For billing companies, MSOs and care-management vendors

Run APCM for your clients without building it

If you already deliver billing or care management, APCM is an adjacent line you can offer without adding clinical staff. The administration is the product, and it is the part you would otherwise have to build.

What gets in the way

And what the software does about each one.

Client separation that holds

Each practice is a tenant with its own users, offices, providers and settings. Data does not cross between them.

Configurable per client

Offices, provider lists, who may enroll, the default incentive and the first billable month are set per practice, not globally.

Bulk data in and out

Panel and care-management rosters import with a dry run first, a per-row report, and every change recorded — so a bad import is visible before it is committed.

Evidence for your clients

Reconciliation by service month and by submission month, and an audit trail you can hand over.

This page is for you if: You serve multiple practices and want an APCM offering you can operate rather than engineer.

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 — 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.

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Small & Medium Practices Healthcare Enterprise