Orthopedic APCM Compliance & Documentation FAQ

Yes, the AI can conduct structured fall risk screenings during monthly calls, documenting responses directly into the patient's care plan to meet quality metrics for osteoporosis and geriatric orthopedic care.

The AI tracks cumulative time across multiple interactions throughout the month. Short check-ins regarding PT compliance or DME delivery add up to meet the monthly billing requirement without manual timer tracking.

Our AI platform uses end-to-end encryption and BAA-compliant storage to ensure all orthopedic patient data, surgical history, and protected health information remain secure and private according to federal standards.

During monthly APCM calls, the AI asks specific questions about HEP adherence and reports barriers like increased pain or lack of equipment directly to the orthopedic team for immediate intervention.

The system tracks DEXA scan schedules and bisphosphonate adherence, flagging gaps in care for the orthopedic team to address, which is a critical component of chronic care for fracture prevention.

The AI reviews current NSAID or analgesic use during every call, documenting any side effects or the need for prescription refills, which is then summarized for the physician's review and signature.

APCM utilizes specific G-codes (G0511 for RHCs/FQHCs or specific primary care codes). Orthopedic practices often transition patients to these codes to capture the high-intensity management required for chronic OA.

By providing timestamped, transcript-backed evidence of every minute spent on patient care coordination, the AI creates an 'audit-proof' documentation trail that justifies every claim submitted to CMS.

Yes, the platform monitors if a patient is currently in a BPCI bundle for a joint replacement to ensure APCM activities support recovery without violating specific bundle constraints or overlapping services.