APCM Care Plan Checklist: Tile Health vs Phamily

Tile Health uses voice AI to extract patient goals; Phamily requires staff to input data into their interface.

Verify that EHR problem lists sync automatically to the care plan for APCM billing compliance.

Tile Health AI identifies patient-stated goals during calls; Phamily uses templates for care manager guidance.

Set automated triggers for required 12-month updates to maintain continuous APCM billing eligibility.

Update care plans based on real-time patient feedback gathered via AI calls or manual staff outreach.

Tile Health logs AI interaction minutes automatically; Phamily tracks care manager time spent in-platform.

Compare Tile Health's zero-staff requirement against Phamily's typical 1:500 or 1:1000 care manager ratio.

Verify AI transcription of care plan discussions to ensure audit-proof documentation for every encounter.

Automate the routing of clinical tasks identified during care plan reviews to the appropriate practice staff.

Measure the time from patient interaction to care plan entry in the EHR to ensure rapid billing cycles.

Validate that documentation meets the 20-minute threshold for 99490 or specific APCM G-codes.

Ensure every care plan modification is timestamped and attributed to the AI or a specific staff member.

Compare Phamily's $578K/1k patient claim against Tile Health's lower overhead/higher net margin model.

Confirm care plans are written directly into the patient chart rather than stored in a third-party silo.

Verify that all AI-generated documentation is stored in a HIPAA-compliant environment with a signed BAA.