APCM Compliance & Documentation Guide for AdvancedMD

Go to the 'Financial' section in AdvancedMD and set up specific billing rules for APCM codes. Ensure that the 'Claim Scrubber' is configured to check for necessary documentation, such as the date of the last comprehensive care plan update, before the claim is submitted.

Yes, Tile Healthcare's AI logs every second of patient interaction during outreach and care coordination calls. This data can be exported or synced with AdvancedMD to provide the 'time-spent' documentation required for certain APCM and CCM billing levels.

Rejections often occur due to missing documentation or incorrect code stacking. Use the AdvancedMD 'Claim Center' to identify the specific error. Our AI solutions help prevent this by ensuring every patient interaction is automatically documented with the correct timestamps and summaries.

Yes, as long as the AI-generated notes are reviewed and signed off by a provider. Tile Healthcare provides detailed, structured summaries of every patient interaction that include clinical keywords, ensuring your AdvancedMD notes are audit-ready and comprehensive.

Utilize AdvancedMD 'Chart Templates' specifically designed for APCM follow-ups. These templates can pull in data from previous encounters, allowing providers to quickly update goals. AI-driven patient check-ins can provide the data needed to make these updates without manual data entry.

Tile Healthcare uses secure API integrations to push call transcripts, patient responses, and consent status directly into the AdvancedMD patient chart, reducing the administrative burden on your front desk and clinical staff.

Absolutely. Tile Healthcare's AI provides 24/7 coverage, answering patient questions about their care plan and documenting those interactions in AdvancedMD. This ensures continuous care coordination, which is a key requirement for APCM compliance.

If a patient chooses to opt-out, their status must be updated immediately in AdvancedMD. Our AI recognizes opt-out requests during calls and can automatically update the patient's communication preferences in the EHR to ensure compliance with their wishes.

Many AdvancedMD practices struggle to find time for the monthly outreach required for APCM. AI automates this process, ensuring every eligible patient is contacted, which maximizes billable events and ensures the practice meets its care coordination targets.