GI APCM Compliance & Documentation FAQ | Tile Healthcare

Every minute of non-face-to-face care—including phone triage for flares, lab review for liver enzymes, and coordination with infusion centers—must be timed and logged. AI platforms track these interactions automatically to ensure audit-proof billing.

Documentation must include a comprehensive care plan addressing cirrhosis complications, such as variceal screening schedules, hepatic encephalopathy monitoring, and HCC surveillance via ultrasound every six months, as per ACG and AASLD guidelines.

Our AI call center uses end-to-end encryption and secure data protocols. It identifies patients using multiple identifiers and ensures that sensitive GI data, such as pathology results or hepatitis status, is handled according to strict HIPAA privacy rules.

Yes. AI systems can manage the complex communication required for transplant workups, tracking the completion of multidisciplinary requirements and documenting every touchpoint to satisfy both APCM and transplant center criteria.

The AI can call patients to review their current medications, including OTC supplements and PPIs, identifying potential interactions or the need for a DEXA scan for long-term steroid users, and sync this data with the GI care plan.

Regular AI-driven check-ins can monitor for subtle changes in mental status (HE) or increasing abdominal girth (ascites). This early detection allows for intervention before a costly ER visit, fulfilling the proactive care requirements of APCM.

Yes, our AI solution is designed to integrate with leading GI-specific EMRs. It pushes call summaries, patient-reported outcomes, and time logs directly into the patient chart to streamline the APCM billing and documentation workflow.

By consistently reaching out to patients for lab reminders and symptom checks, the AI ensures the practice hits the 20-minute monthly threshold for every enrolled patient, preventing missed billing opportunities that occur with manual staffing.

Hepatology practices see ROI through increased enrollment rates, 100% capture of billable time, and reduced staff burnout. By automating the documentation of HCC and variceal screening coordination, practices maximize their APCM revenue stream.

AI creates a digital paper trail for every patient interaction, including timestamps, call transcripts, and specific care plan updates. This level of detail is superior to manual logs and provides robust defense during Medicare or private payer audits.

While the PA process itself is administrative, the clinical coordination, patient education, and monitoring associated with starting a new biologic are billable under APCM. AI tracks all time spent communicating these clinical updates to the patient.

Patients feel better supported when they receive regular, high-quality interactions. AI ensures no IBD or liver patient falls through the cracks, leading to higher satisfaction, better outcomes, and sustained monthly APCM enrollment.