Key Takeaways
Deliver APCM services efficiently and elevate the quality of primary care for your Medicare patients. We enable providers to streamline APCM delivery while optimizing reimbursements.
“133 million Americans—or 40% of the U.S. population—live with at least one chronic disease.”
CMS’ Advanced Primary Care Management (APCM) program integrates care coordination, preventive care, chronic disease management, and patient engagement into a streamlined approach that rewards healthcare providers for delivering high-quality, comprehensive primary care.
Advanced Primary Care Management (APCM) differs from other care management programs in several key ways. Here's a breakdown
Reimbursement and coding are determined by patient risk stratification, focusing on the patient's overall risk profile rather than the time spent on care activities.
Eliminates the need for providers to document a minimum amount of time spent on care. Instead, the focus is on care management activities and measurable outcomes, like improving patient health and preventing hospitalizations.
Designed for all Medicare beneficiaries, regardless of whether they have chronic conditions. It encompasses a wider range of primary care needs, including preventive services, acute care, and behavioral health.
It requires providers to participate in quality measurement programs, aligning care delivery with CMS value-based care initiatives. Success is evaluated based on metrics like improved outcomes, reduced hospitalizations, and patient satisfaction.
APCM follows its own set of requirements and reimbursement models.
With HealthViewX, healthcare systems can seamlessly implement and manage Advanced Primary Care programs, enabling compliance with CMS guidelines while enhancing care delivery efficiency. Our platform is purpose-built to support healthcare providers in delivering high-quality primary care services that prioritize patient outcomes and reduce administrative burdens.
By partnering with HealthViewX for Advanced Primary Care Management, healthcare systems can better manage the needs of their Medicare patients, achieve regulatory compliance, and drive financial success in a value-based care environment.
Deliver personalized, continuous care to improve patient satisfaction and health outcomes.
Automate routine tasks, allowing care teams to focus on what matters most—patient care.
Drive value-based profitability with optimized reimbursements and reduced readmissions.
Stay ahead of regulatory changes with a platform built to evolve with CMS requirements.
Coding is based on patient risk stratification and not time. APCM offers three risk-stratified HCPCS codes. The three new codes would include G0556, G0557, and G0558, which the practitioner of record can bill per patient per month.
