MEDITECH APCM Implementation Checklist | Tile Healthcare

Update the Ambulatory Patient Summary to include specific indicators for APCM enrollment and eligibility.

Set up automated triggers for patients meeting CMS chronic care criteria based on diagnosis codes in the EMR.

Build discrete documentation templates in the Physician Documentation module to meet APCM requirements.

For hospitals on 6.x or Magic, ensure chronic care history maps correctly to the Expanse ambulatory interface.

Create discrete data fields to track the 20-minute monthly threshold required for APCM reimbursement.

Test the HL7 or API connection that pushes AI-handled phone summaries into the patient’s clinical record.

Set up the billing module to correctly attribute APCM codes to the professional fee side rather than the hospital side.

Add current G-codes and APCM specific codes to the MEDITECH CCM to ensure accurate claim generation.

Review the interface between the Hospital Information System and the Ambulatory billing module to prevent duplicate claims.

Utilize MEDITECH's Business and Clinical Analytics (BCA) to pull monthly reports for APCM billing verification.

For Critical Access Hospitals, ensure APCM billing complies with specific cost-based reimbursement regulations.

Enable billing rules that flag APCM claims missing the required documentation of care coordination minutes.

Configure the AI call center to perform automated monthly outreach to enrolled APCM patients.

Set up AI logic to immediately route patients reporting red-flag symptoms to the MEDITECH nurse triage pool.

Integrate AI phone handling with the MEDITECH pharmacy module to process refill requests without staff intervention.

Ensure all AI-generated call notes are automatically filed under the correct encounter in the patient's MEDITECH record.

Allow the AI system to view open slots in the MEDITECH scheduler and book follow-up appointments during calls.

Use AI to provide extra touchpoints for rural patients who have high historical no-show rates for chronic care visits.