Advanced Primary Care Management (APCM)
Advanced Primary Care Management (APCM)
Get Paid for the Care You’re Already Providing
Advanced Primary Care Management (APCM) is a CMS-led model that rewards primary care providers for delivering proactive, coordinated, and non-visit-based care. With tiered monthly reimbursements and broader patient eligibility, APCM is transforming care coordination into a consistent revenue stream.
ReportingMD helps practices implement and scale APCM without added administrative burden.
Why APCM Matters
Monetize Non-Visit Care: Earn monthly payments for essential care coordination activities such as lab reviews, medication reconciliation, patient education, and follow-up planning.
Reduce Administrative Burden: Unlike Chronic Care Management (CCM) and Remote Patient Monitoring (RPM), APCM has no time-tracking requirement and minimal documentation, making it easier to implement without disrupting your workflows. For those already doing RPM, APCM complements it. For those using CCM, APCM offers a lower-lift alternative, eliminating the need for documented patient calls.
Broaden Patient Eligibility: Patients with one or more chronic conditions or none at all, if clinically appropriate, may qualify, significantly expanding your eligible population.
Stabilize Revenue Streams: APCM offers consistent, tiered monthly payments based on patient complexity. These payments scale with your panel and reflect the value of care you're already providing:
Tier 1 (~$15/month): For lower-complexity patients, this adds up to approximately $36,000 annually for a panel of 200.
Tier 2 (~$50/month): The most common tier, 200 patients can generate roughly $120,000 in annual revenue.
Tier 3 (up to ~$110/month): High-complexity or QMB patients can yield over $260,000 per year with a similarly sized panel.
These payments reward care you're already delivering, turning coordination efforts into scalable, recurring revenue.
How ReportingMD Powers APCM Success
With the TOM™ platform and our expert advisors, ReportingMD provides:
Automated Patient Stratification: Identify eligible patients using demographic, clinical data, and visit history.
Integrated Documentation & Reporting: TOM™ automates APCM documentation and reporting within existing workflows, no separate system required.
Real-Time Program Insights: Dashboards track performance, revenue impact, and care gap closure at the provider and network level.
Expert Advisory Support: We guide your team through APCM onboarding, coding best practices, billing workflows, and regulatory compliance, ensuring you stay ahead.
Why Choose ReportingMD?
First-Mover Advantage: With APCM still in early adoption, now is the time to lead and differentiate.
Tailored Implementation: TOM™ flexes to your practice's size, EHR environment, and performance goals.
Sustainable Growth: Unlock long-term revenue potential while improving patient care and engagement.
“APCM gives providers a way to get paid for the proactive care they already deliver. ReportingMD makes it easy to turn that opportunity into a reality.”