Question 1

How does Tile Health automate APCM documentation compared to Phamily?

Accepted Answer

Tile Health uses autonomous AI to generate real-time, structured documentation of every patient interaction directly into the EHR. Phamily focuses on augmenting care managers, meaning its AI assists in drafting notes that staff must still review and finalize, creating a more manual documentation workflow.

Question 2

Does Tile Health track the 20-minute monthly requirement for APCM?

Accepted Answer

Yes, Tile Health's AI automatically logs every second of patient engagement, ensuring precise time-tracking for billing compliance. Phamily also tracks time, but because it relies on human care managers, the tracking is often a mix of manual logs and automated system activity.

Question 3

How do both platforms handle the APCM care plan requirement?

Accepted Answer

Tile Health dynamically updates care plans based on AI-patient conversations and writes them back to the EHR. Phamily provides tools for human care managers to update these plans manually with AI suggestions, requiring more human oversight to maintain compliance.

Question 4

What happens if an AI-generated note is incorrect in Tile Health?

Accepted Answer

Tile Health includes a quality assurance layer where administrators can review autonomous logs, though the system is designed for high-fidelity clinical capture. Phamily relies on the human care manager as the primary filter for accuracy before any note is committed to the record.

Question 5

Does Tile Health require hiring new care managers for APCM?

Accepted Answer

Unlike Phamily, which is built to augment existing or new care management staff, Tile Health is designed to function autonomously. This allows practices to scale APCM programs without the overhead of hiring additional FTEs to manage the software or the patients.

Question 6

How does Phamily’s staffing model impact compliance?

Accepted Answer

Phamily requires human intervention for patient outreach. Compliance depends on staff following the AI's prompts correctly. Tile Health removes this variability by using standardized AI protocols for every patient interaction, ensuring consistent compliance across the entire patient population.

Question 7

Can Tile Health handle after-hours patient calls for APCM?

Accepted Answer

Yes, Tile Health’s AI provides 24/7 automated call handling, ensuring continuous access and documentation. Phamily’s model typically relies on staff availability, which may limit engagement and documented care activities to standard business hours.

Question 8

How do the platforms handle BAA and HIPAA compliance?

Accepted Answer

Both Tile Health and Phamily are fully HIPAA compliant and provide Business Associate Agreements (BAAs). The difference lies in data handling; Tile Health automates data entry to minimize human exposure to PHI, whereas Phamily involves more human touchpoints with sensitive data.

Question 9

How deep is the EHR integration for Tile Health vs Phamily?

Accepted Answer

Tile Health offers deep, bidirectional integration to write encounter notes and update vitals autonomously. Phamily also integrates with major EHRs but often functions as a sidecar application where staff must verify and move data between systems manually.

Question 10

Is patient data encrypted during AI processing in these tools?

Accepted Answer

Both platforms use enterprise-grade encryption for data at rest and in transit. Tile Health’s autonomous nature means fewer human logins and touchpoints, which can potentially reduce the risk of internal data mishandling or unauthorized access.

Question 11

How does Tile Health ensure documentation meets Medicare audit standards?

Accepted Answer

Tile Health generates timestamped, verbatim transcripts and structured clinical summaries that meet strict evidence requirements for Medicare audits. Phamily provides audit trails based on care manager activities, which are also compliant but subject to human error.

Question 12

Can these platforms identify gaps in care for APCM?

Accepted Answer

Yes, both use AI to scan patient records. Tile Health proactively calls patients to close these gaps autonomously, while Phamily alerts a care manager to take action, making Tile Health's approach more direct for gap closure documentation.

Question 13

How does the ROI of Tile Health compare to Phamily’s revenue claims?

Accepted Answer

Phamily’s revenue claims are based on human-led care management supported by AI. Tile Health offers higher net margins because it eliminates the significant cost of the care management staff required to run the Phamily platform, leading to better bottom-line results.

Question 14

Does Tile Health provide reports for APCM billing codes?

Accepted Answer

Yes, Tile Health generates comprehensive billing reports for CPT codes associated with APCM and CCM, ensuring all documented time is captured. Phamily provides similar reporting but requires staff to validate the billed hours before submission.

Question 15

How does the implementation process differ for compliance setup?

Accepted Answer

Tile Health focuses on technical EHR mapping for autonomous workflows, usually completing in weeks. Phamily requires both technical setup and extensive staff training on how to use the AI tools, which can extend the timeline for full compliance readiness.

Question 16

What is the risk of 'over-documentation' with AI?

Accepted Answer

Tile Health uses clinical logic to ensure documentation is concise and relevant to APCM requirements. Phamily’s human-in-the-loop model relies on the staff's judgment to prevent bloated medical records, placing the responsibility of documentation quality on the employee.

APCM Compliance Guide: Tile Health vs Phamily

AI Documentation & APCM Requirements

Staffing & Operational Compliance

EHR Integration & Data Security

Revenue & Audit Preparedness

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