APCM Chronic Care Enrollment Checklist & Compliance Guide
Ensure CMS compliance for APCM enrollment. Our checklist covers the 13 service elements, care plan documentation, and AI-powered audit preparation.
Successful Advanced Primary Care Management (APCM) begins with a compliant enrollment process. To survive CMS audits and prevent clawbacks, practices must meticulously document the 13 required service elements from the first interaction. Using AI call handling ensures that every patient consent and care plan discussion is captured with timestamped accuracy, creating an ironclad audit trail for ...
Work through each item below to audit your practice. Check off completed items to track where you stand.
Patient Eligibility & Consent
The foundation of APCM compliance is verifying patient eligibility and capturing informed consent according to CMS standards.
Comprehensive Care Plan Documentation
CMS requires a person-centered care plan that addresses the 13 service elements and is shared with the patient.
Infrastructure and AI Integration
Leveraging technology to automate documentation and ensure all telephonic interactions meet compliance standards.
Frequently Asked Questions
AI captures every interaction, providing timestamped transcripts and summaries that prove the delivery of required service elements, reducing the risk of clawbacks from CMS or OIG.
They include 24/7 access, systematic assessment, medication management, and a shared care plan, among others, all of which must be documented to survive a CMS audit.
Yes, CMS allows verbal consent, but it must be clearly documented in the medical record with the date, time, and specific details of the explanation provided to the patient regarding cost-sharing.
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