For groups, MSOs and health systems

One program, many sites, one view

At multi-site scale the questions change. Not whether APCM is worth running, but whether it is being run consistently, and whether you could prove it.

What gets in the way

And what the software does about each one.

Inconsistent practice between sites

One office documents consent properly and another does not. Per-location reporting shows enrollment, revenue and blocked counts side by side.

Accountability across a large workforce

Every enrollment, edit, billing mark and payout is attributed to a person and readable by user, which is what ยง164.312(b) asks for.

Program-level revenue visibility

Standing monthly run-rate and annualised value per site and per provider, separate from what has actually been claimed and collected.

Incentive administration

If staff are paid per enrollment, what is owed and to whom is a report rather than a spreadsheet someone maintains.

This page is for you if: You run primary care across multiple locations and need the program to be uniform, measurable and defensible.

The rules the software enforces

APCM cannot be billed in a month the patient is also on CCM, TCM or PCM
No consent on file means no claim โ€” the row is blocked, not warned
G0558 requires verified QMB status
The billing provider must be the patient's primary care medical home
A withdrawal takes effect at month end, so the final month still bills
Re-enrollment requires fresh consent; the earlier period keeps the consent that covered it

Let's talk specifics

Every practice runs this differently. Tell us how yours works and we will come back with what it would take.

Request a proposal