APCM Billing & Enrollment Guide for Diabetes | Tile Healthcare

Regular A1C monitoring is a core quality metric. AI-driven call workflows ensure patients never miss a lab appointment by sending automated reminders and helping schedule transportation. This consistent data flow supports the 'medical necessity' required for ongoing APCM reimbursement.

Yes, Remote Therapeutic Monitoring (RTM) or Remote Patient Monitoring (RPM) codes for Continuous Glucose Monitors (CGM) can often be billed in the same month as APCM. The AI handles the frequent check-ins required for RTM while the APCM framework manages the broader care coordination.

Billing denials often stem from insufficient documentation of non-face-to-face time. Our AI provides a timestamped, transcribed log of every patient interaction regarding medication refills, glucose alerts, and specialist referrals, creating a robust audit trail for Medicare compliance.

While the AI doesn't prescribe, it can collect daily fasting glucose readings and report variances to your nursing staff. This allows for rapid insulin titration and prevents the clinical inertia that often leads to poor glycemic control and hospitalizations.

The AI automates the coordination of annual screenings for neuropathy, retinopathy, and nephropathy. It calls patients to schedule their podiatry and ophthalmology exams, then follows up to ensure the results are sent back to the primary care provider for the APCM record.

Yes. Between visits, the AI can deliver automated modules on foot care, diet, and exercise. By reinforcing these lifestyle changes through regular phone check-ins, the AI helps meet the APCM requirement for ongoing patient education without exhausting your staff's time.