AdvancedMD APCM Implementation Checklist | Tile Healthcare

Add APCM-specific G-codes like G0511 to your master procedure list to ensure they are available for selection during encounter coding.

Update your practice fee schedules within AdvancedMD to reflect the latest CMS reimbursement rates for APCM services.

Configure the AdvancedMD claim scrubber to flag missing modifiers or incompatible code combinations before submission to prevent rejections.

Verify that your clearinghouse connections are active for APCM billing codes to prevent EDI rejection cycles and ensure cash flow.

Create a custom billing dashboard to track APCM claim status and identify aging receivables specifically for these new service lines.

Set up automated modifier logic for G0511 and G2211 to ensure proper reimbursement when billed alongside other E/M services.

Utilize the AdvancedMD reporting module to pull lists of patients with two or more chronic conditions based on ICD-10 codes.

Run batch eligibility checks within AdvancedMD to confirm active Medicare or Medicare Advantage coverage for target patients.

Use the patient analytics tool to identify high-risk patients who would benefit most from proactive APCM intervention.

Organize APCM-eligible patients into specific folders or groups within the EHR for targeted AI outreach campaigns.

Ensure all patient contact information is updated in the demographics tab to facilitate successful automated phone outreach.

Integrate AI voice agents to handle inbound inquiries regarding APCM services, reducing the burden on your front office staff.

Configure automated reminders for APCM check-ins using AdvancedMD's patient engagement API to maintain high compliance.

Use AI to capture and document verbal consent for APCM services, then sync this data back to the patient's chart in AdvancedMD.

Deploy AI agents to provide 24/7 support for APCM patients, documenting all interactions directly into the EHR clinical notes.

Set up automated call sequences for patients identified as eligible but not yet enrolled in the APCM program.

Build custom encounter templates in AdvancedMD that include all CMS-required fields for APCM documentation and time tracking.

Utilize the care plan module to create and share individualized care goals with APCM patients during monthly check-ins.

Implement a systematic way to track clinical staff time spent on non-face-to-face care coordination within the AdvancedMD EHR.

Encourage APCM patients to use the AdvancedMD patient portal for secure messaging and accessing their care plans.

Regularly review the AdvancedMD audit logs to ensure all APCM-related activities are compliant with CMS documentation rules.