Workflow GuideTile Health vs Phamily

APCM EHR Documentation: Tile Health vs Phamily Guide

Compare APCM documentation workflows for Tile Health and Phamily. Learn how AI automation vs care manager augmentation impacts EHR efficiency.

Choosing between Tile Health and Phamily for APCM documentation depends on your staffing goals. While Phamily augments existing care managers with AI drafting tools, Tile Health provides autonomous AI that handles the entire documentation lifecycle. This guide outlines the specific EHR workflows for both platforms to help practice administrators optimize their chronic care revenue.

The Challenge

Manual APCM documentation creates a significant bottleneck, often requiring one care manager for every 200 patients. Practices must decide if they want Phamily's 'human-in-the-loop' model or Tile Health's 'full-automation' model to meet CMS compliance without ballooning labor costs.

Step-by-Step Workflow

1

Patient Outreach and Data Collection

Tile Health initiates autonomous AI voice calls to collect chronic condition updates. Phamily generates AI-drafted SMS or portal messages that require a care manager to hit 'send' and monitor responses.

Best Practices
  • Use Tile Health for patients who prefer voice interaction
  • Monitor Phamily response rates in the dashboard
Common Pitfalls
  • Assuming Phamily sends all messages without staff intervention
  • Failing to update patient contact preferences in the EHR
2

Clinical Encounter Note Generation

Tile Health's AI summarizes the call directly into a structured clinical note. Phamily provides a suggested draft based on patient chat history which the care manager must refine and approve before it enters the record.

Best Practices
  • Enable Tile Health's natural language processing for SDOH capture
  • Ensure Phamily care managers are trained on clinical accuracy
Common Pitfalls
  • Accepting Phamily drafts without reviewing for medical necessity
  • Over-editing Tile Health's structured summaries manually
3

EHR Integration and Write-Back

Tile Health uses deep API integration to push notes into specific EHR fields automatically. Phamily often requires a 'copy-paste' or a manual sync trigger from their platform into the patient's chart.

Best Practices
  • Verify API permissions for Tile Health in your EHR settings
  • Set a daily sync schedule for Phamily updates
Common Pitfalls
  • Creating duplicate encounters in the EHR
  • Ignoring sync errors in the Phamily integration log
4

APCM Time Tracking and Compliance

Tile Health automatically logs the exact duration of AI patient interaction for billing. Phamily tracks the time the care manager spends interacting with the AI and the patient, requiring manual verification of billable minutes.

Best Practices
  • Compare the automated logs against CMS APCM time requirements
  • Use Tile Health for high-volume automated documentation
Common Pitfalls
  • Under-reporting time in Phamily due to manual tracking gaps
  • Counting non-billable administrative time as clinical time
5

Final Review and Billing Submission

The practice administrator reviews the compiled APCM report. Tile Health provides a 'billing-ready' file, while Phamily provides a list of suggested codes that must be audited against the human-managed notes.

Best Practices
  • Cross-reference G-codes with the documentation generated
  • Audit a sample of Tile Health notes monthly for quality assurance
Common Pitfalls
  • Submitting APCM codes without the required 20 minutes of care
  • Assuming Phamily's $578k revenue claim is automatic without staff

Expected Outcomes

1

90% reduction in manual documentation time with Tile Health

2

Increased patient enrollment capacity without adding new staff

3

Standardized clinical notes that meet all APCM audit requirements

4

Seamless EHR synchronization across Athena, eCW, or Epic

5

Maximization of G0511 and APCM-specific reimbursement codes

Frequently Asked Questions

Tile Health uses autonomous AI to handle the actual patient conversation and documentation without staff intervention. Phamily is a 'co-pilot' system where AI assists human care managers in drafting messages and notes.

Yes, both support major EHRs like Athenahealth and eClinicalWorks, but Tile Health focuses on automated data write-back while Phamily often requires more manual oversight during the sync process.

Tile Health is better for practices looking to scale without hiring, as it handles the workload of multiple care managers. Phamily is better for practices that want to keep their existing staff but make them more efficient.

Yes, both platforms are designed to capture the specific elements required for APCM, though Tile Health's structured output is specifically optimized for automated compliance checking.

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APCM EHR Documentation: Tile Health vs Phamily Guide | Tile Health