Urology APCM Implementation Checklist: Revenue & Care Guide

Screen your EMR for Medicare-age men with moderate to severe symptoms who require ongoing medication titration.

Target patients with a history of recurrent stones who need ongoing metabolic monitoring and hydration counseling.

Enroll patients in a structured long-term PSA monitoring and incontinence recovery program.

Deploy AI call handling to identify eligible APCM candidates during routine appointment scheduling or refill requests.

Confirm patients meet the criteria for chronic conditions expected to last at least 12 months.

Ensure verbal or written consent for APCM services is recorded in the EMR to meet CMS requirements.

Create templates that include alpha-blocker monitoring, symptom scoring, and surgical intervention thresholds.

Ensure patients can reach a clinician for urgent issues like acute urinary retention or gross hematuria.

Schedule automated reminders for 24-hour urine collections and dietary review every 3-6 months.

Use automated voice agents to collect monthly IPSS or OAB-q SF scores between office visits.

Set recurring labs and symptom checks for patients on hypogonadism treatment or HRT.

Create a clear pathway for patients to report catheter-related pain or blockage to avoid ER visits.

Automate monthly calls to check on urinary symptom progression and medication adherence.

Set AI-triggered calls to remind oncology patients of upcoming surveillance bloodwork.

Use AI to identify patients experiencing retrograde ejaculation or dizziness from BPH meds.

Ensure all patient responses from automated calls are logged directly into the patient record.

Send automated reminders to stone formers to maintain fluid intake during high-risk seasons.

Set up AI alerts for any surveillance patient who misses a critical follow-up scan or lab.

Confirm all automated patient interactions adhere to privacy standards and AUA clinical guidelines.

Track the 20-minute monthly threshold required for APCM billing using automated logs.

Monthly review of documentation to ensure it reflects the complexity of the urologic condition.

Perform a comprehensive review of the urologic care plan at least once every 12 months.

Ensure staff do not bill APCM for patients currently within a 90-day surgical global window.