Question 1

How does APCM billing work for Pulmonology practices?

Accepted Answer

Medicare’s Advanced Primary Care Management (APCM) allows Pulmonologists to bill for ongoing care coordination. Our AI automates the monthly outreach required to meet these billing codes, focusing on patients with COPD and asthma who require regular monitoring.

Question 2

How does AI automation increase APCM enrollment rates?

Accepted Answer

Tile’s AI identifies patients eligible for APCM based on their diagnosis codes and automatically initiates outreach calls to explain the program benefits and obtain consent, significantly increasing enrollment without adding work for your front desk.

Question 3

Can AI track the time spent on non-face-to-face respiratory care?

Accepted Answer

Yes, Tile provides detailed logs of every patient interaction, including duration and clinical notes, which can be directly imported into your EMR to satisfy CMS documentation requirements for 20 minutes of monthly clinical staff time.

Question 4

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

Accepted Answer

By automating the 20 minutes of monthly staff time required for CPT 99490, Pulmonology practices can scale their APCM programs to hundreds of patients, capturing thousands in monthly revenue while reducing overhead costs.

Question 5

How does Tile prevent 30-day COPD hospital readmissions?

Accepted Answer

By automating post-discharge follow-ups, the AI identifies early signs of respiratory distress within the critical 30-day window, allowing for early intervention and helping practices avoid CMS readmission penalties.

Question 6

Can the AI monitor inhaler adherence and technique?

Accepted Answer

The AI conducts regular check-ins to ask patients about their inhaler usage and symptoms. If a patient reports frequent rescue inhaler use or difficulty with their device, the system triggers an alert for a clinical technique review.

Question 7

How does the system handle seasonal exacerbation call spikes?

Accepted Answer

During peak flu or allergy seasons, the AI handles unlimited concurrent calls, ensuring no patient with a COPD exacerbation is put on hold while screening for urgent versus routine respiratory needs.

Question 8

Does the AI support smoking cessation counseling workflows?

Accepted Answer

Tile automates the periodic follow-up calls required for smoking cessation programs, tracking patient progress and scheduling counseling sessions to maximize preventative care revenue and meet quality metrics.

Question 9

Is Tile's AI compliant with GOLD COPD guidelines?

Accepted Answer

Yes, the AI logic is customizable to align with GOLD (Global Initiative for Chronic Obstructive Lung Disease) guidelines, ensuring that automated patient assessments follow standard-of-care protocols for symptom management.

Question 10

How does the system coordinate oxygen therapy and DME supplies?

Accepted Answer

The AI manages the logistics of oxygen therapy by checking flow rate compliance and coordinating with DME providers when patients report equipment issues or low tank levels, ensuring continuous respiratory support.

Question 11

Can AI automate pulmonary rehabilitation follow-up calls?

Accepted Answer

Tile automates the outreach for pulmonary rehab graduates, monitoring their exercise adherence and scheduling maintenance sessions to ensure long-term recovery and consistent practice revenue.

Question 12

How does the AI integrate with Pulmonology-specific EMRs?

Accepted Answer

Tile is designed to integrate with leading EMRs via HL7 or FHIR APIs, ensuring that all patient call data, symptom reports, and APCM minutes are synced directly with your existing clinical workflows.

Medicare Chronic Care Revenue for Pulmonology | FAQ Guide

Medicare Revenue & APCM Strategy

COPD & Asthma Clinical Outcomes

Operational Efficiency & Compliance

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