APCM Billing & Enrollment FAQ for Primary Care | Tile Healthcare

Yes, Medicare allows for verbal consent for APCM services. Our AI records and timestamps the consent during the call, then automatically updates the patient's record in your EMR to ensure a complete audit trail for compliance.

Yes, our AI is programmed with specific knowledge of Medicare cost-sharing and can explain that while many secondary insurances cover APCM, some patients may have a small copay, helping to manage expectations and reduce confusion.

By automating the hundreds of outbound enrollment calls required to launch an APCM program, your staff can focus on in-office patient care. The AI handles the repetitive task of explaining the program and securing initial enrollment.

If a patient expresses disinterest, the AI professionally concludes the call and marks the patient as 'declined' in the system. This prevents future automated outreach to that patient, respecting their choice and maintaining a positive practice reputation.

Yes, the AI summarizes every patient interaction into a structured clinical note. These notes are formatted to meet Medicare's care plan documentation requirements, saving physicians hours of manual typing every week.

The system automatically logs the duration of every AI-led patient check-in. This time is aggregated throughout the month to ensure the patient meets the 20-minute threshold required for specific APCM billing codes.

Absolutely. Tile Healthcare uses enterprise-grade encryption and follows all HIPAA guidelines for data transmission and storage. Patient health information is handled with the same security standards as your internal EMR.

Yes, by capturing structured data during monthly check-ins regarding medication adherence, fall risks, and preventative screenings, the AI helps collect the data necessary to satisfy various MIPS quality measures for your practice.

On average, our AI saves a primary care practice 10-15 hours of administrative work per 100 enrolled patients by automating enrollment, monthly check-ins, and the generation of care plan documentation.

Manual enrollment often fails due to staff time constraints, leading to low participation. AI-driven enrollment achieves 3-4x higher enrollment rates by consistently reaching patients, resulting in a much faster return on investment.

By providing regular monthly touchpoints and 24/7 access, patients feel more supported by their primary care physician. This increased engagement leads to higher patient satisfaction and lower attrition rates for the practice.

Yes, the AI identifies early warning signs during monthly check-ins, such as weight gain in CHF patients or blood sugar spikes in diabetics, allowing the primary care team to intervene before an ER visit is necessary.