Athenahealth APCM Patient Enrollment Checklist
Streamline APCM enrollment in athenaOne. Use this checklist for chronic care patient identification, billing setup, and AI-powered outreach workflows.
Successfully enrolling patients in the Advanced Primary Care Management (APCM) program requires seamless coordination within your athenaOne environment. This checklist ensures your independent practice identifies eligible patients via custom reporting, configures athenaCollector for G-code billing, and leverages AI automation for patient consent outreach.
Work through each item below to audit your practice. Check off completed items to track where you stand.
Patient Identification & Eligibility Reporting
Utilize athenaOne's data engine to find and prioritize your chronic care population.
AthenaOne Configuration for APCM
Ensure your clinical workflows are optimized for APCM documentation and tracking.
Billing & Claim Rule Setup
Prepare athenaCollector to handle new APCM G-codes without denials.
AI Outreach & Patient Consent
Leverage AI voice automation to scale your enrollment process.
Frequently Asked Questions
Yes, but you must manually add these codes to your fee schedule and ensure your claim rules are updated to prevent conflicts with traditional CCM or PCM codes.
AI call handling automates the high-volume task of contacting eligible patients, explaining the program, and documenting consent back into athenaOne, saving staff hours.
APCM can be managed using standard athenaOne clinical and billing modules, though custom reporting and Marketplace integrations for outreach are highly recommended.
While APCM is a bundled payment, you should use athena's 'Time Documentation' features or custom encounter notes to prove that the care management requirements were met.
Ready to transform your athenahealth practice?
See how Tile Healthcare's AI call center can handle scheduling, triage, and patient communication for your practice.
Schedule a Demo