Urology APCM Compliance & Audit Readiness Checklist
Ensure your urology practice meets APCM standards for BPH, OAB, and prostate cancer surveillance with our compliance and audit readiness checklist.
This checklist provides urology practices with a structured framework to ensure APCM compliance for chronic conditions like BPH, OAB, and prostate cancer. By integrating AI-driven call handling, practices can automate the capture of non-face-to-face care minutes, ensuring every interaction is documented for audit readiness and maximum Medicare reimbursement.
Work through each item below to audit your practice. Check off completed items to track where you stand.
Patient Eligibility and Enrollment
Establish a compliant foundation by identifying and properly consenting patients with chronic urologic needs.
Clinical Documentation Standards
Maintain rigorous clinical records that align with AUA guidelines and CMS audit requirements.
AI Integration and Time Tracking
Leverage AI automation to capture the 20 minutes of monthly care required for APCM billing.
Audit Readiness and Quality Control
Prepare for CMS audits by maintaining organized, accessible, and compliant billing records.
Frequently Asked Questions
Common qualifying conditions include BPH, chronic kidney stones, overactive bladder (OAB), prostate cancer under surveillance, and interstitial cystitis, provided the patient has at least two.
AI call handling automatically tracks the duration of patient interactions and generates clinical summaries, which counts toward the 20-minute monthly requirement for APCM billing.
Generally, you cannot bill APCM for care related to the surgery during the global period. However, it may be billed if the care is for a distinct, unrelated chronic urologic condition.
Common triggers include billing exactly 20 minutes for every patient, lack of a comprehensive care plan in the EHR, and failure to document patient consent for the service.
Ready to transform your urology practice?
See how Tile Healthcare's AI call center can handle scheduling, triage, and patient communication for your practice.
Schedule a Demo