Advanced Primary Care Management
Advanced Primary Care Management (APCM) represents a comprehensive approach to primary care that integrates multiple care management programs, remote monitoring, preventive services, and behavioral health into a unified care delivery model. Rather than isolated programs, APCM creates an integrated system supported by care coordinators, advanced practice providers, and technology platforms for Patient-Centered Medical Homes and primary care practices in CMS Innovation Center models.
Key benefits
Unified care coordination platform
Multiple billing codes (CCM, RPM, TCM, AWV)
Team-based care delivery
AI-driven care insights
Patient 360° dashboard
$200-$400 per patient per month
Essential capabilities
The main features included in this program.
Advanced Primary Care Management
Enhanced primary care services combining care coordination, chronic disease management, and advanced analytics.
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EMR Integration
FHIR and HL7 integration with existing EMR/EHR systems for seamless data exchange.
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Time Tracking & Compliance
Automated time tracking for Medicaid services ensuring accurate documentation for reimbursement.
Web-Based Platform
Cloud-based RPM software accessible from any device, designed specifically for home care workflows.
Provider Reporting
Comprehensive provider dashboards and performance reports for quality improvement and billing optimization.
All features (17)
The complete list of capabilities included in this program.
Care Team Collaboration
Shared notes, time tracking, and task automation for seamless care coordination.
Learn more → EMR Integration
FHIR and HL7 integration with existing EMR/EHR systems for seamless data exchange.
Learn more → Time Tracking & Compliance
Automated time tracking for Medicaid services ensuring accurate documentation for reimbursement.
Web-Based Platform
Cloud-based RPM software accessible from any device, designed specifically for home care workflows.
AI-Powered Questionnaires
Adaptive AI questionnaires for RTM and CCM that personalize based on patient responses and conditions.
Audit-Ready Documentation
Comprehensive reporting and documentation that meets TMHP audit requirements for Medicaid billing.
Smart Multilingual Messaging
AI-powered multilingual communication that automatically translates messages to reach diverse patient populations.
HIPAA Secure Platform
Enterprise-grade security with full HIPAA compliance, end-to-end encryption, and regular security audits.
Patient Onboarding
Streamlined enrollment process with guided setup, device pairing assistance, and patient education materials.
Digital Consent Forms
Paperless consent management with electronic signatures, secure storage, and automated compliance tracking.
Medication Tracking & Reconciliation
Comprehensive medication management with adherence tracking, interaction alerts, and automated reconciliation.
Mobile Access
Full-featured mobile apps for iOS and Android enabling care teams to monitor and respond from anywhere.
Multi-Language Support
Support for 20+ languages including Spanish, Vietnamese, and other common patient languages.
Data Export Tools
Export patient data, billing reports, and compliance documentation in multiple formats (PDF, CSV, Excel).
Provider Reporting
Comprehensive provider dashboards and performance reports for quality improvement and billing optimization.
Redundancy
Cloud-based infrastructure with automatic backups and 99.9% uptime guarantee for reliable 24/7 access.
Advanced Primary Care Management
Enhanced primary care services combining care coordination, chronic disease management, and advanced analytics.
Learn more →How you get paid
Built for these providers
Patient-Centered Medical Homes
Primary Care First Participants
ACO REACH Participants
Advanced Primary Care Practices
Comprehensive Primary Care Plus (CPC+)
Transform Your Primary Care Practice
Deliver comprehensive, coordinated care with advanced technology.
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