Implement new program created by Medicare for primary care providers at scale with no additional admin cost
Implement new program created by Medicare for primary care providers at scale with no additional admin cost
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Advanced Primary Care Management is an alternative to current care management programs (starting Jan 1, 2025) that is administratively simpler and financially attractive.
Advanced Primary Care Management is an alternative to current care management programs (starting Jan 1, 2025) that is administratively simpler and financially attractive.
More than CCM
APCM is a single alternative that can be used in place of a number of current care management programs such as chronic care management, principal care management, transitional care management.
APCM is a single alternative that can be used in place of a number of current care management programs such as chronic care management, principal care management, transitional care management.
Population health view
APCM stratifies patient population into three groups based on health risk and offers different levels of payments for them to encourage matching of care management intensity to health risk.
APCM stratifies patient population into three groups based on health risk and offers different levels of payments for them to encourage matching of care management intensity to health risk.
Not timed
APCM requires the availability of several services for enrolled patients but is not a timed code – there is no requirement for the services to exceed specific time thresholds (e.g., 20 mins for chronic care management) to be able to bill for it
APCM requires the availability of several services for enrolled patients but is not a timed code – there is no requirement for the services to exceed specific time thresholds (e.g., 20 mins for chronic care management) to be able to bill for it
Predictable reimbursements
APCM offers a fee for service payment of $15 per month for Level 1 patients, $50 per month for Level 2 patients; and $100 per month for Level 3 patients (national rates – actual local rates will vary slightly from these numbers).
APCM offers a fee for service payment of $15 per month for Level 1 patients, $50 per month for Level 2 patients; and $100 per month for Level 3 patients (national rates – actual local rates will vary slightly from these numbers).
Significant revenue potential: Our experience shows an average of $50K per year per 100 Medicare and Medicare Advantage patients while also improving patient outcomes
Significant revenue potential: Our experience shows an average of $50K per year per 100 Medicare and Medicare Advantage patients while also improving patient outcomes
Drive practice efficiency and create a predictable cash flow through the implementation of APCM with
our platform
Drive practice efficiency and create a predictable cash flow through the implementation of APCM with
our platform
Population health analytics to support APCM based stratification
Population health analytics to support APCM based stratification
Personalized care plan creation and management
Personalized care plan creation and management
AI-driven automation of draft APCM note creation based on services provided
AI-driven automation of draft APCM note creation based on services provided
Support for new APCM related workflow automations
Support for new APCM related workflow automations
Asynchronous patient communication support, as required by APCM
Asynchronous patient communication support, as required by APCM
Automated billing report generation every month to simplify billing
Automated billing report generation every month to simplify billing
HIPAA compliant Automation Engine
EMR integration
Cellular devices & pill box for RPM/RTM
HIPAA compliant Automation Engine
EMR integration
Cellular devices & pill box for RPM/RTM