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Sematic Health
Now partnered withathenahealth logo

Capture Medicare revenue while improving patient care

Sematic Health automates APCM enrollment, care plans, and billing, with built-in care gap detection and AI assistance. All inside your EHR. Go live in days, start collecting in weeks.

Trusted by clinics like

High Country Rural Clinic logoGem Family Medicine logo

"I've found Sematic Health's embedded app an extremely useful, reliable, and low cost add-on to athenaOne."— David Brown, MD.

Focus on what matters

Eliminate administrative friction

Sematic coordinates your APCM operations to give your care navigators max leverage.

Sematic takes you from consent to enrollment in seconds.

Our tier determination engine pulls coverage, chart, consent, and provider data into one flow so every claim is coded correctly. No more needless EHR-clicks and human error.

Insurance eligibility

Patient chart

Patient consent

Care providers

Sematic

Patient enrolled

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Testimonials

Clinics trust Sematic Health to start and scale APCM.

Hear how care teams use Sematic to stay compliant, work at scale, and reclaim administrative hours every month.

The Sematic Health APCM app is a game changer for my clinic. As a clinical tool, I can execute APCM for my Medicare patients at scale and at low cost knowing I am adhering to CMS guidelines and reliably surfacing care gaps that often go unaddressed.

The app also recommends action items that are easily executed and traceable through athenaOne native patient case documentation. And submitting claims is accurate and takes only a few seconds per claim or can be done in a bulk fashion saving hours per month of staff overhead.

High Country Rural Clinic logo

David Brown, MD.

Clinic Owner, Internist, and Founder

2 providers

If you use Athena EMR, reach out to Sematic Health. They have/are developing a software that integrates with Athena and reduces a lot of the administrative burden of enrolling, managing and billing for APCM.

Gem Family Medicine logo

Landon

Practice Manager, Gem Family Medicine

4 providers

Product walkthrough

See it in action

Watch how Sematic drives APCM from enrollment to billing without leaving athenaOne. The demo highlights the workflows our customers rely on every day.

Everything you need

Your all-in-one APCM solution

Stop losing time to manual work. Sematic Health is your drop-in solution for APCM. We connect to your EHR to automate every complex task, so your team stays focused on patients while you capture the full APCM revenue.

Seamless EHR integration

Tired of manual data entry? Securely connect to your EHR to pull patient data and write back notes, tasks, and care plans automatically.

Automated care gap alerts

Worried about missing key events? Proactively identify clinical red flags and care gaps from patient data to enable timely interventions.

AI-powered clinical chat

Stuck on a clinical question? Get instant, evidence-based answers from the best language models, trained on the latest medical literature.

Real-time team collaboration

Frustrated with siloed work? Work together on patient charts, assign tasks, and track progress across your care team in real-time.

Population health dashboards

Struggling to see the big picture? Get a high-level view of your entire patient panel with powerful analytics and risk stratification.

Audit-ready compliance

Nervous about Medicare audits? Automatically record all APCM-related activities for a clear, defensible audit trail.

Automated billing prep

Wasting hours on billing? We analyze patient data and completed tasks to let you bill with the press of a button.

Direct founder support

Feeling stuck? Text a founder directly, anytime. We're here to help you succeed with value-based care.

Seamless EHR integration

Tired of manual data entry? Securely connect to your EHR to pull patient data and write back notes, tasks, and care plans automatically.

Automated care gap alerts

Worried about missing key events? Proactively identify clinical red flags and care gaps from patient data to enable timely interventions.

AI-powered clinical chat

Stuck on a clinical question? Get instant, evidence-based answers from the best language models, trained on the latest medical literature.

Real-time team collaboration

Frustrated with siloed work? Work together on patient charts, assign tasks, and track progress across your care team in real-time.

Population health dashboards

Struggling to see the big picture? Get a high-level view of your entire patient panel with powerful analytics and risk stratification.

Audit-ready compliance

Nervous about Medicare audits? Automatically record all APCM-related activities for a clear, defensible audit trail.

Automated billing prep

Wasting hours on billing? We analyze patient data and completed tasks to let you bill with the press of a button.

Direct founder support

Feeling stuck? Text a founder directly, anytime. We're here to help you succeed with value-based care.

$702,000

Yearly revenue per 1000 patients*

2x

Care manager patient capacity

2min

Minutes from consent to claim submission

Frequently Asked Questions

We partner with clinics at every stage of APCM adoption.

If you don't see your question here, reach out—we're happy to share what's working for practices like yours.

See it in action

Ready to automate APCM and grow predictable revenue?

We'll tailor a walkthrough to your workflow—bring your roster, questions, and billing goals. Sematic is month-to-month, no setup fees.

Email our team
Sematic Health

A modern operating system for value-based care. Built with practicing clinicians for teams scaling APCM.

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