APCM & Chronic Care Management Automation for Primary Care
Maximize APCM revenue and improve primary care patient outcomes with AI-automated chronic care management, eligibility tracking, and 24/7 access.
Primary care practices often struggle to capture the full revenue potential of Medicare's Advanced Primary Care Management (APCM) services. Our AI-driven automation handles the complex logistics of patient eligibility, 24/7 access, and enrollment workflows, allowing your clinical staff to focus on patient care while ensuring compliance with codes G0556, G0557, and G0558.
APCM Eligibility & Billing
4 questionsOur AI system integrates with your EHR to identify Medicare patients with multiple chronic conditions. It automatically categorizes them into the correct billing tiers based on complexity and risk levels, ensuring you never miss a reimbursement opportunity for high-risk patients.
Yes. The automation engine is programmed with the latest CMS service elements. It monitors the specific documentation requirements for APCM, such as 24/7 access and systematic assessment, ensuring all billing criteria are met before claims are submitted.
Many practices lose revenue because staff fail to document the required monthly minutes or 24/7 availability. AI automates the tracking of these interactions and ensures that every eligible patient encounter is logged and ready for billing.
Absolutely. The AI can conduct outbound enrollment calls to eligible Medicare patients, explaining the benefits of the program, obtaining verbal consent, and scheduling the initial comprehensive assessment, all without interrupting your front desk.
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