Question 1

How does AI help capture APCM revenue for osteoporosis patients?

Accepted Answer

Tile's AI automates the monthly 20-minute clinical staff time requirement for Advanced Primary Care Management (APCM). By handling routine check-ins regarding medication side effects, lifestyle modifications, and bone density follow-ups, the system logs every interaction, providing the necessary documentation for Medicare reimbursement.

Question 2

Can AI identify patients eligible for osteoporosis chronic care programs?

Accepted Answer

Yes, our AI integrates with your EHR to identify Medicare patients with a diagnosis of osteoporosis or a history of fragility fractures. It then initiates outreach to enroll them in chronic care management or APCM programs, ensuring no eligible patient—and no potential revenue—is overlooked.

Question 3

Does the AI support documentation for MIPS quality measures?

Accepted Answer

Absolutely. The AI specifically tracks and documents quality measures such as 'Osteoporosis Management in Women Who Had a Fracture' (Measure #39) and 'Falls: Screening for Future Fall Risk' (Measure #154), ensuring your practice meets the requirements for maximum Medicare incentive payments.

Question 4

What is the ROI of using AI for osteoporosis care management?

Accepted Answer

The ROI is generated through two main channels: increased billable APCM/CCM minutes without adding staff, and a significant reduction in missed DEXA scan appointments. By automating the high-volume, low-complexity calls, your clinical staff can focus on high-risk patients while the AI maintains the revenue-generating baseline.

Question 5

How are medication adherence checks billed under Medicare?

Accepted Answer

Medication adherence checks for drugs like bisphosphonates are billed as part of the monthly chronic care management cycle. Tile's AI performs these checks, documenting patient compliance and any reported gastrointestinal issues, which counts toward the required clinical interaction time.

Question 6

How does Tile manage denosumab (Prolia) injection tracking?

Accepted Answer

Denosumab requires strict six-month dosing intervals. Tile's AI automatically calls patients one month prior to their window to schedule the injection and follows up if they miss the appointment, preventing the rapid bone loss associated with delayed denosumab therapy.

Question 7

Can the AI handle DEXA scan scheduling and follow-up?

Accepted Answer

Yes. The AI monitors the two-year Medicare coverage window for DEXA scans. It proactively contacts patients when they are eligible for a repeat scan, explains the importance of T-score monitoring, and interfaces with your scheduling system to book the appointment.

Question 8

How are fall risk assessments integrated into the AI calls?

Accepted Answer

During routine chronic care calls, the AI conducts standardized fall risk screenings. If a patient reports a recent fall or increased instability, the AI immediately flags the record for a provider review and suggests a home safety evaluation, meeting Medicare's fall prevention quality standards.

Question 9

What happens if a patient reports side effects from bisphosphonates?

Accepted Answer

If a patient mentions symptoms like heartburn or jaw pain during an AI interaction, the system uses natural language processing to categorize the severity and immediately routes the transcript to your clinical team for urgent intervention, ensuring patient safety and treatment continuity.

Question 10

Does the AI support secondary fracture prevention programs?

Accepted Answer

Tile supports Fracture Liaison Service (FLS) models by automating the 30, 60, and 90-day post-fracture follow-ups. It ensures patients have started their pharmacotherapy, completed their DEXA, and are attending physical therapy, which are critical steps for preventing secondary fractures.

Question 11

How does the AI handle calcium and Vitamin D counseling?

Accepted Answer

The AI provides consistent, evidence-based reminders regarding daily calcium and Vitamin D intake. It can answer common patient questions about supplement types and timing, ensuring patients follow the NOF guidelines between office visits.

Question 12

Can the AI provide guidance on weight-bearing exercises?

Accepted Answer

Yes, as part of a structured care plan, the AI encourages patients to engage in weight-bearing and resistance exercises. It can provide verbal cues for simple balance exercises and track the patient's self-reported activity levels for your records.

Question 13

Is the AI capable of explaining DEXA results to patients?

Accepted Answer

While the AI does not diagnose, it can be programmed to share T-score results after a provider has reviewed them, explaining the difference between osteopenia and osteoporosis and reinforcing the importance of the prescribed treatment plan.

Question 14

How does the AI improve patient adherence to oral bisphosphonates?

Accepted Answer

The AI reinforces complex administration instructions—such as taking the pill on an empty stomach and remaining upright for 30 minutes. Regular automated check-ins confirm the patient is following these steps, which significantly reduces discontinuation rates due to preventable side effects.

Question 15

How does the system handle home safety evaluations?

Accepted Answer

The AI can walk patients through a home safety checklist, asking about trip hazards like throw rugs or poor lighting. The responses are compiled into a report for the provider to review during the next Annual Wellness Visit or chronic care check-in.

Osteoporosis Chronic Care Revenue & AI FAQ Guide

APCM & Billing Optimization

Clinical Workflow Automation

Patient Education & Safety

Ready to transform your osteoporosis practice?