APCM Revenue Calculator for Epic EHR | Tile Healthcare
Calculate potential annual revenue from Epic EHR-integrated APCM. Optimize MyChart workflows and patient registries for maximized reimbursement.
Maximize your health system's ROI by leveraging Epic's robust data infrastructure for Advanced Primary Care Management. This tool estimates annual revenue based on your Epic patient registries and automated outreach capabilities designed to scale chronic care without increasing staff burden.
Your Numbers
Total patients identified in your Epic APCM registry or Reporting Workbench filters with 2+ chronic conditions.
Percentage of eligible patients successfully enrolled via MyChart campaigns and AI-driven phone outreach.
Average monthly Medicare APCM reimbursement per patient (estimated at $62 for standard complexity).
Estimated monthly gross revenue based on current Epic enrollment projections.
Total projected annual revenue from APCM billing cycles within your Epic environment.
How this calculator works
The calculator multiplies your eligible Epic patient population by the estimated monthly APCM reimbursement rate, then factors in your expected enrollment rate to determine gross annual revenue based on 2026 CMS projections.
Assumptions- Calculations use 2026 estimated Medicare APCM national averages.
- Assumes Epic registry filters accurately identify patients with two or more chronic conditions.
- Enrollment rates include both MyChart digital campaigns and automated AI phone outreach.
- Does not account for Epic-specific licensing fees or internal implementation costs.
Frequently Asked Questions
Epic uses the Patient Registry and Reporting Workbench tools to filter patients by ICD-10 codes, chronicity indicators, and recent encounter history to build a dynamic list for outreach.
Yes, by utilizing SmartForms and Flowsheets integrated with AI-powered call logs, you can automate the tracking of the required 20 minutes of non-face-to-face care time.
While MyChart is a vital digital front door for consent, phone-based AI outreach is often required to reach the significant percentage of patients not active on the portal.
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