APCM Enrollment Checklist for Group Practices

Form a committee of lead physicians and administrators to oversee APCM rollout and standardization across all group locations.

Create a clear hierarchy for attributing patients who see multiple providers within the group practice to a single billing physician.

Ensure every patient is linked to a single billing physician in the EHR for APCM claim submission and accurate reporting.

Create a uniform consent form used by all providers to maintain group-wide compliance standards and simplify auditing.

Adjust EHR settings to allow for group-level tracking of chronic care management minutes and tasks performed by shared staff.

Use AI call handling to automatically screen incoming calls for APCM eligibility based on diagnosis codes and insurance type.

Set up automated phone and SMS campaigns to invite eligible chronic care patients to enroll in the APCM program.

Use multi-channel alerts to ensure patients are aware of APCM benefits before their next scheduled appointment with any provider.

Verify insurance eligibility for APCM codes automatically before enrollment calls to prevent billing denials later.

Allow AI assistants to book enrollment appointments directly into the shared group calendar for care coordinators.

Create standardized chronic care plan templates that all providers in the group agree to use for consistency and quality.

Train centralized care coordinators to manage patients across different physical office locations using standardized protocols.

Establish a shared messaging system for care managers to update primary providers on patient status and care plan changes.

Standardize how medication lists are updated and reconciled across the entire group practice to reduce clinical errors.

Create a group-wide protocol for handling urgent clinical alerts generated during APCM monitoring and triage.

Implement a dashboard to track APCM revenue and attribute it to individual physicians for compensation and performance reviews.

Monitor the time spent by shared care managers to ensure fair resource allocation across the different providers in the group.

Align APCM data collection with MIPS group reporting requirements to maximize quality scores and incentive payments.

Schedule recurring audits of APCM billing codes to prevent overlap or duplicate claims within the multi-provider group.

Maintain a centralized, timestamped log of all patient consents to satisfy CMS audit requirements for the entire group practice.