APCM Implementation Checklist for Group Practices

Designate a leadership team to oversee standardization and compliance across all group locations and physician sets.

Create a rules-based system to assign patients to the correct billing provider based on encounter history and Medicare rules.

Develop uniform chronic care management guidelines to be followed by every physician within the group practice.

Assign shared clinical staff or remote care managers to handle outreach for multiple providers to optimize labor costs.

Ensure your EHR can aggregate APCM data while segmenting revenue and activity by individual physician or location.

Incorporate APCM-specific billing regulations and HIPAA-compliant communication protocols into the group's policy.

Use automated AI voice agents to reach out to eligible patients and secure APCM enrollment consent efficiently.

Integrate AI tools to check Medicare eligibility and APCM criteria against the group’s entire patient roster.

Ensure consistent messaging about APCM benefits across all sites using AI-driven phone scripts and templates.

Route all patient questions regarding care management to an AI-assisted central call center to save local staff time.

Monitor which providers or sites have the highest enrollment rates to identify specific training needs or bottlenecks.

Use AI call recording and transcription to automatically log patient consent directly into the patient's EHR record.

Create a transparent system for distributing APCM reimbursement back to individual providers based on their attributed patients.

Track the number of care management minutes logged per physician to ensure billing compliance and workload balance.

Use billing software to aggregate group-wide APCM claims for monthly submission to reduce manual billing errors.

Review attribution accuracy and reimbursement rates for each physician in the group practice to ensure no revenue leak.

Align APCM workflows with group-level MIPS reporting requirements to maximize federal incentive payments.

Hold quarterly sessions to update all staff on new APCM regulations and shared workflow efficiencies across the group.