Orthopedic APCM Implementation Checklist | Tile Healthcare
Maximize orthopedic revenue with our APCM implementation checklist. Streamline osteoarthritis care, post-op follow-ups, and Medicare billing workflows.
Orthopedic practices often overlook recurring revenue from Advanced Primary Care Management (APCM). For patients with chronic osteoarthritis or post-surgical recovery needs, structured monthly monitoring ensures better mobility and reduces complications. This checklist guides your practice through integrating APCM into your orthopedic workflow using AI-driven automation.
Work through each item below to audit your practice. Check off completed items to track where you stand.
Patient Identification & Enrollment
Focus on identifying high-risk Medicare patients with chronic MSK conditions who qualify for long-term monitoring and structured care.
Clinical Workflow & AI Integration
Integrate AI-driven communication tools to manage patient outreach and clinical documentation without increasing staff workload.
Billing & Documentation Compliance
Ensure all APCM activities are accurately tracked and billed according to Medicare guidelines and orthopedic standards.
Frequently Asked Questions
APCM focuses on Advanced Primary Care Management, allowing orthopedic practices to manage chronic MSK conditions like osteoarthritis under a more flexible framework than traditional CCM.
Generally, no. APCM services should begin after the 90-day global period for surgery has expired to avoid duplicate billing for surgical follow-up care.
AI voice agents automate the outreach and data collection process, documenting the interaction time which counts toward the non-face-to-face clinical staff time required for billing.
Patients with two or more chronic conditions, such as osteoarthritis, chronic back pain, osteoporosis, or spinal stenosis, that are expected to last at least 12 months.
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