Oracle Health APCM Patient Enrollment Checklist

Ensure HealtheIntent registries are synced with PowerChart to flag APCM-eligible patients across the health system.

Set up custom algorithms to prioritize patients with two or more chronic conditions for immediate outreach.

Verify that outpatient-specific records are partitioned from inpatient data to ensure billing accuracy for APCM codes.

Identify patients missing annual wellness visits (AWV) who are prime candidates for chronic care management.

Use multi-facility filters to ensure correct patient attribution for health systems with complex billing structures.

Use AI-powered voice handling to contact eligible patients and explain the benefits of the APCM program.

Trigger the delivery of APCM participation agreements via the Cerner Patient Portal following a successful outreach call.

Ensure AI interactions are logged as verbal consent directly into the PowerChart Social History or APCM tab.

Configure AI to answer specific questions regarding APCM copays and benefits based on the latest CMS guidelines.

Automate the creation of follow-up tasks in the Cerner Message Center if a patient requests a nurse callback.

Create a unified APCM template within Dynamic Documentation to ensure all required CMS elements are captured.

Map APCM enrollment status to discrete clinical event codes to facilitate automated reporting and auditing.

Configure PowerChart to ensure the 'Comprehensive Care Plan' is viewable across all nodes in a multi-facility setup.

Develop time-stamped PowerForms to track the 20+ minutes of non-face-to-face care required for billing.

Activate 'Advisors' in PowerChart to alert clinicians of a patient's APCM status during routine office visits.