eClinicalWorks APCM Revenue Growth Case Study
Learn how a primary care practice optimized eClinicalWorks for APCM revenue growth using AI-driven patient engagement and automated documentation.
An independent primary care group using eClinicalWorks (eCW) struggled to capture Advanced Primary Care Management (APCM) revenue due to manual documentation gaps and overwhelming call volumes. By integrating Tile Health's AI call center solution, they automated patient outreach and synchronized care logs directly into the eCW Care Management module to drive consistent monthly revenue.
The practice faced significant administrative friction within eClinicalWorks. While the eCW Care Management module was active, staff found it cumbersome to log the required non-face-to-face care minutes. High inbound call volume for prescription refills and scheduling diverted clinical staff from APCM outreach. Population Health (PHM) tools in eCW identified eligible patients, but the manual effort to contact them and document interactions resulted in near-zero APCM revenue despite a high-risk patient panel.
Tile Health implemented an AI-powered call center solution configured for eClinicalWorks workflows. The AI handled routine inquiries, freeing up MAs for care coordination. Crucially, the AI automated the identification of APCM-eligible patients via eCW API and initiated proactive outreach. All patient interactions were transcribed and pushed into the eCW Care Management module as structured data, ensuring that every minute of care coordination was captured. We also optimized the eCW Billing Module with custom APCM templates to ensure clean claim submission.
How They Rolled It Out
eCW API Integration
Connected Tile Health to the eClinicalWorks database via FHIR API to sync patient registries and PHM data for real-time eligibility tracking.
Custom Template Creation
Developed eCW Progress Note templates specifically for APCM documentation to ensure CMS compliance and structured data capture.
AI Call Routing and Triage
Configured the AI to handle high-frequency low-value calls, such as refill requests, diverting clinical staff to high-value APCM outreach.
Billing Module Mapping
Automated the transfer of care coordination time logs into the eCW billing module for APCM codes G0511 and G0512.
The Results
“Integrating Tile Health with our eClinicalWorks environment was the missing piece. We finally moved from just having an EHR to having a revenue-generating care management engine that doesn't burn out our staff. The automated documentation in the eCW Care Management module is a game changer.”
Frequently Asked Questions
We utilize the eClinicalWorks FHIR API and custom SFTP integrations to push encounter logs and time-stamped care minutes directly into the patient's care management record.
No, our system can identify eligible APCM patients by querying the core eCW database and patient registry without requiring additional paid eCW modules.
Yes, our AI is trained to guide patients through the eCW portal login process, which significantly reduces the help desk call volume for your front office staff.
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