Question 1

How do I identify APCM-eligible patients within AdvancedMD?

Accepted Answer

You can identify eligible patients by using the AdvancedMD Reporting module to run a 'Patient List' report filtered by specific ICD-10 codes. Focus on patients with two or more chronic conditions. Tile Healthcare’s AI can automate this process by pulling these lists via API, identifying high-priority candidates who haven't yet been enrolled in your CCM program.

Question 2

Can AdvancedMD analytics track CCM enrollment rates?

Accepted Answer

Yes, AdvancedMD’s dashboard can be customized to track enrollment, but it requires manual setup of 'Patient Status' flags. AI automation simplifies this by tagging enrolled patients in the PM module and providing real-time analytics on outreach success rates, ensuring your practice meets CMS participation goals.

Question 3

Does Tile Healthcare sync with AdvancedMD patient lists automatically?

Accepted Answer

Tile Healthcare integrates directly with AdvancedMD via secure API. This allows for the automatic synchronization of patient demographics and clinical data, ensuring that our AI call center always has the most up-to-date contact information and chronic condition history for your outreach campaigns.

Question 4

How often should we run eligibility reports in AdvancedMD?

Accepted Answer

We recommend running eligibility reports monthly to capture new patients or those whose conditions have evolved. With AI automation, this process is continuous; the system monitors the AdvancedMD database and triggers outreach as soon as a patient meets the criteria for APCM or CCM services.

Question 5

Which G-codes are used for APCM in AdvancedMD?

Accepted Answer

The primary codes used are G0511 for RHC/FQHC settings or G2211 and G0506 for standard independent practices. These must be added to your 'Master Procedure List' in the AdvancedMD PM module. Proper configuration ensures that the billing team can easily select these codes when documentation requirements are met.

Question 6

How do I configure the AdvancedMD billing module for APCM?

Accepted Answer

You must set up specific 'Billing Profiles' for APCM that include the relevant G-codes and required modifiers. Automation helps by ensuring that the 20 minutes of non-face-to-face time is accurately logged and pushed to the AdvancedMD claim scrubber, reducing the risk of denials due to insufficient documentation.

Question 7

Can AI automate the documentation required for AdvancedMD billing?

Accepted Answer

Absolutely. Every interaction handled by Tile Healthcare’s AI is transcribed and summarized. This summary, including the time spent, is automatically uploaded as an encounter note or an attachment to the patient's chart in AdvancedMD, providing a clear audit trail for CMS compliance.

Question 8

How does automation prevent CCM claim denials in AdvancedMD?

Accepted Answer

Denials often occur due to duplicate billing or lack of documented time. Our AI system checks the AdvancedMD billing history to ensure a CCM code hasn't already been billed for that month and verifies that all time-based requirements are met before the claim is generated in the PM module.

Question 9

How does AI handle CCM outreach for AdvancedMD practices?

Accepted Answer

The AI initiates personalized voice calls to eligible patients, explaining the benefits of the APCM program and obtaining consent. It uses natural language processing to answer patient questions and records the interaction directly into the AdvancedMD Patient Portal or EHR, mimicking a live care coordinator.

Question 10

Does Tile Healthcare integrate with AdvancedMD messaging?

Accepted Answer

Yes, our automation complements AdvancedMD’s native messaging. While AdvancedMD handles basic text reminders, our AI provides the deep-dive voice interactions required for CCM. Data from these calls can trigger follow-up messages or tasks within the AdvancedMD 'To-Do' list for clinical staff.

Question 11

How do we set up CCM templates within AdvancedMD EHR?

Accepted Answer

Practices should create a 'CCM Encounter Template' in the AdvancedMD EHR that includes fields for care plan updates and time tracking. Tile Healthcare can populate these templates automatically using the data gathered during AI patient interactions, saving providers hours of manual data entry.

Question 12

Does automation replace the AdvancedMD Patient Portal?

Accepted Answer

No, it enhances it. The AdvancedMD Patient Portal remains the hub for patient records, but AI automation handles the proactive outreach that portals cannot. This ensures higher engagement rates and ensures that care plans are actually being followed and documented for billing purposes.

Question 13

How does AI help small practices manage APCM overhead?

Accepted Answer

Small practices often lack the staff to make hundreds of monthly CCM calls. AI automation handles 90% of the outreach and documentation, only alerting your staff when a patient has a clinical need or an emergency, allowing you to scale your APCM program without hiring new full-time employees.

AdvancedMD CCM Automation FAQ: Scale APCM Revenue

Patient Identification & Analytics

Billing & Coding Configuration

Workflow & AI Integration

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