Question 1

How do I activate the Care Management module in eClinicalWorks?

Accepted Answer

Activation is handled through the 'EMR' menu under 'Care Management'. You must configure the CCM settings to enable the timer and registry functions, ensuring your providers have the necessary permissions to log non-face-to-face time against specific ICD-10 codes.

Question 2

Can eCW automatically identify patients eligible for APCM?

Accepted Answer

Yes, by using the Population Health and HEDIS dashboards within eCW, you can filter your patient registry by chronic conditions (2+ required for CCM) and insurance type to generate a list of eligible candidates for the APCM program.

Question 3

How do we set up custom templates for CCM documentation in eCW?

Accepted Answer

Navigate to the 'Template Management' section. Create a structured 'CCM Encounter' template that includes fields for care plan goals, medication reconciliation, and barrier identification. This ensures all CMS-required documentation is captured during the 20-minute service period.

Question 4

What is the best way to track time for CCM within eClinicalWorks?

Accepted Answer

While eCW has a native Care Management timer, many practices find it cumbersome. Integrating an AI automation tool allows you to automatically log time from phone calls and portal messages directly into the eCW encounter, reducing manual entry errors.

Question 5

Which CPT codes are supported for CCM in eCW billing?

Accepted Answer

eCW supports 99490, 99439, 99491, and the new APCM codes. You must ensure these are mapped in your 'Fee Schedule' and that the 'Care Management' module is linked to the billing dashboard for seamless claim generation.

Question 6

How does AI automation prevent billing leakage in eClinicalWorks?

Accepted Answer

AI captures every minute of staff interaction with the patient, including after-hours calls and care coordination. By automatically pushing these time logs to the eCW billing module, you ensure no billable minutes are lost due to staff forgetting to start the timer.

Question 7

Can eCW handle the new CMS APCM billing requirements?

Accepted Answer

Yes, but it requires specific configuration of the billing module and registry to track the month-long service period. You must ensure the 'Advanced Primary Care Management' codes are added to your E&M favorites for easy selection by providers.

Question 8

Does eCW support automated claims submission for chronic care?

Accepted Answer

Once the care manager signs off on the accumulated time log in the CCM module, eCW can push the data to the 'Claim Dashboard'. Automation tools further streamline this by verifying that the 20-minute threshold was met before the claim is queued.

Question 9

How does Tile Health's AI integrate with the eCW Patient Portal?

Accepted Answer

The AI uses eClinicalWorks APIs to sync care plan updates and push notifications to healow users. This ensures that any care coordination performed by the AI is reflected in the patient's portal record for full transparency.

Question 10

Can AI handle inbound calls for chronic care patients in eCW?

Accepted Answer

Yes, our AI identifies the caller via their phone number in the eCW database, accesses their current care plan, and logs the interaction as a 'Telephone Encounter' or 'Action Note' within the patient's chart automatically.

Question 11

How do we sync external care management data with eClinicalWorks?

Accepted Answer

Data is synced through eCW’s Interoperability Hub or via direct API integration. This ensures that the EMR remains the 'source of truth' while allowing external AI tools to facilitate the heavy lifting of patient outreach.

Question 12

Does AI automation improve HEDIS scores in eCW?

Accepted Answer

Absolutely. By automating outreach for care gaps (like A1c checks or colonoscopies) and documenting these interactions directly in the eCW HEDIS dashboard, you improve your performance metrics without increasing staff workload.

Question 13

Is the AI integration with eClinicalWorks HIPAA compliant?

Accepted Answer

Yes, all data transfers between Tile Health and eClinicalWorks are encrypted and performed under a BAA-compliant framework. We utilize the eClinicalWorks Developer Network to ensure secure, authorized access to patient records.

Question 14

How does eCW handle interoperability for CCM?

Accepted Answer

eCW utilizes CommonWell and Carequality frameworks. Our AI can leverage these connections to pull external hospital discharge summaries into the CCM care plan, ensuring the most up-to-date information is available for care coordination.

Question 15

What documentation is required in eCW for an APCM audit?

Accepted Answer

CMS requires a comprehensive care plan, documented patient consent, and a log showing at least 20 minutes of non-face-to-face care. These must be stored in the 'Documents' or 'Care Management' section of the eCW chart.

Question 16

Can we automate patient consent for CCM within eClinicalWorks?

Accepted Answer

Yes, consent can be captured via healow eForms or through an automated AI voice call. The AI records the verbal consent and uploads the timestamped audio or transcript directly to the patient's 'Virtual Chart' in eCW.

eClinicalWorks CCM Automation FAQ | Tile Health

eCW Configuration & Module Setup

Billing & Reimbursement Optimization

AI Integration & Workflow Automation

Compliance & Interoperability

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