APCM Compliance Checklist for Solo Practices | Audit Ready
Ensure your solo practice is audit-ready with our APCM compliance checklist. Optimize billing and documentation for independent physicians using AI.
For solo practitioners, Advanced Primary Care Management (APCM) offers a vital revenue stream, but compliance is non-negotiable. Since you are the sole billing entity, any audit scrutiny falls directly on your practice. This checklist ensures your AI-powered care coordination meets all Medicare requirements while minimizing the administrative burden on your limited staff time.
Work through each item below to audit your practice. Check off completed items to track where you stand.
Patient Enrollment and Eligibility
Foundational steps to ensure every patient billed meets the strict Medicare criteria for APCM services.
AI-Driven Documentation and Time Tracking
Leveraging automation to capture the 20 minutes of non-face-to-face care required for monthly billing.
Solo Practice Billing and Oversight
Regulatory safeguards for the solo physician acting as the primary billing entity and supervisor.
Frequently Asked Questions
Yes. By using AI-powered call centers and virtual care platforms, solo doctors can meet the 20-minute care requirement under general supervision rules without hiring dedicated staff.
The most critical documentation is the timestamped log of non-face-to-face time. AI systems provide an objective, automated audit trail that is much harder to challenge than manual nursing notes.
General supervision means the physician must be available (but not necessarily in the same building) to provide direction if needed. The doctor remains the billing entity and is responsible for the care plan.
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