Question 1

How does AI facilitate Osteoporosis APCM enrollment?

Accepted Answer

Our AI identifies Medicare patients with a diagnosis of osteoporosis and initiates automated outreach to explain the benefits of the Advanced Primary Care Management program. It handles the initial education and captures verbal consent, allowing your clinical staff to focus on high-complexity care plans rather than administrative phone tag.

Question 2

What documentation is required for osteoporosis CCM billing?

Accepted Answer

Medicare requires at least 20 minutes of non-face-to-face care coordination per month. The AI platform automatically logs every minute spent on patient outreach, medication adherence checks, and DEXA scheduling, providing a comprehensive audit trail that supports your CPT 99490 and APCM billing requirements.

Question 3

Can the AI handle secondary fracture prevention enrollment?

Accepted Answer

Yes. The system can be configured to flag patients who have recently suffered a fragility fracture. It then initiates a specific secondary prevention workflow, ensuring these high-risk patients are enrolled in intensive monitoring to prevent subsequent fractures.

Question 4

How does the system capture patient consent for chronic care?

Accepted Answer

The AI uses natural language processing to conduct consent conversations. It explains the CCM program, including any potential cost-sharing, and records the patient's agreement. This recording and a transcript are then synced to your EHR to meet Medicare’s documentation standards.

Question 5

How does AI track denosumab (Prolia) injection schedules?

Accepted Answer

Denosumab requires strict 6-month dosing intervals. The AI monitors the last administration date and begins automated outreach 30 days before the next dose is due. It assists the patient in scheduling their in-office injection, significantly reducing the risk of missed doses and subsequent bone loss.

Question 6

Can the AI monitor for bisphosphonate side effects?

Accepted Answer

During routine check-in calls, the AI asks specific questions regarding common side effects such as esophageal irritation or unusual thigh pain. If a patient reports symptoms, the system immediately escalates the case to a nurse or provider for clinical intervention.

Question 7

How are calcium and vitamin D supplements tracked?

Accepted Answer

The AI performs regular nutritional check-ins, asking patients about their daily intake of calcium and vitamin D as prescribed in their care plan. It provides automated educational tips on supplement absorption and dietary sources, ensuring the patient remains compliant with the foundational elements of bone health.

Question 8

Does the AI assist with prior authorizations for anabolic agents?

Accepted Answer

While it does not file the claim, the AI collects necessary clinical history from the patient, such as previous treatment failures or fracture history. This data is organized into a summary for your staff, making the prior authorization process for drugs like Teriparatide or Romosozumab much faster.

Question 9

How does the AI manage DEXA scan intervals?

Accepted Answer

Medicare typically covers DEXA scans every 24 months. Our AI tracks the date of the last scan and automatically contacts the patient when they become eligible for their next bone density test, ensuring your practice maintains consistent monitoring of T-scores and treatment efficacy.

Question 10

Can the AI explain T-scores to patients?

Accepted Answer

The AI can be programmed with your practice's specific educational templates to explain what T-scores mean in general terms. This helps prepare patients for their follow-up appointment with the provider, making the face-to-face time more productive and focused on treatment decisions.

Question 11

How does the system handle DEXA no-shows?

Accepted Answer

If a patient misses their scheduled bone density appointment, the AI detects the status change in your EHR and initiates a 're-engagement' call. It addresses potential barriers to care, such as transportation issues, and offers to reschedule the appointment immediately.

Question 12

Does the AI integrate with external imaging centers?

Accepted Answer

Yes. If your practice refers DEXA scans to an outside radiology group, the AI can facilitate the referral by providing the patient with the center's contact information and following up to ensure the scan was completed and the results were sent back to your office.

Question 13

How is fall risk assessment automated?

Accepted Answer

The AI conducts the CDC-recommended 'Stay Independent' screening via automated phone calls. It asks patients about their history of falls, fear of falling, and balance issues. The results are scored and uploaded to the patient's chart, flagging high-risk individuals for immediate clinical review.

Question 14

Can the AI coordinate home safety evaluations?

Accepted Answer

For patients identified as high-risk during the fall screening, the AI can suggest a home safety evaluation. It can trigger a referral to physical or occupational therapy and follow up with the patient to ensure the evaluation took place and that recommended home modifications were made.

Question 15

How are weight-bearing exercise goals monitored?

Accepted Answer

The AI check-ins include questions about the patient's adherence to their prescribed exercise regimen. It tracks minutes of weight-bearing activity and provides positive reinforcement, helping to maintain the lifestyle changes necessary for long-term bone density preservation.

Question 16

Does the AI provide fall prevention education?

Accepted Answer

Yes. The system delivers bite-sized educational modules during regular outreach calls, covering topics like proper footwear, removing household trip hazards, and the importance of adequate lighting. This ongoing education is a key component of a successful osteoporosis CCM program.

Osteoporosis CCM & APCM Automation FAQ | Tile Healthcare

APCM & CCM Enrollment

Medication Adherence & Monitoring

DEXA Scheduling & Care Planning

Fall Prevention & Home Safety

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