APCM Implementation Checklist for Infectious Disease

Flag all patients requiring lifelong antiretroviral therapy (ART) management as prime candidates for APCM enrollment.

Identify patients on long-term antiviral therapy who require structured monitoring of liver function and viral load.

Screen patient records for post-COVID-19 conditions lasting 3+ months that require multi-system management.

Assess patients with persistent symptoms of Lyme disease for eligibility under the IACCI framework.

Use AI tools to scan EHR data for ICD-10 codes related to chronic infections and immunocompromised states.

Identify vulnerable populations within the ID practice who benefit most from proactive care outreach and navigation.

Cross-reference APCM eligibility with Ryan White HIV/AIDS Program enrollment for coordinated funding documentation.

Create electronic care plans focusing on viral suppression, CD4 counts, and opportunistic infection prophylaxis.

Use AI call logs to document specific barriers to medication adherence, such as side effects or pharmacy access issues.

Ensure patients have a clear pathway for urgent infectious concerns outside of standard office hours.

Clearly define monitoring intervals for viral loads and document these within the APCM care plan.

Document communication with hepatologists, pulmonologists, or cardiologists managing infection-related complications.

Utilize AI call handling to automatically track and log minutes spent on phone-based care coordination.

Schedule systematic reviews of care plans for Hepatitis B and HIV patients to reflect current clinical status.

Deploy AI voice assistants to call patients three days before their antiretroviral refills are due.

Use automated systems to notify patients when viral load results are available and schedule review appointments.

Schedule monthly AI check-ins for Long COVID patients to track fatigue, cognitive function, and respiratory symptoms.

Use AI to monitor patients on long-term suppressive antibiotics for side effects and compliance.

Set up AI call routing to immediately escalate reports of fever or new rashes in immunocompromised patients.

Include automated educational messages regarding Undetectable = Untransmittable status during routine outreach.

Collect Patient-Reported Outcomes regarding quality of life and medication side effects via automated telephony.

Ensure the billing team is utilizing the correct G-codes for APCM as per the latest CMS physician fee schedule.

Confirm all AI-driven patient interactions are recorded and stored in a HIPAA-compliant environment.

Conduct monthly audits to ensure each APCM-enrolled patient has 20 minutes of documented care coordination.

Ensure APCM billing does not duplicate services already funded by Ryan White Part B grants.

Verify that verbal or written consent for APCM services is documented in the EHR for every patient.

Ensure APCM is not billed during the global period of related surgical procedures (e.g., port placements).

Validate that the patient's chronic conditions are officially recognized under the CMS IACCI guidance.