance improvement, and contract alignment, she leverages data-driven insights and cross-functional collaboration to enhance healthcare outcomes, strengthen strategic partnerships, and drive sustainable financial performance.

Karina Bocker

Healthcare Strategy & Network Growth Leader

Ken Petronis
Ken Petronis

Health Services Strategic Advisor

Ken Petronis is a health services strategist, board advisor, and growth leader who helps payers, physicians, health systems, and emerging healthcare companies align around value-based care and population health solutions. Drawing on decades of experience building and scaling healthcare organizations, he brings a unique cross-sector perspective that connects stakeholders, drives sustainable growth, and develops practical, adoptable strategies that improve outcomes across the healthcare ecosystem.

Ken Petronis

Health Services Strategic Advisor

Laurence Kinzler
Laurence Kinzler

Healthcare Operations Consultant

Laurence Kinzler is a healthcare operations and consulting leader who helps physician practices and healthcare organizations improve administrative performance, technology adoption, and operational efficiency. With more than 30 years of experience across healthcare administration, finance, IT, managed care, behavioral health, and practice management, he brings expertise in EMR implementation, revenue cycle optimization, compliance, and strategic operations to support sustainable healthcare growth.

Laurence Kinzler

Healthcare Operations Consultant

Marcie Auguiste
Marcie Auguiste

Healthcare Operations Professional & Board Advisor

Marcie Auguiste is a healthcare operations professional and board advisor who helps healthcare leaders and organizations improve efficiency, strengthen decision-making, and advance patient-centered initiatives. Combining expertise in executive administration, public health, and healthcare leadership, she supports strategic operations while contributing practical insights that enhance care delivery, practice performance, and community health outcomes.

Marcie Auguiste

Healthcare Operations Professional & Board Advisor

Mark Breazzano
Mark Breazzano

Associate Professor & Vitreoretinal Specialist

Mark Breazzano is a vitreoretinal specialist, academic physician, and healthcare educator who advances the field of ophthalmology through clinical excellence, research, and physician training. As an Associate Professor and Vitreoretinal Fellowship Director, he contributes expertise in retinal care, surgical innovation, and medical education while helping develop the next generation of ophthalmic specialists.

Mark Breazzano

Associate Professor & Vitreoretinal Specialist

Mark Kamenetz
Mark Kamenetz

Senior Commercial Healthcare Leader

Mark Kamenetz is a healthcare commercial and business growth leader who helps healthcare organizations accelerate revenue, expand market presence, and build high-performing sales teams. With a proven track record spanning startups to large enterprise organizations, he combines strategic planning, business development, operational leadership, and partnership growth expertise to drive sustainable commercial success and deliver measurable business results.

Mark Kamenetz

Senior Commercial Healthcare Leader

Michael Plick
Michael Plick

Healthcare Industry Executive

Michael A. Plick is a healthcare industry leader with more than 35 years of experience helping organizations navigate growth, operations, and strategic opportunities. With a deep understanding of the healthcare landscape, he brings extensive industry knowledge and leadership expertise to support organizations in driving sustainable growth and achieving long-term success.

Michael Plick

Healthcare Industry Executive

Moawyah Arikat
Moawyah Arikat

Senior Director of Business Development

Moawyah "Maui" Arikat is a healthcare business development and strategy leader who helps healthcare organizations drive growth through strategic partnerships, financial management, and operational excellence. With expertise in business development, healthcare strategy, and organizational performance, he works across stakeholders to identify opportunities, strengthen market positioning, and deliver sustainable business outcomes.

Moawyah Arikat

Senior Director of Business Development

Paul Costello
Paul Costello

GTM Leader, AI & Medicare Strategy

Paul Costello is a healthcare go-to-market and AI strategy leader who helps healthcare organizations translate evolving CMS policies and reimbursement models into scalable revenue opportunities. With extensive experience across AI, digital health, and SaaS, he specializes in aligning innovative technologies with Medicare Advantage, value-based care, and care coordination programs, enabling companies to build sustainable growth strategies, accelerate adoption, and drive measurable healthcare outcomes.

Paul Costello

GTM Leader, AI & Medicare Strategy

Pete Tan
Pete Tan

Healthcare Leadership Advisor & Surgeon

Dr. Pete Tan is a healthcare leadership advisor, retired military leader, and surgeon who helps executives build trust-based leadership cultures that improve organizational performance and team engagement. Drawing on more than 40 years of experience across the U.S. Army, clinical medicine, academic institutions, and healthcare governance, he guides healthcare leaders in replacing command-and-control approaches with scalable leadership strategies focused on trust, accountability, psychological safety, and lasting impact.

Pete Tan

Healthcare Leadership Advisor & Surgeon

Robert Lerma
Robert Lerma

Chief Commercial Officer, MedTech

Robert Lerma is a healthcare commercialization and MedTech executive who helps emerging and established healthcare technology companies launch, scale, and accelerate adoption of innovative solutions. With expertise across medical devices, digital surgery, clinical AI, surgical robotics, imaging, and global go-to-market strategy, he brings deep experience building commercial organizations, creating new markets, and driving revenue growth for transformative technologies that improve patient care.

Robert Lerma

Chief Commercial Officer, MedTech

Stacie Sober
Stacie Sober

Healthcare Executive & Innovation Leader

Stacie Sober is a healthcare executive and innovation leader who helps healthcare organizations strengthen access to care through strategic partnerships, health technology adoption, and AI-driven transformation initiatives. With expertise in rural health, population health, healthcare policy, and organizational leadership, she collaborates across providers, policymakers, and innovators to develop scalable solutions that improve health equity, workforce sustainability, operational performance, and patient outcomes.

Stacie Sober

Healthcare Executive & Innovation Leader

Stella Onuoha-Obilor
Stella Onuoha-Obilor

VP, Clinical Quality & Population Health

Stella Onuoha-Obilor is a healthcare executive and population health leader who helps healthcare organizations improve clinical quality, optimize value-based care performance, and achieve sustainable operational excellence. With deep expertise in clinical operations, risk adjustment, Medicare Stars, HEDIS, and population health strategy, she leverages data-driven innovation, advanced analytics, and healthcare transformation initiatives to enhance patient outcomes, strengthen regulatory performance, and drive measurable impact across complex healthcare systems.

Stella Onuoha-Obilor

VP, Clinical Quality & Population Health

Stephen Sproul
Stephen Sproul

Healthcare Technology Executive

Stephen Sproul, MD is a physician leader and healthcare technology executive who helps healthcare organizations improve clinical workflows through electronic medical record (EMR) optimization, clinical informatics, and digital health strategy. As a Medical Director focused on EMR and clinical innovation, he brings expertise in bridging clinical needs with technology solutions to enhance care delivery, operational efficiency, and patient outcomes.

Stephen Sproul

Healthcare Technology Executive

Tarek Moqattash
Tarek Moqattash

Internal Medicine Physician & Medical Director

Tarek Moqattash is a physician executive and healthcare leader who helps healthcare organizations advance clinical operations, physician engagement, and system-level transformation. With experience across primary care, hospital medicine, hospice, and federally qualified health centers, he brings expertise in healthcare policy, population health, clinical strategy, and emerging technologies to improve care delivery, expand access, and enhance patient outcomes.

Tarek Moqattash

Internal Medicine Physician & Medical Director

Thomas Hatzilabrou
Thomas Hatzilabrou

Founder & Principal, Worldborne Medical

Thomas Hatzilabrou is a physician entrepreneur and medical research consultant who helps healthcare organizations, legal publishers, and AI companies improve medical accuracy, content quality, and healthcare communication. As the founder of Worldborne Medical, he combines clinical expertise, research review experience, AI consulting, and Six Sigma quality standards to deliver evidence-based solutions that support trustworthy healthcare information and innovation.

Thomas Hatzilabrou

Founder & Principal, Worldborne Medical

Tim Eggena
Tim Eggena

Healthcare Technology Entrepreneur & Investor

Tim Eggena is a healthcare technology entrepreneur, investor, and strategic advisor who helps healthcare organizations and startups build, scale, and commercialize innovative health IT solutions. With decades of experience leading product development, business growth, and digital transformation in healthcare, he partners with founders, investors, and healthcare leaders to create technology-driven solutions that improve clinical outcomes, streamline operations, and expand access to high-quality care.

Tim Eggena

Healthcare Technology Entrepreneur & Investor

Tony Struthers
Tony Struthers

Senior Healthcare Executive

Tony Struthers is a senior healthcare executive who helps healthcare organizations strengthen operations, expand services, and improve community impact through strategic leadership and relationship-driven growth. With more than 40 years of experience leading acute care systems across nonprofit and proprietary healthcare environments, he brings expertise in healthcare operations, physician engagement, organizational development, and building effective partnerships that drive sustainable growth and improved patient care.

Tony Struthers

Senior Healthcare Executive

Frequently Asked Questions

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.

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.

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.

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.

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.

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Ready to turn patient data into passive revenue?

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

Reimbursement - APCM Billing Plans | Tile Health