Oncology APCM Implementation Checklist | Tile Healthcare

Flag active cancer patients with secondary chronic conditions like hypertension or diabetes that qualify for APCM.

Identify survivors in remission requiring long-term monitoring for recurrence or late-treatment effects.

Audit EMR data to identify patients meeting the two-chronic-condition threshold for APCM billing requirements.

Secure and document patient consent for APCM services during initial chemotherapy education or follow-up sessions.

Map clinical trial participants who require high-touch monitoring and frequent check-ins for safety protocols.

Configure AI voice triggers for chemotherapy-induced nausea and vomiting (CINV) reporting post-infusion.

Establish automated AI check-ins for patients on palliative care regimens to assess pain levels and medication efficacy.

Deploy AI calls to monitor for significant weight loss or cachexia in patients undergoing aggressive treatments.

Implement automated AI calls within 24 hours of infusion to screen for acute reactions or signs of infection.

Set up routine AI assessments to track cancer-related fatigue and functional status between office visits.

Automate reminders for survivorship labs and imaging to ensure adherence to NCCN follow-up guidelines.

Ensure AI call systems log all patient interaction minutes for accurate APCM time-based documentation.

Align survivorship care plan monitoring with NCCN guidelines for comprehensive APCM reporting and audit defense.

Verify that AI call transcripts and symptom reports are securely uploaded into the patient’s oncology EMR.

Train administrative staff on the specific G-codes and CPT codes required for oncology-based APCM services.

Conduct monthly audits of APCM minutes and documentation to ensure maximum revenue capture and compliance.