Allergy APCM Billing & Enrollment FAQ | Tile Healthcare

Documentation must include all clinical staff time spent on the patient's care. This includes AI-driven interactions, phone calls for inhaler technique verification, and time spent updating asthma action plans. Tile Healthcare’s AI automatically logs the duration of every patient interaction, providing a clear audit trail for billing.

Yes, the plan must include a list of health problems, expected outcomes, measurable goals, and medication management. For allergy patients, this must include their specific triggers, immunotherapy schedules, and emergency protocols for anaphylaxis. Our AI ensures these fields are populated and updated during every patient touchpoint.

Patients on biologics require intensive monitoring for side effects and prior authorization renewals. These activities are perfectly suited for APCM. AI can manage the monthly check-ins regarding injection site reactions or symptom control, documenting the time spent to meet the billing thresholds for chronic care management.

Absolutely. Patient adherence is critical for immunotherapy success. AI monitors the injection schedule and automatically contacts patients who miss their maintenance window. By re-engaging these patients and documenting the outreach, the practice maintains continuity of care and captures the coordination time for APCM billing.

OIT requires strict adherence and rapid response to adverse reactions. AI can perform daily or weekly check-ins to monitor for GI symptoms or hives after dosing. This data is fed into the APCM care plan, allowing the allergist to make data-driven decisions on dose escalation while billing for the oversight time.

For PI patients on IVIG or SCIG, AI manages the coordination between the pharmacy, the infusion center, and the lab for IgG trough levels. This complex coordination is often unbilled; however, under APCM, the time the AI spends managing these logistics is documented and billable, significantly increasing practice revenue.