Automate APCM Tasks & Billing for Your Clinic
Sematic Health connects with your EHR to streamline APCM workflows. We help your clinic bill accurately, manage care plans, and meet compliance—reducing manual work for your team.
See How It Works
The Operational Lift of APCM
APCM pays monthly for better patient care—no time tracking needed. But unlocking these payments requires building and maintaining complex systems for 24/7 access, care coordination, and quality reporting. This heavy administrative burden steals valuable time from patient care.
Manage 13 Required Capabilities
You need systems for 24/7 access, care plans, care coordination, and population health. Each capability requires staff time and careful documentation.
Ensure Accurate Billing & Compliance
Each month, you must justify G0556-G0558 codes based on patient complexity. One mistake can mean lost revenue or compliance issues.
Meet Quality Reporting Demands
Track and report quality metrics for MIPS and ACOs. Missing data or late submissions can impact your APCM payments.
Unlock APCM Revenue & Savings
Beyond the admin lift, APCM offers stable monthly payments for better patient care. Estimate your clinic's potential revenue and savings below.
Estimated Yearly Revenue:
$70,200.00
(Based on an average of $58.50 PMPM)
Est. Monthly Admin Savings:
$607.00
(Saving ~70% of 2 CMs @ $25/hr for 1k patients)
Your APCM Automation Solution
Sematic Health is your drop-in solution for APCM. We connect to your EHR to automate every complex task: care planning, compliance logs, billing prep, and more. No more administrative burden—your team stays focused on patients while you capture the full APCM revenue.
APCM Task Automation Engine
Automatically generates and updates to-do lists for each APCM patient based on the 13 required service elements. Tracks completion status.
EHR Data Sync
Connects to your EHR via secure APIs (OAuth where supported). Reads patient lists, problems, meds, and appointments, then writes APCM notes back to patient charts.
APCM Compliance & Audit Log
Records all APCM-related activities, consent, care plan versions, and communications. Creates a clear audit trail for Medicare.
Care Team Task Management
Assigns APCM tasks to specific team members (MDs, RNs, MAs). Provides dashboards for staff to see their APCM workload.
APCM Billing Code Preparation
Analyzes patient data and completed tasks to suggest the correct monthly APCM G-code (G0556-G0558).
Quality Metrics Data Collection
Helps capture and organize data points needed for APCM-related quality reporting (e.g., MIPS Value Pathways).