APCM Implementation Checklist for Primary Care | Tile Healthcare
Maximize Medicare revenue with our APCM implementation checklist for primary care. Learn to automate enrollment, track G-codes, and ensure 24/7 patient access.
Primary care practices often leave substantial revenue uncaptured due to the administrative burden of APCM. This checklist provides a step-by-step roadmap to implementing Advanced Primary Care Management, focusing on automating enrollment and documentation to meet Medicare requirements without overtaxing clinical staff or requiring manual time-tracking.
Work through each item below to audit your practice. Check off completed items to track where you stand.
Patient Eligibility & Panel Identification
Identify and segment your Medicare population to maximize APCM enrollment and ensure accurate code selection.
Enrollment Workflow & Patient Consent
Streamline the process of obtaining and documenting patient consent for APCM services using automated tools.
Care Planning & Clinical Documentation
Ensure all APCM service elements are met and documented to withstand audits and maximize quality reporting.
Frequently Asked Questions
APCM uses flat monthly rates based on patient complexity codes G0556-G0558, eliminating the need for the rigorous 20-minute time-tracking required by traditional CCM.
AI handles the high volume of outbound calls required to explain the program, answer common questions, and capture patient consent, freeing up clinical staff for patient care.
No, Medicare does not allow concurrent billing for APCM and traditional Chronic Care Management (CCM) for the same patient in the same month.
Practices must provide patients with 24/7 access to a clinician or care team member who has access to the patient's records to address urgent chronic care needs.
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