eClinicalWorks APCM Billing Setup & Code Configuration Checklist
Ensure your eClinicalWorks EHR is properly configured for APCM billing. Step-by-step guide for eCW code setup, documentation, and AI-driven automation.
Optimizing eClinicalWorks for Advanced Primary Care Management (APCM) requires precise configuration of the Fee Schedule, CDSS alerts, and documentation templates. This checklist ensures your eCW instance is ready to capture and bill for complex care coordination, leveraging AI-powered call handling to meet CMS requirements seamlessly within your existing workflows.
Work through each item below to audit your practice. Check off completed items to track where you stand.
Code Configuration & Fee Schedule
Properly defining APCM codes in your eCW Item Master is essential for claim accuracy and revenue cycle management.
Clinical Workflow & Documentation
Configure eClinicalWorks progress notes and time tracking to meet CMS audit requirements for care management.
Reporting & Population Health
Utilize eClinicalWorks' reporting tools to monitor APCM performance and identify high-risk patient populations.
Frequently Asked Questions
eClinicalWorks uses the 'Time Capture' module which can be linked to Telephone Encounters and Progress Notes. For APCM, it is vital to aggregate time from all staff interactions, including AI-managed calls, into this centralized log.
Yes, as long as the AI interaction is part of a coordinated care plan and the summary is reviewed by a billing provider. The time spent by the AI handling coordination tasks can often be documented within eCW Telephone Encounters.
The eCW Registry is the most effective tool. By setting filters for patients with two or more chronic conditions and specific insurance payers, you can generate a target list for your AI outreach program.
While eCW has a Chronic Care Management (CCM) module, APCM can be managed using standard Progress Note templates and the Registry if the CCM module is not licensed, provided documentation requirements are met.
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