Epic EHR APCM Revenue Growth Case Study | Tile Healthcare
See how a multi-specialty group using Epic EHR increased revenue via AI-driven APCM workflows, MyChart integration, and automated patient identification.
A large multi-specialty health system using Epic EHR struggled to monetize Advanced Primary Care Management (APCM) due to technical complexity. By implementing Tile Healthcare's AI-driven call solutions, they automated patient identification and enrollment workflows directly within their Epic environment, turning a manual burden into a high-performance revenue stream.
Despite utilizing Epic, the practice faced high friction in APCM adoption. Identifying eligible patients required manual SQL reports, and the internal care management team was overwhelmed by phone outreach. Documenting the required non-face-to-face care within Epic’s standard modules was time-prohibitive, and MyChart messages alone yielded low enrollment rates among the elderly population.
Tile Healthcare deployed an AI-powered call center integrated with Epic via FHIR APIs. The solution automated outreach to patients identified in the Epic Patient Registry, handled initial APCM consent, and synchronized care plan documentation into Epic Flowsheets. The AI handled high-volume phone interactions while capturing billable time and updating Epic billing workqueues automatically.
How They Rolled It Out
Epic Registry Configuration
Built custom patient registries within Epic to dynamically identify APCM-eligible patients based on HCC scores and chronic condition flags for automated list generation.
FHIR API Integration
Established secure API connections between Tile’s AI platform and Epic to allow real-time reading of patient demographics and writing of clinical care notes.
MyChart Workflow Alignment
Configured automated MyChart notifications to precede AI phone outreach, ensuring patients were informed and increasing trust during the enrollment call.
SmartForm Documentation Mapping
Mapped AI call transcripts and interaction logs to specific Epic SmartForms to satisfy CMS documentation requirements and trigger the appropriate CPT codes.
The Results
“Integrating Tile's AI with our Epic instance transformed our APCM program. We went from struggling with manual reports to a fully automated revenue stream that improves patient outcomes without adding burden to our clinical staff or requiring a custom build from our IT team.”
Frequently Asked Questions
The AI populates specific Epic SmartData Elements (SDEs) and Flowsheets that are pre-configured to align with CMS requirements, ensuring audit-ready documentation within the native EHR.
No, the solution utilizes standard Epic Interconnect and FHIR APIs, making it compatible across multiple Epic versions and resilient during standard quarterly upgrade cycles.
The system sends a MyChart message to the patient first; if no response is received, the AI initiates a phone call, ensuring a coordinated, multi-channel communication strategy.
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