Medicare SUD Chronic Care Revenue & APCM FAQ | Tile Healthcare

Yes, the AI handles the collection and verification of patient consents for MAT. It can automatically flag records where consent has expired or been revoked, preventing accidental disclosures during care coordination with primary care or emergency departments, which is a critical risk in SUD management.

Absolutely. Beyond standard HIPAA encryption, our system uses advanced redaction for sensitive identifiers and ensures all data is stored in secure, siloed environments. This allows SUD practices to utilize modern communication tools while adhering to the highest standards of federal and state privacy laws.

The platform generates comprehensive, timestamped logs of all patient interactions, including automated check-ins and symptom screenings. These logs serve as audit-ready evidence of patient engagement, demonstrating the substantial care required for Medicare APCM and BHI reimbursement.

For Alcohol Use Disorder, regular structured contact is vital. The AI performs scheduled wellness checks, monitoring for behavioral changes or environmental triggers. This consistent engagement keeps patients connected to their care plan between office visits, which is essential for long-term sobriety.

Yes, the AI can track whether a patient and their support system have active naloxone prescriptions and provide education on its use during routine check-ins. This proactive coordination is a key component of the comprehensive care management rewarded under the new Medicare BHI models.

By using natural language processing to handle appointment confirmations and rescheduling, the AI reduces barriers to care. It can address common reasons for no-shows, such as transportation issues or pharmacy delays, by routing those specific needs to the appropriate staff member instantly.