Advanced Primary Care Management (APCM)
Advanced Primary Care Management (APCM) is a Medicare program that provides a tailored approach based on an individual patient’s needs, and is designed to help close care gaps and improve patient communication. Through a systematic needs assessment, APCM supports longitudinal, coordinated patient-centered care. This coordinated approach gives practices greater visibility into patient needs, supports timely follow-up, and helps deliver more consistent, proactive care.
More Connected, Proactive Care Between Office Visits
Advanced Primary Care Management Reimbursement Codes
1
APCM Level 1:
$15 per patient/month
(Code G0556)
2
APCM Level 2:
$50 per patient/month (Code G0557)
3
APCM Level 3:
$110 per patient/month (Code G0558)
Level 1: Patients with 1 or fewer chronic conditions
Level 2: Patients with 2+ qualifying chronic conditions
Level 3: Qualified Medicare Beneficiaries (QMBs) with 2+ qualifying chronic conditions
Supporting Connected Care
APCM helps practices stay connected to patients beyond the traditional office visit. Through ongoing care coordination, structured follow-up, and visibility into patient needs, care teams can identify gaps sooner and help patients stay on track with their care plan.
RemetricHealth can support key elements of advanced primary care:
- Patient Consent
- Follow-up after hospital or emergency department visits
- Medication management and patient adherence
- Helping patients access preventive services
- Communication with patients between appointments
- Coordination of information with providers
APCM Components
Medical Records
Management
Measurement and Reporting
Comprehensive Care Plan
Based Care
Management
Opportunities
APCM + Remote Patient Monitoring
APCM and Remote Patient Monitoring can work together to give care teams greater visibility into what is happening between office visits. APCM provides the framework for ongoing care coordination and communication, while RPM can add regularly collected physiologic data such as blood pressure, weight, blood glucose, or other measurements.
Together, these services can help practices identify changes sooner, prioritize outreach, and make patient interactions more informed.