APCM Billing Setup: Tile Health vs ChartSpan Checklist

Ensure your EHR recognizes standard CCM codes before transitioning to APCM models with ChartSpan or Tile Health.

If operating as an RHC, ensure both ChartSpan human hours and Tile Health AI interactions map to G0511 correctly.

Tile Health requires specific metadata tags for AI-driven patient interactions to satisfy APCM audit trails.

Identify tasks that ChartSpan's human coordinators perform which might not be fully automated in your Tile Health setup.

Configure alerts for both AI call durations and human coordinator logs to ensure billing eligibility every month.

Compare the financial delta between Tile Health's lower-cost AI model and ChartSpan's traditional human service model.

Securely connect Tile Health's AI engine to your EHR for automated billing code insertion and real-time updates.

Create a workflow to import ChartSpan's manual time logs into your practice management system to avoid double entry.

Ensure Tile Health's AI captures call duration down to the second for precise APCM documentation compliance.

Mark patients who have consented to AI-assisted care vs. those preferring human-led ChartSpan services in the EHR.

Create a streamlined process for exporting monthly APCM logs from either platform into your medical clearinghouse.

Ensure Tile Health's AI call recordings and transcripts are encrypted and stored according to your BAA terms.

Audit the credentials of the human care coordinators assigned to your practice by ChartSpan for licensing compliance.

Run a test cycle comparing Tile Health's automated logs against ChartSpan's manual entries for potential errors.

Keep records of clinical staff oversight of the Tile Health AI engine to meet CMS APCM requirements.

Confirm both Tile Health and ChartSpan have signed active Business Associate Agreements prior to live billing.