For independent and group practices

A second revenue line from the panel you already have

Most independent practices are eligible for far more APCM revenue than they capture, and the gap is almost always administrative rather than clinical.

What gets in the way

And what the software does about each one.

Enrollments that never get billed

A patient consents in June and is first billed in September. Those months are gone. Overdue months are flagged on the tracker and the dashboard.

Consent you cannot produce

An auditor asks for consent on a patient enrolled two years ago. It is attached to the enrollment, with the date and who recorded it.

Accidental overlap with CCM

A care-management vendor enrolls your patient in CCM and the same month is billed for both. Import their roster and the software blocks it.

No idea which office or provider is performing

Enrollment, revenue and blocked counts break down by location, by provider, and by who did the enrolling.

This page is for you if: You have a Medicare panel, you deliver care coordination already, and nobody's job title is APCM.

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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