eClinicalWorks APCM Billing & Enrollment FAQ Guide

Yes, the eClinicalWorks Patient Portal (healow) can be configured to send electronic consent forms to patients. Once a patient signs the form through the portal, the document is automatically filed into the 'Documents' folder of the patient’s chart, satisfying the CMS requirement for documented patient consent for APCM services.

Within the eCW Hub, use the 'Patient Dashboard' or 'Alerts' section to flag a patient’s APCM status. You can create a custom 'APCM Consented' alert that appears whenever a staff member opens the chart. This ensures that everyone in the practice knows the patient is enrolled and that their care coordination time should be tracked.

Tile Health’s AI call handling automates the initial outreach and education process. When patients call with questions about their care plan, the AI can explain the benefits of APCM, capture verbal consent, and automatically update the eCW communication logs. This reduces the manual workload on your front desk and improves enrollment rates.

Batch billing is handled through the eClinicalWorks 'Billing Dashboard'. After your clinical staff completes the documentation and time-tracking, the billing team can pull a report of all unbilled APCM encounters. These can then be reviewed for accuracy and submitted to the clearinghouse in a single batch, streamlining your revenue cycle.

Time tracking in eClinicalWorks is typically managed through the 'Care Management' timer or by adding 'Time-Based' notes in the encounter. For APCM, it is essential that staff consistently log minutes spent on non-face-to-face activities. These logs can be aggregated at the end of the month to justify the billing of APCM codes.

Yes, the eCW 'Report Console' allows you to build custom SQL or standard reports to audit APCM activity. You can track which patients were billed, the total time documented, and which providers are meeting their care management targets. These reports are vital for maintaining compliance and identifying gaps in your APCM program.

Yes, the AI captures every interaction, including care coordination calls that qualify for APCM time. By documenting the duration and nature of these calls automatically in eClinicalWorks, the AI helps your practice capture billable minutes that are often lost when staff members forget to manual-log their phone time.

No, Tile Health utilizes existing eClinicalWorks integration frameworks to facilitate data exchange. Our system is designed to work with standard eCW configurations, meaning your practice doesn't need a dedicated IT team to build custom interfaces. We handle the technical setup to ensure seamless communication between our AI and your EHR.

Absolutely. If a patient calls with a specific clinical concern related to their APCM care plan, the AI can triage the call and create an urgent 'Jellybean' or message for the provider in eClinicalWorks. This ensures that critical patient needs are addressed promptly while keeping all communication within the secure EHR environment.