APCM Billing Code Setup for Oracle Health (Cerner)

Enter G0511 and G0512 code sets into the Cerner Millennium master catalog with appropriate descriptions.

Set up Rule-Based Charge Capture (RBCC) to trigger automated APCM billing when documentation thresholds are met.

Ensure outpatient encounter types are mapped to specific APCM billing tiers to prevent inpatient billing errors.

Update the Charge Description Master (CDM) with Oracle Health-specific revenue codes for chronic care.

Standardize APCM code sets across all facilities in the domain to ensure uniform billing and reporting.

Build custom registries in HealtheIntent to automatically flag patients meeting APCM clinical criteria.

Enable 'APCM Candidate' Discern Visual Developer alerts within the PowerChart clinician workflow.

Connect AI-powered call center data to HealtheIntent to track non-face-to-face care coordination time.

Align Hierarchical Condition Category (HCC) data with APCM tiering to ensure accurate patient risk stratification.

Verify the bidirectional data feed between HealtheIntent and the Millennium billing engine for eligibility.

Create specific PowerNote templates that include required APCM elements like care plan updates and time logs.

Utilize custom mPages to provide real-time visibility into care management minutes accumulated per patient.

Implement AI transcription for phone-based care coordination that automatically pushes notes to Millennium.

Configure the 'Care Plan' component in Millennium to auto-populate from previous APCM documentation entries.

Establish automated task queues for providers to review and sign off on monthly APCM summaries.

Configure attribution logic to ensure only the primary care site bills for APCM in multi-site systems.

Update the Oracle Health Patient Accounting (ProFit) engine to scrub APCM claims for missing documentation.

Create dynamic worklists in Revenue Cycle for clinicians to address incomplete APCM billing requirements.

Perform a technical audit of the interface that converts clinical time logs into billable APCM units.

Use AI tools to analyze and resolve claim denials specific to the new APCM G-codes within Cerner.