APCM Compliance Checklist: Tile Health vs ChronicCareIQ

Tile Health logs every second of AI-driven patient interaction automatically; ChronicCareIQ often requires manual start/stop timers or staff input.

Tile provides full AI-generated transcripts for every encounter; ensure ChronicCareIQ allows for easy retrieval of manual notes for audits.

Tile's AI distinguishes between administrative routing and clinical APCM time; ChronicCareIQ relies on staff to categorize minutes correctly.

Ensure all interactions are UTC-stamped and mapped to the specific patient record in real-time to prevent gaps in the audit trail.

Both platforms should flag if a patient is already enrolled in a conflicting program like CCM or PCM to avoid double-billing errors.

Tile Health writes notes directly into EHR fields; ChronicCareIQ may require manual data transfer or copy-paste depending on the integration tier.

Ensure the AI or software updates the patient's care plan after every interaction as required by CMS APCM guidelines.

Check if the platform captures patient self-reporting on medication changes during automated or manual check-ins.

Verify that patient consent for APCM services is digitally stored and easily accessible during a CMS audit.

Ensure the system prompts the billing provider to review and sign off on automated encounters within the required timeframe.

Confirm both Tile Health and ChronicCareIQ have signed Business Associate Agreements (BAAs) covering all data processing and AI logic.

Ensure all data at rest and in transit (including AI voice processing) meets AES-256 encryption standards.

Audit who in your practice accessed patient records within the platform to maintain a 'minimum necessary' data standard.

CMS audits can happen years later; ensure the platform retains interaction logs and transcripts for at least 6-10 years.

For Tile Health, review the AI’s safety guardrails to ensure it doesn't offer unauthorized medical advice during automated calls.