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.

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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

1.
Patient Consent
2.
Initiating Visit
3.
24/7 Access to Care and
Medical Records
4.
Comprehensive Care
Management
5.
Quality and Performance
Measurement and Reporting
6.
Electronic
Comprehensive Care Plan
7.
Coordinated Care Transitions
8.
Home and Community
Based Care
9.
Patient Population Level
Management
10.
Enhanced Communication
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.

Learn About Remote Patient Monitoring

Explore whether APCM fits your practice

RemetricHealth can help your practice evaluate APCM, determine which patients may be appropriate, and build a coordinated care workflow around your existing clinical team.

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